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Diabetes and kidney disease are two serious conditions that could be quite stressful sometimes. But, they can cause even more stress if you have to manage both of them at the same time. Poor diabetes management can often cause kidney damage, also known as diabetic nephropathy.
This is just one of the many health complications that could be a result of improper blood sugar control.
In fact, your constant high blood sugar could damage your kidneys long before you have symptoms. That’s why people with diabetes are recommended to do regular screenings for kidney disease.
However, if your diabetes has already caused kidney damage, it’s up to you to prevent it from progressing into kidney failure.
You can do that by improving your blood sugar control, taking the prescribed medications on time, and following a specific diet for diabetes and kidney damage.
Following a diet low in sodium, carbs, and protein will help you manage both conditions. That’s because too much carbs can raise the blood sugar, too much sodium can increase fluid retention and blood pressure, and too much protein can be bad for your kidneys.
Even though proteins are recommended for people with diabetes, they are certainly not for diabetics with kidney damage.
Still, be careful not to cause protein deficiency, as lack of protein can lead to unintended weight loss and malnutrition.
Since portion size is extremely important for these people, they should consult their doctor and dietitian for the right serving size.
The following list is based on phosphorus, potassium, sodium, and high sugar content of specific foods. Still, consult your dietitian about each of them and the recommended serving size for you.
Fat-free or skim milk, plain yogurt, non-dairy creamer, sugar-free pudding, sugar-free yogurt, sugar-free nondairy frozen desserts, sugar-free ice-cream.
Their portion size is mostly limited to four ounces because of their high potassium, protein, and phosphorus content.
Buttermilk, chocolate milk, sugar-sweetened pudding, sweetened yogurt, sugar-sweetened nondairy frozen desserts, sugar-sweetened ice cream.
Rye, wheat, sourdough, whole wheat and whole grain bread, refined dry cereals (unsweetened), cream of wheat, malt-o-meal, grits, noodles, flour tortilla, rice, white or whole wheat pasta, hamburger bun, bagel (small), cornbread (made from scratch), unsalted crackers.
Frosted or sugar-coated cereals, bran bread, bran or granola, instant cereals, pancake mix, gingerbread, biscuits, cornbread mix, salted snacks like corn chips, potato chips, and crackers.
Whole wheat cereals including oatmeal, wheat flakes and raisin bran, and whole grain hot cereals are richer in potassium and phosphorus than refined products.
Apples, apricot halves, applesauce, apple juice, berries like raspberries, strawberries, cranberries, blueberries, blackberries, cherries, low-sugar cranberry juice, grapefruit, fruit cocktail, watermelon, grapes, grape juice, mandarin oranges, pineapple, pears, tangerine, plums, fruit canned in unsweetened juice
Cantaloupe, bananas, avocados, dried fruits like raisins, dates, and prunes, honeydew melon, fresh pears, mangos, star fruit, kiwis, papaya, nectarines, pomegranate, oranges and orange juice, fruit canned in syrup.
Peas, corn, mixed vegetables with peas and corn (still, don’t overeat them as they are rich in phosphorus)
Yams, baked potatoes, baked beans, sweet potatoes, dried beans (lima, lentil, kidneys, pinto or soy), winter squash, pumpkin, succotash.
Beets, asparagus, Brussels sprouts, broccoli, cabbage, carrots, celery, cauliflower, eggplant, cucumber, green beans, frozen broccoli cuts, kale, raw spinach (1/2 cup), iceberg lettuce, leeks, okra, mustard greens, red and green peppers, radishes, onions, snow peas, turnips, summer squash.
Fresh bamboo shoots, artichoke, cactus, beet greens, kohlrabi, cooked Chinese cabbage, cooked spinach, rutabagas, tomatoes, vegetable juice, sauerkraut, tomato juice, tomato sauce or paste.
Poultry, lean cuts of meat, seafood and fish; low-cholesterol egg substitute, eggs, cottage cheese (it’s high in sodium so consume it in limited amounts).
Canned and luncheon meats, bacon, hot dogs, cheeses, sausage, nuts, organ meats, salami, pepperoni, salmon.
Mayonnaise, tub or soft margarine low in trans fats, cream cheese, sour cream, low-fat mayonnaise, low-fat cream cheese, low-fat sour cream.
Back fat, bacon fat, lard, butter, whipping cream, shortening, margarine rich in trans fats.
Water, homemade tea, diet clear sodas, homemade lemonade sweetened with an artificial sweetener
Sodas (regular and diet), fruit juices, beer, water sweetened with fruit juices, fruit-flavored drinks, canned or bottled iced tea or lemonade with phosphoric acid, sugar or syrup; lemonade or tea sweetened with sugar
You can also try to limit the following sweet and salty foods:
Even though the list of foods to avoid is pretty long, there are plenty of foods to choose from to properly manage your diabetes and kidney disease. As an addition, here are few tips to protect your kidneys if you have diabetes.