1	Eating Well..... during summer and the festive season Gwen Hickey Renal Dietitian Royal North Shore Hospital
2	Eating Well… today’s outline Tips to assist you during the festive season and summer time with: - Renal transplant - Peritoneal dialysis - Haemodialysis
3	Eating Well… kidney transplant Aim = weight control = control cholesterol = limit salt
4	Eating Well… kidney transplant Weight control Eat sensibly prior to party/occasion Limit quantity of high calorie/energy snacks Choose lower calorie options where possible Limit alcohol, alternate with water Limit soft drink and juice.
5	Eating Well… kidney transplant Types of fat (saturated fat increases cholesterol) Limit cheese, fatty meat, avoid skin on chicken Careful of hidden fats eg creamy dressing, mayonnaise, biscuits/cake, crisps/chips Use low fat alternatives
6	Eating Well… kidney transplant Reduced sodium limit foods high in salt eg cheese processed meats crisps/chips salted nuts
7	Eating well… peritoneal dialysis Aim = weight control = reduced salt = increased protein = phosphate control = sensible fluid intake
8	Eating Well… peritoneal dialysis Weight control Eat sensibly prior to party Limit quantity of high calorie/energy snacks Choose lower calorie options where possible Limit alcohol, alternate with water Limit soft drink and juice
9	Eating Well… peritoneal dialysis Reduced sodium limit foods high in salt eg cheese processed meats crisps/chips salted nuts
10	Eating Well… peritoneal dialysis Increased protein Choose lean meats/poultry seafood reduced fat dairy products legumes eg chickpeas/lentils nuts eggs
11	Eating Well… peritoneal dialysis Careful of phosphate Protein foods are high in phosphate Take your phosphate binders with your meals and snacks Speak with your doctor, dietitian, or dialysis nurse if you are not sure how to spread your binders
12	Eating Well… peritoneal dialysis Sensible fluid intake Keep to fluid restriction Higher concentrate solutions to remove more fluid = more sugar to be absorbed
13	Eating Well… haemodialysis Aim = reduced salt = keep to fluid restriction = increased protein = phosphate control = low potassium
14	Eating Well… haemodialysis Reduced sodium limit foods high in salt eg cheese processed meats cheezels/twisties
15	Eating Well… haemodialysis Keep to fluid restriction Save fluid for later in the day Remember to save fluid for your tablets Limit your salty food!
16	Eating Well… haemodialysis Increased protein Include meat poultry seafood eggs cheese
17	Eating Well… haemodialysis Careful of phosphate Protein foods are high in phosphate Take your phosphate binders with your meals and snacks Cottage cheese or cream cheese is much lower in phosphate
18	Eating Well… haemodialysis Low potassium Snacks: Pita chips Reduced salt crackers Dips made with cream cheese/ reduced fat cream (not avocado) Shortbread Lollies/jubes
19	Eating Well… haemodialysis Low potassium Main meal: Larger serve of meat, seafood, poultry Small side serve of salad vegetables, choose rice salad/pasta salad OR 2 x small piece (~ ½ cup size) roast vegetables
20	Eating Well… haemodialysis Low potassium Dessert: SMALL slice Christmas pudding + custard if NO other fruit or milk Pavlova Trifle using drained fruit Cheesecake Sago
21	Eating Well… haemodialysis Plan your meals where possible Eat sensibly prior to and after the special meal Ask your dietitian for further ideas/advice Useful internet sites: www.ikidney.com www.renalpatients.co.uk/recipes.htm