I have an 8-year-old daughter that was just diagnosed with stage 5 CKD. We are in process of starting peritoneal dialysis. She is limited to 1.5 grams of sodium, 1 gram of potassium and 800mg phosphorus daily. What is the best cook book to use that includes stats on those items? Is there a website that lists phosphorus since most labels don’t? Is there a good Android App and IPad App that you can track food values on? Is there a good Android App and IPad App that you can track Medications on? (I know this isn’t really your area but I thought I would try). Thank you in advance.

At this time it is not required by law that potassium and phosphorus be listed on nutrition labels. The USDA has a Nutrient Database listing over 8,000 foods and their nutrient composition, including potassium and phosphorus. Click on the link below to access the database:

http://ndb.nal.usda.gov/ndb/search/list

Click on the following link for a list of cookbooks for kidney patients: http://www.kidney.org/professionals/crn/cookbooks.cfm

You may also wish to visit Kidney Kitchen for a variety of delicious recipes: https://www.kidney.org/patients/kidneykitchen/recipes.cfm

Click on the link below to learn more about nutrition and peritoneal dialysis.

https://www.kidney.org/atoz/pdf/nutri_pd.pdf

I have only 30% kidney function as a result having one kidney removed due to cancer. The remaining kidney is small, but is struggling. I am 80 years old and otherwise in good health. Can you tell me which of these milk substitutes will be best for me: almond breeze or cocoanut dream? And is coconut water high in potassium? Is coconut milk high in potassium?

Most dairy products are high in phosphorus and potassium. Some milk alternatives are soy milk, rice milk, almond milk and other non-dairy creamers. It is important to discuss these options with your Renal Dietitian because they may be high in potassium and phosphorus or may be calcium fortified.

An article reviewing milk alternatives was published in the March 2010 Journal of Renal Nutrition. It includes a list of of milk alternatives and their nutritional content. Click on the link below to learn more. Keep in mind product formulas may change over time so it is important to review your options with your Renal Dietitian and discuss what is best for your specific needs. http://www.jrnjournal.org/article/S1051-2276(10)00012-9/fulltext

Coconut water contains significant levels of potassium and sodium, as well as other minerals. You should speak to your health care provider to determine how much potassium you should consume on a daily basis. This will depend on your weight, medications you are taking, how well your kidneys are functioning and your health history. If you have a potassium restriction you should avoid coconuts and coconut water. If you do choose coconut water, go for the 100% natural unflavored version. Flavored coconut water can contain many extra calories from added sugar.

What is the comparative potassium content of nuts? Which raw unsalted nuts contain the least amount of potassium? Almonds, pecans, pistachios and walnuts are my favorites.

Nuts and seeds are generally high in both potassium and phosphorus. The USDA has a Nutrient Database which allows you to search over 8,000 foods and provides a listing of food composition, including potassium and phosphorus content. Click on the link below to access the USDA Nutrient Database.

http://ndb.nal.usda.gov/ndb/search/list

I would like to know if there is a diet that will cover being obese and having kidney disease, congestive heart failure, diabetes and arthritis?

You should speak to your Registered Dietitian to customize a meal plan that would meet your needs and include the dietary considerations you have listed above. If you do not have a dietitian, ask your health care provider to refer you to one in your area. Click on the link below to learn more about CKD and Diabetes:

http://www.kidney.org/atoz/pdf/diabetes.pdf