Healthy Snacking: Dialysis & Diabetes Friendly Snacks

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1 Healthy Snacking: Dialysis & Diabetes Friendly Snacks Snacking Tips: Between meals and bedtime snacks can be easily included in the meal plan Snacks can help ward off hunger and help to prevent low blood sugar Plan snacks 3-4 hours after a meal and count the carbohydrates in your meal plan Check your blood sugar levels regularly Carbohydrate Free Choices: Proteins 1 hard-boiled or deviled egg ¼ cup tuna, egg or chicken salad 1 small meatball (no sauce) 2 chicken wings (no sauce) Vegetables 1/2 cup asparagus or celery 1 cup cucumbers, radishes, or green beans Miscellaneous 1/2 cup sugar-free gelatin (counts as fluid) Carbohydrate Snacks: 1 Portion = 15 Grams of Carbohydrate Fruits 1 fresh apple, plum or pear 3/4 cup fresh blueberries or pineapple 1 cup raspberries 1/2 cup unsweetened applesauce, pineapple or fruit cocktail cup fresh or frozen grapes 1/2 cup canned light pears or peaches Beverages & Frozen Treats (Be sure to count these toward your fluids) 1/2 cup light apple juice 1 cup grape or root beer soda 1/4 cup sherbet or sorbet 2 oz. fruit ice or popsicle 1/2 cup rice milk, unfortified 4 oz. diet lemon-lime, ginger ale, or cranberry juice

2 Healthy Snacking: Dialysis & Diabetes Friendly Snacks (cont.) Miscellaneous Snacks 1 oz. animal crackers 2 bread sticks, plain 1 slice white bread 3 cups popcorn, unsalted 1/2 oz. tortilla chips 7-8 Nilla wafers 1 oz. Teddy Grahams 1/2 toasted bagel (plain, egg, cinnamon) 2 rice cakes (all kinds) 3 x 3 Rice Krispy treats (homemade) 8 small sugar wafers 5 crackers, unsalted tops 3 graham cracker squares

3 Sample Menu BREAKFAST: 2 scrambled eggs 1/3 cup grape juice 1 slice white toast 1 teaspoon margarine 1 cup cooked oatmeal LUNCH: SNACK: 3 ounces turkey on 2 slices of white bread Lettuce salad with dressing 15 medium grapes 4 ounces water 1 protein (ex. Glucerna if you have diabetes or Zone if you don t have diabetes) DINNER: 1 cup cubed steak and pep stir fry 2/3 cup cooked white rice 1/2 cup broccoli 1/2 cup canned peaches in own juice 8 ounces water SNACK: ½ cup egg salad 1 slice of bread The total protein in this menu is around 90 grams.

4 "Renally" Good Protein Bars - High Protein Snack Choices for Dialysis Patients Bar Calories Protein Potassium Phosphorus Price Comments Atkins Advantage Chocolate Peanut Butter grams N/A 150mg $2.49 Good taste and comes in a variety of flavors. Tastes like a not-sosweet peanut butter cup. Only 1 gram of sugar. Potassium content not available, use with caution. Balance Bar grams 110mg 190mg $1.49 Great taste. Not overly sweet. Comes in a variety of flavors. Balance Gold Caramel Nut Blast grams 120mg 150mg $1.49 Tastes like a candy! Comes in a variety of flavors. Clif Builder's - Cocoa Dipped Double Decker grams 210mg 200mg $1.37 Yummy! Good flavor. Big enough for 2 protein rich snacks. Detour Whey Protein Energy Bar grams 180mg N/A $2.79 Decent taste. Big enough for 2 protein rich snacks. Phosphorus content not available-use with caution.

5 High Protein Bars, Cont. Bar Calories Protein Potassium Phosphorus Price Comments EAS AdvantEdge Chocolate Chip Brownie grams 210mg 150mg $1.97 Contains sugar alcohols. Twisted Pretzel Bars grams 80mg 80mg About $1.00 Tastes like a candy. Kashi Go Lean Chewy Oatmeal Raisin Cookie grams 250mg N/A $1.08 Delicious! Almost like dessert! May only be suitable for those with good potassium and phosphorus control Met Rx Protein Plus Chocolate Chunk grams 95mg 150mg $1.17 Decent chocolate flavor. Contains sugar alcohols. PowerBar Nut Natural Trail Mix Bar grams 100mg 150mg $1.14 Very good flavor. Tastes just like trail mix- not at all the "typical" power flavor.

6 High Protein Bars, Cont. Bar Calories Protein Potassium Phosphorus Price Comments Pure Protein - S'mores Bar grams 20mg 40mg $1.17 Decent flavor. Mild "vitamin" flavor. Contains sugar alcohols. Extremely low potassium and phosphorus serving. Comes in a variety of flavors. Snickers Marathon Energy Chewy Chocolate Peanut grams 200mg 250mg $0.98 Very good taste. May be good for those with good phosphorus control. Comes in many flavors. South Beach Diet Meal Replacement Bar grams 55-75mg 200mg $1.27 Good texture and flavor. A bit on the dry side. Contains sugar alcohols. Comes in a variety of flavors. Zone Perfect grams 50mg 200mg $1.79 Dry, bland flavor. Comes in a variety of other flavors. *Always check with your renal dietitian about what supplements are right for you. Some of the products listed may be restricted based on individual needs.

7 Protein (Albumin) Why is protein important? It is an important role in maintaining muscle mass It builds your body s strength to fight infections It helps keep fluids in cells and the bloodstream which helps keep your heart healthy It helps you to cope with dialysis It improves your appetite It makes increases your energy What can happen if protein (albumin) levels are low? You may exience: Muscle loss Weight loss (not fluid) Increased fatigue Increased risk of infection Loss of appetite More hospitalizations Greater risk of heart diseases What foods are high in protein? Meat, chicken, fish, pork and lamb Soy, dried beans (if canned, choose no added salt ), lentils and nuts in small portions Low sodium cheese, cottage cheese and ricotta cheese Eggs Wild game: rabbit, deer and pheasant Milk, yogurt and buttermilk Nutrition supplements such as Boost High Protein, ZonePerfect Nutrition Bars and Glucerna Protein Bars The best proteins are referred to as High Quality Proteins and are from animal sources. * Ask your dietitian for more information on protein sources.

8 Low-Calorie, Kidney Friendly Snack Ideas Bagel (plain, blueberry, egg or raisin) with sugar-free jelly, light cream cheese or light margarine Graham crackers Vanilla wafers Unsalted crackers, plain or topped with light cream cheese or sugar-free jelly Unsalted crackers topped with tuna salad, chicken salad or egg salad (use light mayo) Breadsticks (avoid butter, margarine or salt) Fresh veggies (such as cauliflower, carrots, bell peps, cucumbers or celery) with low fat dip Fresh fruit (such as apples, pears, blueberries, raspberries, cherries, grapes, pineapple or plums) Cottage cheese with canned fruit (use low-fat cottage cheese and limit the portion to ½ cup; use fruit canned in its own juice) Sorbet, fruit ice or sugar-free popsicles Air-popped, unsalted popcorn (season with garlic powder, parmesan cheese or Mrs. Dash; avoid butter) Angel food cake with strawberries Homemade pita chips (baked pita shells in oven); season with parmesan cheese or Mrs. Dash Strawberries, blueberries, raspberries or blackberries with light cool whip Unsalted pretzels, seasoned with Mrs. Dash or garlic powder if desired Homemade snack mix (corn cereal squares, rice cereal squares, bitesized unsalted pretzels, ¼ cup dried apple chips or pineapple pieces and marshmallows) Plain Jell-O or Jell-O made with fruit Canned fruit (canned in its own juice) or applesauce Lettuce salad (iceberg lettuce, cucumbers, carrots, peps and cauliflower; use lemon juice, vinegar or a light vinaigrette for dressing) Melba toast and light cream cheese Tortilla with tuna salad, egg salad, chicken salad (use light mayo)

9 French bread slices made with garlic powder and olive oil, baked in oven, add a dash of parmesan cheese Fig Newton s Rice cakes Animal crackers Cinnamon toast (sugar substitute and cinnamon on lightly buttered toast) Hard boiled eggs (no salt) Granola Teddy Grahams (avoid chocolate) English muffins Popcorn balls

10 Your Protein Supplement Proteinex-18 (provides 18 grams protein) o Directions: take 2 tbsp. each day o You may drink this alone or mix with juice/other preferred liquid Glucerna Bar (provides 10 grams protein) o Directions: eat 1 daily Boost High Protein (provides 15 grams protein o Direction: drink 1 bottle (8oz. fluid) daily

11 Tips on Eating Well with a Low Appetite Eat frequent small meals (examples below). Eat your favorite foods often. Drink after eating, not before or during a meal. Drink high-calorie beverages, such as fortified milk, milkshakes, juices, nectars or liquid supplements like Nepro. Avoid low-calorie or diet drinks Add milk, cream, half & half, butter, sugar or honey to foods and drinks to boost calories. Make meals as relaxed and pleasant as possible. Try to eat together as a family, play music, and allow plenty of time to eat everything on the plate. Increase your physical activity every day. This will improve your appetite. Use convenience foods as snacks if unable to prepare. Some suggestions are frozen pizza rolls, chicken nuggets, instant cereals, fruit cup, fruit rolls, pudding, breakfast s, granola s, dried fruit and nuts. Sometimes a multivitamin will help improve your appetite. Sample Menu Breakfast Scrambled eggs Toast with butter and jelly Whole milk Lunch Tuna sandwich with mayo Butter Fruit cup 100% fruit juice Dinner Chicken and noodles Carrot coins Nepro Snack Yogurt Crackers Snack Protein or crackers with peanut Snack Popcorn