Diet

Dr. Sunil Prakash, the best nephrologist in Delhi, India, emphasizes that diet plays a crucial role in managing kidney disease. A balanced diet is essential for maintaining health while avoiding excess protein load on your struggling kidneys.

Protein Regulation

- In the early (pre-dialysis) stage, the protein requirement is 0.6 gm/kg of body weight. For an average Indian weighing around 50 kg, this translates to 30-35 grams of high-quality dietary proteins per day.

- However, patients on dialysis require 1.2-1.3 gm/kg of body weight, focusing on high biological value proteins such as:

  • Eggs
  • Chicken
  • Meat
  • Fish
  • Paneer/Milk products
  • Soybean
  • Pulses

Potassium Restriction

Potassium intake should be limited as it is present in high amounts in fruits, nuts, and green vegetables. Potassium can be reduced in vegetables by leeching them.

Sodium Restriction

To decrease sodium content in the diet:

  • Do not add salt during cooking or at the table.

Foods to Avoid

Avoid the following:

  • Cakes, pastries, biscuits, and squash
  • Papads, pickles, salted chips, nuts, and popcorn
  • Commercial soft drinks and proprietary drinks (high in sodium/potassium)
  • Dried foods like fish and fruits; readymade soups and canned foods

Foods That Can Be Eaten Freely

These foods are low in protein and potassium and high in calories:

  • Sugar
  • Arrowroot
  • Sago preparations
  • Unsalted butter
  • Refined flour
  • Rice preparations
  • Vegetable oil
  • Vegetables (especially after leaching)

As a CKD patient, your dietary recommendations will evolve over time, depending on your kidney function and the type of renal replacement therapy you are receiving. The hospital dietician will guide you on the necessary dietary changes and help you choose the right foods.