I am a caregiver for someone who likes MilK & Bran cereal & yogurt every day. Is that bad? I need advice on preparing his food.
Also likes pasta and tomatoe sauce. I need to know how I can adjust his diet as he likes spinach, broccoli, potatoes and anything soft to eat. Can he have white bread with his tuna. I am finding the recipes are much harder and he needs to put on some weight. He just loves 1% MILK!
Milk is not good if his phosphorous level is high. But if not, he can have it with cereal. It is old school about bran and now they have changed the thought that it was not good for CKD, to it is good to have fiber. The tomato sauce and potatoes are not good if his potassium is high, like over 5. And pasta is great if he is not diabetic. Try getting his doctor to recommend a dietician. It is a big help. We really cannot not give you a diet to follow because we do not know his other medical conditions.
I wanted to share this with you.I finally got a dietician and have been mostly following her recommendations. I am leaning toward plant based and only eat chicken and rarely 93% organic grass fed ground beef. I am learning to like plant milk. Anyway, just had a renal panel done, my eFGR went from 38 (previously 31) to 47! Creatinine from 1.42 to 1.19 but my potassium went up from 4.5 to 5.3, so byebye tomatoes, potatoes, and avocadoes for a while. My glucose is 94. Trace of blood in my urine.
Ah yes,,,,,, there is a real issue with going plant based. I did for a while and my potassium went up, and I mean WAY up. And I was not eating potatoes, tomatoes, lentils, beans, or any red meat. I love almond milk now and do not drink regular milk. I did still eat cheese. Do not eat the "plant-based cheese, Golly it is awful and processed. The issue was after a while, I got really sick of eating salads all the time and missed chicken. When I went to the doc, I had muscle wasting so I did put back chicken and eggs. Now with my phosphorous up, I do not eat cheese and boy do I miss it. No ice cream either. I have to limit potassium as well. Funny, I still am on a drug that increases your potassium, but I get blamed for eating the wrong things. Nope, no I do not. For the most part, I eat mainly veggies, pasta, rice and chicken and eggs, cherries and apples. So limited now.
I know how you feel. How many different things can I do with chicken? I love food and i love to cook. Have you ever had the Thai vegan dumplings? They are meant to be toasted or sautéed but they're great in chicken broth, add some kale or something green.
Bassetmommer speaks the truth! How old a fellow is he, and how open to changes in his diet? I'm not sure about the tuna fish, especially if its canned, because of the protein, which is the hardest thing for failing kidneys, and the salt. Probably better than red meat though. White bread is okay, as far as I know, especially if he's underweight.
In the US they sell no salt added canned tuna, see if you can find that where you are. Just a tip I learned from Davita, see if you can bulk up the tuna with chopped celery, green onion or onion, diced pepper, or whatever vegetables/fruits are desired and good for his potassium/phosphorus range in order to reduce the amount of tuna (protein) if needed for his recommended daily amount. Works for chicken salad too.
Read labels on plant based yogurt if you need to find low potassium yogurt.
It might take a little getting used to, but plant based milk did grow on me! Rice milk is kind of watery, so if he likes 1% milk he might like that, I recommends you look for unsweetened, I personally don't care for the sweetened one, but maybe he will!
If his potassium is high, you may have to experiment will alternative sauces. Maybe olive oil and garlic (good for weight gain).
If he is willing to be flexible from his current diet, being a creature of habit is not bad when it comes to kidney diets. Once you find what works and you like, I think it's easier if you stick with it, but I was just too exhausted to think about what I was eating all the time because I had small kids I was already cooking for. I hope some of this is helpful for you. Everyone here has given great advice!
My nutrition specialist said to try for whole wheat bread and pasta when possible. I was also told fish should be included if I ate meat. But like everyone else said check labels for certain nutrients he may have issues with.
Slight improvement at late stage 4.
Stage 4
Kidney failure stage 4 and am worried? 
CKD stage 4 FSGS
Stage 4 kidney failure 
