diets for diabetic hemodialysis patients

Limiting potassium, phosphorus and sodium is the main aim of diets for a diabetic hemodialysis patient.

Hemodialysis means cleaning the blood which is a type of dialysis treatment. Dialysis is a treatment for kidney disease. This treatment is used to clean the blood by removing waste products (such as potassium and urea) as well as free water from the blood.

Diabetes is cause of kidney failure. In hemodialysis an artificial kidney machine is used, blood is passed through this machine to clean it. This machine contains a dialyzer (an artificial kidney) which actually cleans the blood by separating wastes and excess water from the blood.

Diet is important in diabetes and kidney disease. The patients with diabetic hemodialysis should select appropriate foods to meet nutritional needs. In dialysis diet you cannot eat whatever you want because food choices have a direct effect on levels of potassium, phosphorus and protein in your blood.

From vegetables potassium can be removed by leaching process. In this process you have to cut the vegetables and soak them in water for at least four hours. When you want to cook the vegetables, drain the water and boil it in fresh water. To control phosphorus use milk substitutes. Use non-diary creamers in milk recipes like puddings or cereals. To avoid sodium use spices, herbs or lemon juice while cooking, it also flavors the foods. Restaurant food contains more sodium than homemade food. So, when you plan eating out, eat less sodium during rest of the day.

Individual diet plan is determined by kidney functioning tests and your medical condition. Your work schedule also affects your diet. Dietitians plan your diet by considering your lifestyle and food preferences. To plan a diet for a diabetic hemodialysis patient, you have to consider blood glucose levels and the amount of waste and fluid your kidneys process. According to these factors dietitian set the amount of daily calories you should consume. In this diet you have to take right amount of proteins, carbohydrates and fats and balance the amount of potassium, phosphorus, sodium and fluids. This can be done by limiting or avoiding certain foods. To take balanced food you should know the contents of the foods, only then can you make the right food choices. For this take the help of your dietitian. You can also find from food packages the amount of nutrients in that particular food. Some popular foods like lemonades, diet colas, and some teas have phosphorus as well as sodium. The serving size (portion of foods) is also important while planning the diet.

When kidney function is weakened you have to limit many healthy plant foods. Each patient has different nutritional needs and hence the diet plan will totally depend on glucose level in the blood, stage of kidney disease, and nutritional needs.

To plan the exact diets take the help of your dietitian. Dietitians will help you by providing recommended food lists and sample menus. With these guidelines plan your daily meal-plan. When you want to change your diet, first speak to your dietitian and then add new foods.

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