Disease Prevention

This post is dedicated to my Mom
Lost her awhile ago. As Mothers day is soon approaching thought of sharing one of her recipes.
When i was younger my mom would write down recipes for family members as she was a great cook.
So i took a page our of her book. Hope you enjoy this plant based recipe. Its heart healthy, kidney friendly , and diabetic diet friendly.
Ingredients
4 boiled medium potatoes cut into square cubes
2 onions finely chopped
5 garlic cloves
1 inch ginger
1 cup any plain yogurt
2-4 dry red chillies depending on spice level
1/2 cup grated coconut
2-3 cloves
1/2 inch cinnamon stick
2-3 cardamoms
1/8 tsp salt
2 tablespoons chopped cilantro leaves

Blend the following ingredients garlic, ginger, coconut, dry red chillies, cloves, cinnamon, cardamom and keep aside. Add yougrt to this mixture and mix well.
Take oil in a skillet add the blended mixture and let it simmer till the oil separates out. Add the boiled potatoes and cook for five minutes. Add salt and garnish with 🌿 cilantro.
One can have this with rice or chapathi
Enjoy and hope you liked this recipe

Sorry I did not forget you guys. Just have been super busy. So posting a plant based option. Hope you enjoy the recipe. Eggplants

Who said plant based foods are depressing 😊
Here you go, a neat little recipe with eggplants💚
Hope you like it✅
Ingredients
Dry roast the following items
1/4 cup peanuts + + 2 tsps sesame seeds + 2 dry red chillies 1/4 cup dry coconut
Cool it and blend it to a fine paste with 3- 4 ounces of water
Take 5 - 6 medium sized eggplants, make a slit on 4 side, keeping its shape intact. Brush on some oil on each egg plant and place in air fryer for 5 - 7 minutes at 400 F for 7 - 10 minutes till soft.
In a pan add 1 tbslp oil, + add 2 red chillies + 1 tsp mustard seeds + 1 tsp cumin seeds
To this add 1 diced medium sized onions. Once golden brown add the following spices
1 tsp cumin powder + 1 tsp paprika powder + 1 tsp coriander powder + 1/2 tsp salt. Stir for a few minutes and then add 4 tbslp tamarind paste.
Finally add the blend of peanut paste to it, let it simmer for 4 -5 minutes. Add the eggplants and let it simmer for another 4 -5 minutes
Voila ready to serve. Serve it plain, or with rice or naan.
Hope you like it. Enjoy!!!✅ ❤️❤️

What are your plans for Thanksgiving?
If you have CKD, no worries✅
There are ways you can enjoy thanksgiving and not feel guilty 💚
CKD friendly Thanksgiving is a good way to keep you healthy and not feel deprived of all the food options out there✅
Choose appetizers that have some kind of fruit or vegetable tray in it✅
One can choose cream cheese and low sodium crackers to keep sodium intake low✅
Choose side dishes with vegetables such as carrots or green beans or zucchini✅
Desserts such as apple or cherry pie,peach cobbler and crumble cake all low potassium options✅
Do enjoy the turkey but keep the portions low as its animal based protein✅
Try and substitute something plant based such as beans, lentils and still enjoy the rest so one does not feel deprived✅

Have you ever wondered as to how much phosphorus one eats when eating foods loaded with phos additives✅

Here is a quick check, on amount of free phosphorus in one’s food✅

The top section mentions foods without additives🥰
The bottom section in red for each category shows you how much more free phosphorus is present when phos additives are added to foods 🛑

Food sources of protein which contain phosphate additives provided an average of >100 mg of additional phosphorus per 100 g of protein food source

Now if you have CKD and or are End Stage Renal Disease /dialysis. This can show you how many more binders one might have to take with one's meals to help get rid of phosphorus from diet.

This finding also suggests that even a high intake of phosphate binders is ineffective to control phosphatemia in the presence of an uncontrolled phosphorus intake in the form of additives. This could also explain, in part at least, the existence of patients who do not respond to phosphate binder therapy

The study showed cooked ham and roast breast turkey with phosphate additives had a phosphorus content 70% higher than samples containing no additives

Thus check your ingredients, and if it has phosphorus additives switch to brands that do not have phosphorus additives
Or download the app phosFilter to help identify foods that have phosphorus additives in them.
Taken from article Journal of Renal Nutrition
Extra-Phosphate load from food additives in commonly eaten foods:A real and insidious danger for renal patients

Thinking of what is acceptable candy for 🎃 👻 The renal dietitian got you✅.
If you are a kidney warrior, Dialysis patient or a CKD patient. The renal dietitian has got you. All these are acceptable candies for halloween.

I plan on passing this handout to all my patients at the Dialysis Center💚
You can enjoy halloween too and not feel left out.

They are CKD friendly ✅

They are Dialysis friendly ✅

Low in potassium and phosphorus if not any ✅

Enjoy your Halloween 🎃 guilt free 💚

If you are diabetic, please make sure you are accounting for carbohydrates and match it with healthy fat or protein to keep one's blood sugars in check.
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Here is my post, for ideas of popular blends widely being used🌎

One can create them on your own, and create these delicious flavors without the need for added salt!!

These spice combinations will have one whipping up dishes from all over the world!!

One can use this chart as a guide to give your meals those traditional ethnic flavors you love🥗🌶🌿

Who would have thought that there are so many similarities between different ethnicities✅

I for one use most of these spices and make up my own concoction🍲

What's great about these they add so much flavor to the food, without the need for salt 🧂

Stock your pantry !! Real quick !!👩‍🍳🍽

These spice combinations will have one whipping up dishes from all over the world!!

One can use this chart as a guide to give your meals those traditional ethnic flavors you love🥗🌶🌿

Who would have thought that there are so many similarities between different ethnicities✅

I for one use most of these spices and make up my own concoction🍲

What's great about these they add so much flavor to the food, without the need for salt 🧂

Look out for my next post, for ideas of popular blends widely being used🌎

Stock your pantry !! Real quick !!👩‍🍳🍽

📷 + below recipes by .veganbabe

I made a few changes to keep it low sodium

1/2 cup chickpeas - 112 mg phosphorus, 237 mg potassium , 135 mg Sodium, Proteins - 6 g, Fiber - 4g, Calories - 127

🌱🙌🎉 Crispy Ranch Chickpeas!!

🔖 Make sure to save this recipe to make later!!

✨Ingredients✨
1 can of chickpeas buy the organic low sodium kind
1 tbsp olive oil
2 tsp dill
2 tsp salt free onion powder
1/2 tsp salt free garlic powder
1/2 tsp salt skip this step to keep salt intake low

🤗Strain your chickpeas and shake excess liquid. Wash real good till all the brine is gone.

🔥 Pop into your air fryer for @400 degrees for 10-15 minutes until golden and crunchy. Be careful not to overcook or they will be dry! If using an oven bake @400 for 30 min tossing halfway.

😍Season with olive oil & spices, toss and enjoy!!!
#

Information obtained from Article
https://www.jrnjournal.org/article/S1051-2276(21)00174-6/fulltext

Taste Alterations is a very common symptom of Chronic Kidney Disease CKD and ESRD patients

The CKD taste plate helps clinicians and at times patients and caregivers identify reasons for decreased po intake.
- There are 5 separate tastes : Sweet, sour, bitter, salty, umami (savory)

- Use the plate method by recognising the symptoms and trial one of the solutions to see if it helps

Plate method
- inner plate --------> check for taste

- outer plate ----------> management of symptoms

Salty taste - High concentration of salivary sodium - restrict sodium, and add sweet tastants like tomatoes, beetroot

Metallic taste - High concentration of Urea - Avoid metallic cutlery, sodium bicarbonate mouthwash, prior to meals mints, ginger, beer, fruit juices, and tea

Bitter taste- High urea levels - Avoid bitter tastants eg coffee, chocolate, beer. Sweet tastants carbohydrates in a diet cooked with honey, fruit juices, tomatoes, beetroot. In case of diabetics care should be exercised if patients are trying to stimulate with high sucrose or glucose carbohydrates.
Adding acidic foods and drinks like grains, lentils, kiwi fruit, blueberries, acidic drinks like lemon, carbonated drinks, acidic condiments, and vinegar

Loss of taste - High salivary sodium or at times zinc deficiency - Work with a MD for zinc supplementation which needs to be monitored when use is long term. Adding in acidic foods and beverages. Adding spices , chilli, vinegar, marinades

Loss of Sour taste - High bicarbonate levels -- Trial acidic foods,and beverages as mentioned above

Loss of umami taste - high salivary bicarbonate - Trial of acidic foods, drinks and condiments as mentioned above.

Hope this helps my patients eat better!!

Here is me doing my IG post on the run prior to seeing my Dialysis patients

So let's talk about eating out.

It's MEXICAN, how many times have I had patients say they do not eat out BECAUSE THEY HAVE CKD!!

How about Mexican food, I asked!!!

You are not alone in feeling so restricted and overwhelmed with CKD! 💚

Yes, you can still eat your favorite foods, like Mexican, with CKD, but you can do it in a healthy way for your kidneys!

If its mexican food, then look for these option ❤🌮

1. Ask for unsalted chips - that way one can reduce the amount of sodium intake

2. Ask for Corn tortilla in place of a flour tortilla. Corn tortilla have no added phosphate additives in them 🌽

3. Load up on veggies, that way it's more plant based, more fiber and less animal proteins 🎉

4. Fajitas, tacos, and tostadas are examples of great options 🌮
# mexicanfoods

This labor day you can go healthy too. Choose some of these options to make a healthy plate.🥗

Building a healthy plate is as easy as filling half your plate with fruits and vegetables 🍉 🍎 vegetables 🌽 🌶

Focus on fresh foods, most foods in original forms such as fruits, vegetables, fresh meats, poultry, dry beans are low in sodium. Include these often into your meals or snacks fresh 🍱

You can grill and try different salt free seasonings such as herbs, spices, garlic, black pepper, lemon juice
Make your own salt free seasonings 🌿

Enjoy grilling!! and let me know what was your favorite thing to grill today 🌳💰💯

Ingredients
1 medium head cauliflower
1 one-inch ginger root cube
1 garlic clove
1 teaspoon curry powder
1/2 teaspoon chili powder
1/2 teaspoon cumin powder
2 tablespoons rice flour
1/2 green bell pepper sliced
1 teaspoon lemon juice
2 tbsp canola oil
Preparation
Separate cauliflower into florets. Finely shred ginger root and mince garlic clove.
Combine ginger root, garlic, spices and rice flour. Coat cauliflower uniformly. Air fry at 350 F for 15 minutes
Heat oil. Add sliced green pepper, saute for 2 minutes, and add the cauliflower , cook for 1 -2 minutes and garnish with green onions.
Drizzle with lemon juice and serve hot. 
Helpful hints
Adjust chili powder for more or less heat.

Did you know Serum Phosphorus has been directly associated with risk of mortality in dialysis patients

Phosphorus in food products exists in two forms: organic and inorganic
Organic phosphorus are the naturally occurring phosphorus and can be found in plant and animals

Organic phosphorus in plants are in the form of phytates which we as humans cannot digest
Thus decreasing its bioavailability from these foods

Organic phosphorus from both animal and plant foods has an intestinal absorption rate of only 40%-60%.
Patients on dialysis or with CKD - taking binders with these organic phosphorus foods will further decrease the absorption of phosphorus.

Alternatively, inorganic phosphorus, such as phosphates added to foods during processing, has an absorption rate of greater than 90%.
So it's important to educate our renal patients on phosphorus additives : they can be identified on the food product ingredient list and they have a very high absorption rate.

Just listed the most commonly used phos additives in today's foods.

For a quick , go look in your pantry for anything packaged, and see if these additives are present in your ingredients list.

Phosphorus is an important mineral that your body uses for energy and overall health. What you eat and drink can affect the amount of phosphorus in your body. The key to selecting foods with phosphorus is having the right balance for your needs.

Natural and Added Phosphorus

Natural Phosphorus: Phosphorus occurs naturally in meats, dairy, grains, and vegetables. Your body absorbs about half of this natural phosphorus from foods and drinks.

Added Phosphorus: Phosphorus is also added to many foods and drinks as a preservative. Your body absorbs nearly all of the added phosphorus from foods and drinks.

I just wanted to discuss coffee and creamers and milk alternatives. The reason being is high blood phosphorus numbers have been linked to risk of mortality in dialysis patients.

An 8-ounce cup of black coffee contains 116 mg potassium. This is considered low in potassium, but if you drink several cups of coffee a day it can add up.

Choosing a creamer that contains no potassium or phosphorus additives helps. Especially if you like more than 1 cup of coffee a day. As multiple servings of coffee can eventually add up.

When possible, choose the additive-free creamer or milk alternatives with lower amount of potassium and phosphorus that are not enriched

You can still enjoy your coffee while following a kidney diet. Read the ingredients list to identify creamers that do not contain phosphorus and potassium additives.

Use 1/2 cup or less of dairy milk or try a milk alternative, including almond, soy and rice milk that are not enriched.

How about a low sodium Chinese food option. One can make it with tofu and make it plant 🌱 based

Schezwan paneer recipe

1. Soak red chilies 4-8 (depending on spice tolerance) in hot water for 30 mins. I have deseeded the chilies as we do not like the seeds in the sauce. Put in a blender and make a thick paste with 1 tblsp water
2.Take 5-6 ounces of paneer or tofu. Dice it into cubes
3.Take 3 tbsp corn flour +3 tbsp all purpose flour+ 1/4 tsp pepper +1/8 th tsp salt. Add water to it to make a fine smooth paste. Dip the paneer or tofu cubes in it. Coat it well with the batter
4.Take oil in a pan -1-2 tbsp , once hot add the coated paneer and fry on each side till golden brown.
5.Take a skillet add a tbsp of oil. To it add 3/4 tbsp garlic paste +1/2tbsp ginger paste. Saute for few minutes. Then add diced onions 1/2 , to it add 1 celery stick diced and 2-3 spring onions chopped fine. Stir for a few minutes
Finally add finely chopped green bell peppers around 1/2 Medium size. Sauté for few minutes.
6Add the fried paneer to the above medley, add 1/4 tsp sugar and sauté for few minutes. Once done add spring onions for garnish.

Enjoy a low sodium Chinese entree, can be eaten with rice or 🍝 noodles