The Kidney Citizen August 2017 | Page 12

the ki ney citizen diet would have rice and corn as its base carbohydrate with meals, with moderate amounts of whole oats. For example, it could include Rice Krispies or Corn Chex for breakfast with rice milk, corn tortillas (without phosphorus additive) with meat and vegetables for lunch, and rice with fish plus your favorite low potassium vegetable for dinner. Another less known grain you could use would be millet. In conclusion, following a gluten-free diet is do-able with renal failure patients with proper attention paid to ingredients. Reading the ingredients is very helpful to know which alternative grains the product is using and gives a better understanding of the nutrition content. As stated before, products made with large amounts of grains that are higher in potassium, phosphorus, and sodium should be limited. Potassium and sodium are on most nutrition facts and will aid in finding products that are appropriate for the renal diet. The table below will be helpful to grow your knowledge base on the common ingredients. The gluten-free diet is not part of the nutrition therapy for CKD patients; however, if you suffer from a condition that requires a gluten-free diet, the two can absolutely co-exist with some caution and research. Alternative Grain (1/4 cup) 12 Calories Protein (g) Phosphorus (mg) Potassium (mg) Sodium (mg) White Flour 113 3 33.75 33.4 0.63 Whole Wheat Flour 102 4 107 108 0.6 Wheat Bran 57.75 4 147 133 1 Brown Rice Flour 143 3 133 114 3.16 White Rice Flour 145 2.35 38.71 30.02 0 Almond Flour 160 5.84 131.96 204 2.99 Potato Starch Flour 160 0 N/A 25 0 Potato Flour 143 2.76 67.2 400 22 Tapioca Flour 85 0 0 2.5 0 Cornstarch 122 0.08 4.16 0.96 2.88 Xanthan Gum 120 0 0 0 800 Sorghum Flour 109 2.55 84.1 98.01 0.91 Oat Bran 57 4.07 172.49 133.01 0.94 Oat Flour 113 4 123 108 1.8 Millet 189 5.5 142.5 97.5 2.5