OK HERE'S A QUESTION FOR YOU ABOUT PORTIONS - Kidney Disease

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OK HERE'S A QUESTION FOR YOU ABOUT PORTIONS

Starcatty profile image
12 Replies

If nobody answers, I will understand. I am still flummoxed by portions.

The NEW YORK PRESBYTERIAN HOSPITAL (Dr. Oz's hospital) states:

VEGGIES: eat 1 and 1/2 cups per day in THREE servings. OK so that's 1/2 cup at a time. When do you eat those 3 servings??

Since I'm on a vegan diet, that means I can have 1/2 c veggies for dinner with some tofu and 1/2 cooked rice. That's crazy. I am already thin.

I want to eat at least 1 cup veggies or more for dinner, a couple different kinds.

BUT TOO BAD.......eat your damned 1/2 cup at dinner and that's all?

Help!

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Starcatty profile image
Starcatty
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12 Replies
jodaer profile image
jodaer

What else did it say? It must have said something about other food groups? Most diets aren't flexible, as in 1-1/2 cups of veggies a day. I'm not sure why you picked NYP hospital for advice but I would look elsewhere and decide what/how much you want to eat. Just take in consideration, health wise, what you should do.

orangecity41 profile image
orangecity41NKF Ambassador in reply tojodaer

Good point on food groups . My CKD diet covers meat or meat substitute, starch, fruits, vegetables, dairy, and fats.

Starcatty profile image
Starcatty in reply tojodaer

I can't find portion control anywhere else.....can't figure out how to calculate it.

RoxanneKidney profile image
RoxanneKidney

You eat every 4 hours.

Sophiebun11 profile image
Sophiebun11

A plant based diet is not a vegan diet if that is what you are thinking. If you want to do a vegan diet that's a different story.

You must be misunderstanding the diet or leaving out 90% of the information.

1/2 cup of veggies and some rice is not healthy. No one would suggest that as a long term diet. Would you post a link where you got that info?

I've been a vegetarian and also been vegan for many decades. I started being a vegetarian since I was 10 years old and haven't eaten meat since then.

I do not live on 1/2 cup veggies and rice. You can eat as many calories as you need to maintain a healthy weight. You are supposed to be eating legumes, grains like quinoa (rice is not the best grain especially for diabetics) along with plenty of leafy green vegetables.

You should be having fruit and meat substitutes made of legumes or soy. There is no reason to assume that a vegan diet is going to starve you unless you are making unwise food choices.

Pay to see a Dietician if you can't get a referral. You'll only need one appt. A one hour appt. costs $100, but if I were you I'd do what I did. I picked up the phone and asked the receptionist at my primary care Dr's office if she'd ask my Dr. to fax a referral over to the Dietician so I could have an appt. She called me back an hour later and told me the Dietician would call me to set an appt. I went for my appt. 2 weeks later. You don't need a Neph. to refer you. There are also free classes on diet at your local hospital and community center. Contact your local Diabetes Assoc. Chapter for info and classes on diet. diabetes.org/

No one on this forum can tell you what to eat. We don't know your CKD status. We don't know your blood sugar, and we aren't Dieticians. Even a Dietician wouldn't advise you without seeing your lab work and history from your physician.

3 cups of greens per day is good advice because some people don't eat fresh greens. But limiting yourself is ridiculous. And you need to make sure that you fully understand any diet and that your Dr. approves of it before you follow it. Saying AT LEAST 3 cups makes much more sense.

I don't know why you wouldn't just follow the CKD diet on Davita CKD website. If you want to be a vegan just don't eat the dairy products or use any honey. Other than than there is nothing there that you can't eat. If they do suggest fish, don't eat it. Any diet is a guideline. Look at some vegan websites for diet information. Google vegan recipes.

What you are saying about only eating that much is ludicrous and must be a misprint unless they suggest something else to make up for getting enough fresh vegetables and fruit along with protein sources. You still need to look at calories or carbs and if you are losing weight eat more. The math is simple. Rice has little protein and depending on the greens they don't have enough unless you are combining them with legumes or nutritional protein powder. You'd need to ask your Dr., but my Dietician told me to have at least 40 - 50 grams of protein and increase my carbs to 100 to maintain a healthy weight. I would NOT get that from rice and any amount of veggies alone.

Bassetmommer profile image
BassetmommerNKF Ambassador

This is why you do not use Google for medical advice. First of all, 1/2 cup veggies is a ridiculous small amount unless you are have five or six different veggies at a meal..... I have read so many recipes where they say something is healthy for you until you read the serving size and see it so tiny, why bother. But it sells the article or makes the dietician look great.

Try to find a dietician who can support your individual needs. What works for one, does not always work for another. I eat 90% plant based. But, I refuse to eat something manufactured because it says its plant base, such as faux meats and dairy. I do not eat any meat, chicken or fish now. I do have cheese once in a while and lo fat butter, real dairy products. I have ad opted a diet that works for me, that makes my life pleasant but healthy and doable.

Michael__S profile image
Michael__S

It's precisely for those kind of problems that RD exist. As it have been suggested ask for a renal dietician or if you can't ask for a registered dietician. Both can help you with your diet in respect with your medical issues (i.e. high potassium). If you pay out of pocket even one session will be the most beneficial thing you have ever paid for.

Starcatty profile image
Starcatty in reply toMichael__S

I already have a renal dietitian booked. Good advice.

jodaer profile image
jodaer

Let us know how it goes. Portion control is about how big/large a portion is. i.e. 1 cup, 2tbsp, etc. Food groups are fruits, veggies, protein, carbs, sugar, fiber and how much of any should you eat. If you want a heads up google SAD, Standard American Diet. I do not recommend this diet but it can give you a general idea of where you should be headed.

HSV21 profile image
HSV21

As my Renal Dietician said, a Renal Diet is not a healthy diet, thus she goes through hundreds of recipes on her database to find ones that will fit my needs. That is what a good renal dietician does. I have also had a session with one who gave just a general overview and never asked what my numbers were. I personally would not listen to any advice associated with Dr. Oz, but that is my personal preference. Portion size and combinations of food are confusing and conflicting to the novice, especially in my case with comorbidities of diabetes, CKD stage IV and heart failure. What is OK in Stage 3 may not be so good in stage IV, etc. So, in this instance, it really does take a professional RD to figure it out for you.

My renal dietician broke it down in the simplest of terms for me that I can follow: Breakfast 2 oz protein, 1 starch, 1 fruit, unlimited veggies, dairy substitute (like Rice milk), herbs and spices. Same for lunch and dinner, but increase protein to 3 oz. at each meal. My potassium, phosphorus and blood glucose are now in normal range in a few short weeks, although the glucose is more likely due to Ozempic I just started. At first I could have no bread and only a 1/3 c. of rice. Allowing 1 serving of any starch at each meal, plus unlimited veggies I can fill up on, and ending with a sweet fruit satisfies most of my desires. And I can have fats at every meal to help with satiety too.

Good luck and find a dietician soon. You can PM me for mine's contact info, she does tele-sessions.

Skeptix profile image
Skeptix in reply toHSV21

What do you mean by 2 and 3 oz of protein? That would kill your kidneys and so it must mean something else like 2 or 3 oz protein-containing food like meat or something?

HSV21 profile image
HSV21 in reply toSkeptix

yes 2 and 3 oz of meat, fish, poultry, type protein food per meal. Sorry for confusion.

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