Comprehensive_Renal_Diabetic_Meal_Plan.doc

Diabetic/Renal Menus The treatment of diabetes and renal disease is challenging. Especially since it centers around food choices to achieve blood sugar control and maintain normal blood chemical levels. Chemicals in are bodies must be kept within narrow limits for our well-being. Our kidneys are mainly responsible for keeping them there.

Many of the menus and recipes available are for the diabetic or the renal patient. This booklet has been developed to show you how to incorporate both in your meal plan.

This booklet is dedicated to all those who asked, “What can I eat?” but really meant, “Can I have the foods I’ve always enjoyed?” We believe the answer is, “Yes” and have complied 14 days of meals using foods most often requested in our region. The menus are arranged so that breakfast can be eaten with any lunch and any supper. For instance, you might choose breakfast from day 1, lunch from day 6, supper from day 2 and snack from day 4. The total would be about 1500 calories.

Staying as close as possible to the prescribed menu selection will help you to lose or maintain you weight. Studies show that if you are overweight, a 10% weight loss will help to lower you blood sugar.

Remember that healthy eating is recommended for everyone, not just the person with diabetes and kidney problems. Serve these menus to your family and start today to improve your health and the health of your loved ones.

Remember, your diet, like your medication, is an important part of your treatment and may improve your condition.

HEALTHY TIPS FOR A HEALTHY DIET

· Your do not need special food; the food you eat to manage your diabetes and kidney disease are good for your whole family

· Limit ‘sweets’. Learn to count them as part of your meal and not “extras”.

· Eat breads/grains/starchy vegetables in the recommended portion sizes, not more than 3 servings at each meal.

· Try to eat about the same amount at each meal during the day to spread out your calories.

· Eat less fat, avoid fried foods and choose low-fat or non-fat dairy products.

· Look for reduced fat- margarine, salad dressing, mayonnaise, and sour cream. Use small portions.

YOUR CHOICE

CHOOSE:

· Vegetables from fresh or frozen, without added salt, fat or sauces.

· More dark green and deep yellow vegetables, such as romaine lettuce, greens, spinach, broccoli, carrots, sweet potatoes and peppers.

· Whole fresh fruits. Use juices and canned fruits without sugar added.

· Low-fat meats, such as lean cuts of beef, veal, pork or wild game. Trim fat; bake, roast, broil, grill or boil instead of frying or adding fats.

· Fish and poultry more often than red meat. Remove skin from chicken and turkey.

SEASONING FOODS

Limit: bacon, fatback and meat drippings, sausage, country ham, and bologna.

TRY:

low-sodium bouillon cubes or lean cuts of meat.

Limit:

salt including garlic salt, onion salt and seasoning salt.

TRY:

onions and onion powder, garlic or garlic powder, sodium-free seasoning mixes, basil, chili pepper, black pepper and small amounts of vegetable oil.

Limit:

frying and large amounts of oil.

TRY:

using as little oil as possible; sauté with water, small amount of low-sodium soy sauce or vegetable spray in non-stick pans.

Limit:

high sugar foods.

TRY:

sugar-free forms of Jell-O, Popsicles, and Kool-Aid.

Read all food labels. Fat-free is not the same thing as sugar-free. Be aware that many foods that are sugar-free or say ‘no sugar added’ can still have large amounts of carbohydrate and fat in them (for example, sugar-free ice cream, sugar-free cookies, sugar-free chocolate candies).

AVOID GREEN VEGETABLES IF YOU TAKE COUMADIN/WARFARIN.

NUTRITION RECOMMENDATIONS AND GOALS

· The food you eat and drink makes a difference in how you control your blood sugar and kidney function.

· Balance your nutrition with exercise and medications.

· Maintain as near normal blood sugar as possible.

· Fasting blood sugar: 70 – 100 Random 1-2 hours after meal: 80-150

· Eat a variety of healthy foods from all food groups.

· Try new foods and new recipes.

· Use less sugar, fat and sodium and eat more fiber.

· Do not skip or delay meals, especially when taking insulin.

· Eat about the same amount of food at each meal every day.

· Exercise daily or at least 4 times a week. Carry a snack in case of low blood sugar.

· Test your blood sugar often to see how your food, exercise and medication are working.

· Maintain a weight that is good for your body. You may need to lose some weight. **Even a 10-pound weight loss can lower your blood sugar.

· Prevent heart disease by keeping cholesterol and triglycerides at desired levels. **Cholesterol: under 200 Triglycerides: less than 150

· Keep blood pressure in control. **Normal blood pressure is 120/80 or less**

· Know your glycosolated hemoglobin or HbA1c. **HbA1c is your average blood sugar for the last 2-3 months. Normal is ~6-7% for dialysis patients**

· Know your symptoms of low blood sugar and how to treat it.

· Take your medicine exactly as prescribed. Ask when to take it (before or with meals.)I.e. remember to take your binders every meal before you eat.

· Take your medicine and eat your meals at about the same time every day.

SAMPLE MENU – Day 1

Breakfast

2 slices white toast

2 tsp diet margarine

1 egg – hardboiled or scrambled

½ orange or 20 grapes

½ cup milk or ½ cup juice (apple, grape, pineapple – no added sugar)

6 oz water

Lunch

3-6 oz stew meat

½ cup mashed potatoes (soaked to remove potassium) or rice

1 white roll

½ cup green beans

1 tsp diet margarine

1 apple or ½ cup applesauce

Water or diet beverage – 6 ounces Supper

4-6 oz roast

½ cup corn

2 sliced tomatoes

½ cup cooked broccoli

1 slice white bread

1 small pear or ½ cup canned pears, no added sugar & fluid drained

Evening Snack

½ cup juice (apple, grape, and pineapple)

3 Graham Cracker squares

SAMPLE MENU - DAY 2

1½ cup Cheerios

1 cup sliced strawberries

½ cup milk

Coffee, 1 cup with artificial sweetener

Non dairy creamer

Water 4 ounces

½ - ¾ cup tuna water packed

2 slices white bread

Lettuce & tomato (1 slice)

1 small apple or tangerine

1 cup diet Jello

4-6 oz chicken breast, grilled or baked

½ cup green peas

½ cup cooked carrots

1 small white dinner roll

½ cup pineapple, canned in own juice (juice drained)

Water or diet beverage 6 ounces Evening snack

12 grapes

5 medium unsalted pretzels

SAMPLE MENU - DAY 3

2 egg, scrambled with fat free cooking spray

½ cup grits or oatmeal

1 slice white toast

½ cup juice (apple, grape, and pineapple)

Coffee, 1 cup with artificial sweetener and/or non dairy creamer

Water, 4 oz

½ cup cottage cheese

½ cup peaches, canned in own juice (juice drained and discarded)

10 low salt crackers

Green salad with 2 tsp reduced fat dressing

4-6 oz Salmon Patty, cooked with fat free cooking spray

½ cup cooked carrots

½ cup cooked greens (turnips or collards)

1 small corn-on-the-cob

1 small English muffin

2 plums

½ cup sugar free yogurt

8 vanilla wafers

SAMPLE MENU – DAY 4

2 frozen waffles

¾ cup blueberries

2 tbsp diet syrup

½ cup 1% milk

1 cup coffee with artificial sweetener & non dairy creamer

4 oz water

3-6 oz turkey

2 tbsp diet mayonnaise

2-3 tsp mustard

Lettuce & tomato (1 slice)

1 cup raw carrots, broccoli & cauliflower

1 small tangerine or apple or 20 grapes

4-6 oz fish, baked or broiled

¾ cup white rice

1 cup steamed broccoli

1 small dinner roll

½ cup lite fruit cocktail (fluid drained)

2 tbsp lite non-dairy whipped topping on fruit

1 small slice Angel food cake

Water – 4-6 ounces

SAMPLE MENU – DAY 5

1 English muffin

1 egg, scrambled with fat free cooking spray

1 tbsp apple butter spread

½ cup apple juice

½ - 1 cup egg salad

10 low salt pretzels

Water or diet beverages – 6 ounces

4 - 6 oz chicken, baked in low fat, low salt Cream of Mushroom soup

½ cup cantaloupe

1 cup stewed okra or frozen breaded Okra baked in oven

1 small slice French bread

½ - ¾ cup canned peaches or pineapple, lite syrup, fluid drained

4 ounces cup juice (not orange or grapefruit)

1 rice cake

SAMPLE MENU – DAY 6

½ - ¾ cup cooked Oatmeal

¼ - ½ cup blueberries

1 slice white bread

½ cup juice

3-4 oz ham (low sodium sandwich meat)

2 tbsp reduced mayonnaise, mustard if desired

Green salad with 2 tsp reduced fat salad dressing (1 slice tomato)

½ cup cantaloupe or ½ cup canned pineapple, lite syrup, drained

Beef Stew

4-6 oz stew meat

½ cup potatoes (soaked to remove potassium)

½ cup carrots

1 slice loaf bread

½ cup canned pears, in own juice, juice drained

Water – 6 ounces

5 animal cookies

SAMPLE MENU – DAY 7

2 eggs

½ banana

1 cup coffee with artificial sweetener & nondairy creamer

Bacon, Lettuce, Tomato Sandwich:

2 slices tomato, lettuce

2 slices bacon (reduced salt, turkey if possible)

2 tsp reduced fat mayonnaise

1 cup reduced sodium vegetable beef soup or reduced sodium chicken noodle soup (not with lite salt/potassium chloride)

12 grapes

2 chicken thigh, grilled or baked

½ cup white rice

½ cup steamed asparagus

1 dinner roll

1 cup diet sugar free jello with fruit cocktail

1 sugar free fudgesicle

½ cup dry cereal except whole wheat, bran or dried fruit cereal

SAMPLE MENU – DAY 8

2 4-inch pancakes

1 slice bacon (low sodium or turkey bacon if possible)

1 tbsp diet syrup

½ - 1 cup strawberries

4 - 6 oz stew beef

½ cup turnip greens or green beans

½ cup applesauce

6 oz water or diet beverage

1 cup spaghetti noodles

¾ cup spaghetti sauce with meatballs (lean beef – 3-6 ounces beef)

Small green salad with 2 tsp reduced fat salad dressing

½ cup canned lite pineapple or peaches

Evening meal

1 small slice Angel food cake

½ cup milk

SAMPLE MENU – DAY 9

½ cup grits or oatmeal

1 slice toast white bread

1 tsp all fruit jelly

3-6 oz baked or rotisserie chicken

½ cup turnip greens

½ cup stewed tomatoes

½ cup canned lite peaches, fluid drained

6 ounces Water or diet beverage

4-6 oz Salisbury steak

½ cup creamed potatoes

2 tbsp gravy

½ cup lite pears, fluid drained

2 cups popcorn, unbuttered

Diet beverage – 4-6 ounces

SAMPLE MENU – DAY 10

1 slice white bread, toasted

1 small sausage (lower sodium, turkey if possible)

1 egg

Chef Salad

2 cups lettuce & chopped raw vegetables – “salad”

3-6 oz turkey or chicken

2 tomato wedges

2 tbsp reduced fat salad dressing

6 reduced fat, low salt crackers

1 plums, 1 apple OR 20 grapes

½ cup sugar free jello

4-6 oz cubed steak

½ cup rice

½ cup corn

½ cup cooked spinach

½ cup no added sugar applesauce

½ cup sugar free pudding

SAMPLE MENU – DAY 11

2 slices cinnamon bread

12 grapes

½ cup raw carrot sticks

6 low sodium crackers or low sodium pretzels

Turkey sandwich

2 slice white bread

3-6 oz turkey

Lettuce, tomato, mustard

1 small pear or half banana

4-6 oz hamburger patty

1 hamburger bun

Lettuce, tomato (1 slice), onion

2 tsp reduced-fat mayonnaise

1 tsp ketchup

1 tsp mustard

½ cup oven baked beans (measure carefully – only ½ cup!)

6 water or diet beverage

7 animal cookies

SAMPLE MENU – DAY 12

2 frozen waffles

½ cup strawberries

1 cup coffee with artificial sweetener

1 fat free hot dog (beef)

1 hot dog bun

¼ cup chili, reduced fat

2 tsp each mustard, onion, ketchup

Small garden salad

2 tsp fat free, low salt salad dressing

1 small apple

4-6 oz baked fish

3 hush puppies

½ cup steamed carrots

1 small slice cornbread

2 canned peach or pear halves (lite syrup, drained)

½ cup sugar free yogurt with fruit

SAMPLE MENU – DAY 13

2 egg scrambled in fat free cooking spray

1 slice white bread/toast

½ cup grits

1 cup coffee with artificial sweetener

Chicken salad

3-6 oz chicken, chopped

2 tbsp diced celery

1-2 tbsp reduced calorie salad dressing

1 tsp toast slice almonds, optional

12 low salt saltine crackers

Carrot sticks

2 tbsp fat free dressing

12 medium grapes

4-6 oz broiled sirloin steak, marinated in fat free Italian dressing

¾ cup mashed potatoes (soaked to remove potassium)

1 cup steamed broccoli

1 3-inch slice French bread

½ cup lite Fruit cocktail, fluid drained 2 tbsp lite whipped topping

6 oz water of diet beverage

1 slice angel food cake

Water

SAMPLE MENU – DAY 14

1 ½ cups unsweetened cereal (no bran, whole-wheat, or dried fruit)

½-1 cup reduced fat milk

½-1 cup coffee with artificial sweetener and nondairy creamer

Roast beef sandwich

3-6 oz lean roast beef

Lettuce, tomato (1 slice), and mustard

1 cup sugar free Jell-O

½ cup fruit, fluid drained

4-6 oz serving of meatloaf

¾ cup white rice

½ cup steamed asparagus

Green salad with fat free salad

½ cup pineapple chunks, lite syrup, fluid drained

4-6 ounces sugar free Yogurt H:\Recipes and Menus\Comprehensive Renal Diabetic Meal Plan.doc