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Dialysis and Nutrition
By Rita Egolf
As a dialysis patient, I thought of sharing my knowledge and some info and recipes about dialysis and nutrition. Our bodily functions relies on having enough energy and proper nourishment. Our nutrition plays a very important role, to ensure a properly functionable immune and defense system. Therefore is this very important for a dialysis patient to cover his/her individual calorie and protein needs. Our body daily needs energy If we have too little energy, we lose weight. During chronic illnesses our body first reduces our muscle-depot. This means that our personal body-protein is getting used to act as a "energy-burner". How to recognize nutritional deficiency One cannot measure the nutritional condition only by body weight, mostly it shows within the active muscle structure. A reliable source to obtain the nutritional conditional is testing the albumin with a serum/blood test. Albumin is a protein-builder that quickly gives info about the muscle-structure or an improvement of the nutritional condition. When the nutritionlal condition gets worse, patients often shows signs of bodily-weakness and reduced strength. They may have difficulty in going up stairs or walk distances they are used to. Info Please pay attention to a proper protein intake: * Have a warm meal daily with meat, fish, curd or egg * On your dialysis day please ensure a sufficient protein intake * It is very difficult to obtain the daily requirement of protein with a vegetarian diet Protein: the muscle builder During the dialysis the body gets cleansed with the artifical-kidney. There are different forms of dialysis : Hemodialyis ( 3 x per week) Peritoneal dialysis (everyday) Unfortunately during this process, the body also loses a part of the important proteins. Tips On starting your dialysis you may not feel like eating fish or meat. * Marinate fish/meat one hour before preparation with lemon juice. * Prepare sweet-sour dishes, this boost the appetite * Use curd for your dips with potatoes and vegetables * Reward yourself after the meal with a curd-dessert * If you have too little protein in the afternoon, combine dinner with fish (herring or tuna salad) or egg (fried egg with ham). Breakfast also has a lot of delicious possibilites (fried eggs with sweet dill-vinaigrette). Suggested protein intake for dialysis patients: - With Hemodialysis - (1 - 1,2 g protein per kg bodyweight) i.e. 1 -1,2g protein x 70 kg bodyweight = 70 - 84 gr protein daily - With Peritoneal - (1 - 1,3 g protein per kg bodyweight) i.e. 1 -1,3 g protein x 70 kg bodyweight = 84 - 91 gr protein daily Recipe Herb-dip with Cream cheese Ingredients: 150 g double cream 150 g cream cheese pepper juice and skin of 1/2 untreated lemon 1 x bunch of fresh herbs (parsley, borage, dill, burnet) Preparation: Mix the double cream and cream cheese till creamy. Add pepper/lemon juice and skin. Stir in the herbs. Per portion: Cal: 272 kcal protein: 5 g Carbs 2 g (0BE) Fat: 27 g phospate: 5 % phosphorous: 6% pp 16 Tip: instead of fresh herbs, you can also use frozen herbs. Dip goes well with meatballs or grilled meat.
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Rita's Blog
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ritae.ch
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Great intel Rita. Thanks for sharing this with us. Gina
Very interesting, I had no idea dialysis patients get an aversion to protein.
 |  | nick Oct 27, 2010 11:41 | |
CONTRIBUTOR'S REPLY
Yes, strange .. but true - I still cannot see meat at the moment - my husband slowly try with chicken dishes. Thanks for your interest Rita
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This intel was contributed by ritaegolf

ritaegolf
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