Renal And Diabetic Diet Recipes – It may be challenging enough to follow a kidney diet or diabetic diet, but a kidney diabetic diet? I
With all the things to avoid with diabetes and kidney disease. Here, let’s dive into what to know about the diabetic kidney diet.
Renal And Diabetic Diet Recipes
According to the CDC, one in three American adults with diabetes also has chronic kidney disease. That’s tens of thousands of people, all now dealing with not one, but two challenging illnesses, each with their own guidelines, restrictions and recommendations regarding diet and lifestyle.
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But with the correct understanding of both conditions and the dietary options needed to manage them, implementing a diabetic kidney diet need not be a stressful experience.
Starting a diabetic kidney diet starts with understanding chronic kidney disease, diabetes, and how these two conditions may be related.
In type 1 diabetes, the body does not produce insulin as it should. Sugar goes into the bloodstream, but not into the cells. This can lead to dangerously low and high blood sugar levels. People with type 1 diabetes use prescription insulin to help their bodies use the carbohydrates they need.
With type 2 diabetes, the body does not respond well to the insulin in the body. This can lead to high blood sugar levels and other potential complications. People with type 2 diabetes are often prescribed oral medication and insulin to help use the carbohydrates they need.
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For people with diabetes, the top priority is tracking the carbs in your diet. The amount of carbohydrates a person needs depends on factors such as age, gender, physical activity and other health conditions.
And while many feel that a diabetic diet should avoid carbohydrates, it’s important to include them in a diabetic diet.
In fact, by including more frequent small meals, many with diabetes find better control of their blood sugar spikes and dips. That’s why it’s helpful to eat every 2-4 hours throughout the day.
Other factors in the diabetic diet include watching your fat and protein intake, as well as micronutrients such as fiber, chromium, and magnesium.
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Chronic Kidney Disease occurs when your kidneys can no longer filter as they should. There are different stages of CKD, with early stages and later stages that differ based on how well your kidneys can filter waste.
Your estimated glomerular filtration rate (eGFR) measures kidney filtration. Different levels of eGFR corresponding to different stages of CKD. Kidney function also depends on other factors such as age, genetics and physical activity level.
A diet for chronic kidney disease is known as a kidney diet. There are many different types of kidney diets besides the diabetic kidney diet.
Some may need to follow multiple diet goals, such as a low-protein, low-potassium diet. This is what makes working with a nutritionist so helpful. A nutritionist will guide you through these multiple dietary changes to help make sense of it all.
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While most beneficial diabetes diets are great for the general public, with a focus on lean meats and vegetables, these diets may not be right for someone with CKD. That’s because they don’t tend to take into account things like the amount of phosphorus or potassium in the diet, and they may not take sodium into account.
On a diabetic kidney diet, there are more things to consider than with a general diabetes diet. This includes carbohydrates, proteins, fats and nutrients like potassium.
As mentioned above, carbohydrates are extremely important and beneficial for a diabetic kidney diet. Whole grains are excellent sources of carbohydrates.
Fiber helps control blood sugar, as fiber-rich foods cause a much lower insulin response than glucose. In general, those with diabetes and/or kidney disease should consume 20 to 35 grams of fiber per day.
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Prebiotics also help with good digestion. Prebiotics feed the good bacteria in your gut and promote a healthy microbiome.
Protein is the building block of our muscles. However, protein recommendations vary greatly depending on the stage of kidney disease and overall kidney function.
That’s why it’s important to make sure you’re focusing on a diabetic kidney diet rather than simply a diabetes-management-focused diet when dealing with both conditions.
There are certain eGFR markers you can look for when determining how much protein to eat in a day. The table below will help you decide which amount of protein is best for you. This is also a great opportunity to work with a Registered Renal Nutritionist. Nutritionists are trained to make safe diet recommendations for you.
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It is very important to work with a nutritionist when following a low protein diet (defined as less than 0.8 g/kg per day).
Some research has shown that limiting protein intake during the early stages of chronic kidney disease can lead to better overall results in levels such as fasting glucose and eGFR.
Protein is found in animal and plant foods. Examples of kidney-friendly animal protein sources include lean beef, turkey, and chicken. Beware of pre-made roasted chicken, as it generally contains more sodium and phosphorus. Cottage cheese is a great protein option. It is lower in potassium and phosphorus than other food choices.
Plant-based protein options include tofu, lentils, beans, nuts and nut butter. As with all processed protein options and food options, be sure to limit sodium in these foods and in any foods you choose.
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Fats often get a bad rap, but fats are essential for our bodies to function properly. Not only do they help insulate our bodies, but they are also necessary for hormone formation and help create healthy cells.
It’s also important to keep track of the type and amount of fat you are consuming as part of a diabetic kidney diet. While some fats can be beneficial, such as the unsaturated fats discussed below, others, such as too much saturated or trans fats, can lead to high blood pressure, a dangerous condition for people with diabetes and chronic kidney disease.
Saturated fats are solid at room temperature. They’re in foods like full-fat dairy, cheese, and baked goods.
Unsaturated fats, on the other hand, are liquid at room temperature and come from vegetables, nuts, seeds and fish.
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Unsaturated fats are organized into two groups. There are monounsaturated fats like avocado and olive oil. There are also polyunsaturated fats, found in fatty fish, walnuts, flaxseeds and sunflower oils.
Polyunsaturated fats are essential because our bodies cannot produce them. Therefore, we need to get them from our diets.
Two types of polyunsaturated fats, omega-3 and omega-6, are important for controlling high cholesterol. High cholesterol is linked to diabetes and high blood pressure.
Polyunsaturated fats can lower LDL cholesterol and help lower blood pressure (omega-3) and protect against heart disease (omega-6). Some people even benefit from an omega-3 supplement.
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Potassium is not limited on a diabetic diet. However, those on a renal diabetic diet should understand potassium.
This is because the kidneys may not be able to process the potassium in food as well with CKD. Therefore, limiting potassium intake is important to control the disease.
When instructed by your doctor, people with chronic kidney disease may need 3,000 mg to 4,000 mg of potassium per day. Those with end-stage renal failure should aim for between 2,000 mg and 3,000 mg of potassium per day.
Common sources of potassium include dairy, nuts, fruits and vegetables, all great foods to include in your overall healthy diet in a way that meets your potassium needs.
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Potassium restriction in a diet for renal diabetics should be done by your doctor or nutritionist. But know that restricting doesn’t necessarily mean eliminating foods you like.
Fruits and vegetables are still an option on a low-potassium diet. Understanding the factors that affect your potassium is also important when choosing the right foods for you.
Apples, Applesauce, Apricots, Blueberries, Cherries, Cranberries, Fruit Cocktail, Grapes, Lemon, Lime, Mandarin Orange, Pear, Pineapple, Plum, Raspberry, Rhubarb, Strawberry, Tangerine, Watermelon
Asparagus, Arugula, Bamboo Shoots, Broccoli, Carrots, Cauliflower, Celery, Cabbage, Cucumber, Eggplant, Green Beans, Cabbage, Lettuce, Mustard, Onion, Peas, Bell Pepper, Radicchio, Red Cabbage, Chives, Squash (like Zucchini ), Tomatillo, Water Chestnuts, White Mushrooms
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Brown Pasta, Brown Rice, Barley, Quinoa, Millet, Couscous, Amaranth, Brown Rice, Wild Rice, Whole Grain Bread, Bagels & Rolls, Oats, Quinoa, Farro, Freekeh, Sorghum, Tapioca, Millet, Barley, Bulgur, Kamut, Durum , Buckwheat, Teff, Arrowroot, Wheat Berries
Olive oil, avocado oil, linseed and linseed oil, sunflower oil, safflower oil, fatty fish like salmon and tuna, nut oil
Apple Juice, Coconut Milk, Coffee, Cranberry Juice, Ginger Ale, Grape Juice, Lemonade, Oat Milk, Pineapple Juice, Rice Milk, Tea, Brewed
While a diabetic kidney diet offers great options when it comes to food choices, some things should be limited or eliminated.
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Sugar can be difficult to limit because it’s usually well hidden. Understanding sugars can make limiting and choosing the right foods a little easier. The general sugar recommendation is 6 teaspoons (25 grams) per day for women and 9 teaspoons per day (37.5 grams) for men.
Simple sugars are just that – sugars that are easily broken down by our bodies. These are found in
