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Kidney disease diet

Eat in a way that protects the kidney function you have

You have been told your kidney function has dropped, handed a list of foods to avoid, and left wondering what is actually left to eat. A kidney disease diet can be practical, and it may help slow further damage.

Medicare, NDIS, DVA and private health funds accepted.

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Understanding Kidney disease diet

A kidney disease diet is an eating pattern adjusted to how well your kidneys are filtering. It usually involves managing sodium, protein, potassium and phosphate, based on your blood and urine results rather than a standard list.

Your dietitian reads your pathology, your medications and the way you already eat, then changes as little as possible to get the result you need. The aim is to reduce the workload on your kidneys, keep your blood results stable and keep you well nourished.

Who does it affect?

adults living with chronic kidney disease, including people with reduced kidney function from diabetes or high blood pressure.

How common is it?

around one in ten Australian adults has at least one sign of chronic kidney disease.

What is the recovery like?

kidney damage is usually permanent, but diet changes may slow progression and improve how you feel. Timeframes vary.

Who should I see for treatment?

your dietitian, working alongside your GP, kidney specialist and other members of your care team.

What funding options are available?

Medicare, NDIS, DVA and private health funds accepted.

What is a kidney disease diet?

Your kidneys filter waste, minerals and fluid out of your blood. When filtering slows, those things build up, and food becomes one of the main ways you can influence the levels.

Chronic kidney disease usually develops over years without symptoms. It is often picked up on a routine blood test, through an eGFR result, or on a urine test showing protein leaking into your urine. As kidney function falls, the amount of sodium, potassium, phosphate and protein your body can safely handle changes, so the diet that suited you at stage 1 kidney disease may not suit you at stage 4.

What shapes your plan:

  • Your stage of kidney disease and your most recent eGFR

  • Your blood levels of potassium, phosphate, sodium and albumin

  • Whether diabetes or high blood pressure is driving the kidney damage

  • Your blood pressure and fluid balance, including any swelling

  • Medications such as blood pressure tablets, diuretics and phosphate binders

  • Whether you are approaching dialysis or managing without it

Symptoms of Kidney disease diet

Early kidney disease is usually silent. When symptoms do appear, they often include:

Your plan comes from your assessment and your most recent pathology, not from a printed food list.

Sodium reduction

Lowering sodium helps manage blood pressure and fluid retention, two of the biggest drivers of further kidney damage.

Protein adjusted to your stage

Excess protein increases the filtering workload, while too little causes muscle loss. Your dietitian sets an amount that suits your stage.

Potassium management

Potassium is only restricted if your blood level is high. Your dietitian guides which fruit and vegetables to swap, and how cooking methods lower potassium content.

Phosphate control

Phosphate additives in processed food are absorbed far more readily than phosphate in whole foods, so label reading and choosing whole foods often matters more than cutting out foods.

Blood glucose and blood pressure support

Steadier glucose and lower blood pressure reduce pressure inside the filtering units of your kidneys.

Nutrition support for appetite loss

Kidney disease can cause unplanned weight loss. Your dietitian builds energy and protein back in using foods that fit your restrictions.

What to expect at your first appointment

  

Tell us what is going on

Bring your recent blood tests, your medication list and any advice you have been given. Tell your dietitian what you actually eat in a normal week.

A full assessment

Your dietitian reviews your kidney function, minerals, weight history, appetite, fluid intake and cooking situation at home.

A clear plan

You leave with specific swaps, portion guidance and label-reading rules that fit your household budget and cooking skills.

Review and adjust

As your next blood results come in, your dietitian adjusts the plan so restrictions are only kept while they are needed.

When to book an appointment

    Book an assessment if:

  • Your appetite or weight has been dropping unintentionally

  • Swelling, fatigue or cramps are getting in the way of work or daily activities

  • You have cut foods out on your own and your blood results have not changed

  • You have been given conflicting advice about protein, phosphate, potassium and salt

Looking after yourself at home

These habits support your plan between appointments.

  • Your stage of kidney disease and your most recent eGFR

  • Your blood levels of potassium, phosphate, sodium and albumin

  • Whether diabetes or high blood pressure is driving the kidney damage

  • Your blood pressure and fluid balance, including any swelling

  • Medications such as blood pressure tablets, diuretics and phosphate binders

  • Whether you are approaching dialysis or managing without it

Meet the team who treat this

Behind every appointment is a team of practitioners who know each other, trust each other and work together for you. Across seven clinics and nine disciplines, our team shares expertise, coordinates treatment plans and celebrates your progress together.

Meet the full team

Aimee Fuller

Healthcare Support Officer

Available at Blaxland

Alicia Whiticker

Healthcare Support Officer

Available at Blaxland

Amanda Banks

Healthcare Support Officer

Available at Blaxland

Amanda Duggan

Healthcare Support Officer

Available at Blaxland

Amy Meekings

Healthcare Support Officer

Available at Blaxland

Anita Beerapu

Healthcare Support Officer

Available at Blaxland

Benjamin Tucker

Healthcare Support Officer

Available at Blaxland

Blake Cossar

Healthcare Support Officer

Available at Blaxland

Bronte Tupper

Healthcare Support Officer

Available at Blaxland

Chris Farrugia

Healthcare Support Officer

Available at Blaxland

Corrina Aitken

Healthcare Support Officer

Available at Blaxland

David Logue

Healthcare Support Officer

Available at Blaxland

Dean Gresser

Healthcare Support Officer

Available at Blaxland

Emma Nassif

Healthcare Support Officer

Available at Blaxland

Esha Sharma

Healthcare Support Officer

Available at Blaxland

Fatima Hussaini

Healthcare Support Officer

Available at Blaxland

Felicity Spencer-Davey

Healthcare Support Officer

Available at Blaxland

Frankie Raikadroka

Healthcare Support Officer

Available at Blaxland

Hannah Norrie

Healthcare Support Officer

Available at Blaxland

Heather Edwards

Healthcare Support Officer

Available at Blaxland

Isaac Vella

Healthcare Support Officer

Available at Blaxland

Jarrah Nesbitt

Healthcare Support Officer

Available at Blaxland

Jonathan Lopez

Healthcare Support Officer

Available at Blaxland

Justin Hanna

Healthcare Support Officer

Available at Blaxland

Kasey Collins

Healthcare Support Officer

Available at Blaxland

Katrina Gauci

Healthcare Support Officer

Available at Blaxland

Kennedy Touet

Healthcare Support Officer

Available at Blaxland

Kristy Edwards

Healthcare Support Officer

Available at Blaxland

Kyle Perry

Healthcare Support Officer

Available at Blaxland

Lorna Nicastri

Healthcare Support Officer

Available at Blaxland

Maja Bosic

Healthcare Support Officer

Available at Blaxland

Marxy Koronel

Healthcare Support Officer

Available at Blaxland

Matt Barton

Healthcare Support Officer

Available at Blaxland

Michael Todd

Healthcare Support Officer

Available at Blaxland

Mr Jeffery Jenkins FACPS

Healthcare Support Officer

Available at Blaxland

Nathan Cavanagh

Healthcare Support Officer

Available at Blaxland

Patrick Celeban

Healthcare Support Officer

Available at Blaxland

Praise Khin

Healthcare Support Officer

Available at Blaxland

Sarah Bonnici

Healthcare Support Officer

Available at Blaxland

Shannon Smith

Healthcare Support Officer

Available at Blaxland

Siobhan Kelly

Healthcare Support Officer

Available at Blaxland

Taleisha Bozzi

Healthcare Support Officer

Available at Blaxland

Trystan Singh

Healthcare Support Officer

Available at Blaxland

Uty Kotwal

Healthcare Support Officer

Available at Blaxland

Yoni Hochberg

Healthcare Support Officer

Available at Blaxland

Zak Lloyd

Healthcare Support Officer

Available at Blaxland

EPC, DVA, NDIS and WorkCover welcome

Nearly half of our appointments are funded through Medicare, DVA, NDIS or WorkCover. We manage the paperwork so you can focus on your health.

NDIS

We support eligible NDIS participants across podiatry, physiotherapy, exercise physiology, dietetics and psychology, depending on your plan and goals. Eligibility and funding are set by your plan.

Learn more

Medicare

Medicare may rebate podiatry, physiotherapy, exercise physiology and dietetics sessions when your GP refers you under an Enhanced Primary Care (EPC) or Chronic Disease Management (CDM) plan, and psychology sessions under a Mental Health Care Plan. The number of sessions is set by your plan.

Learn more

DVA

Gold and White card holders can access DVA-funded care across our services with a valid referral.

Learn more

WorkCover

If you have been injured at work, we accept WorkCover referrals for physiotherapy, exercise physiology and psychology, and manage the paperwork with your insurer, with a clear return-to-work plan.

Learn more

Seven clinics across three regions

Find a clinic near you. Each location is staffed by local practitioners who know your community.

Penrith

Western Sydney

Our largest centre, with our full range of services under one roof.

510/536 High St, Penrith NSW 2750

Ropes Crossing

Western Sydney

Podiatry, at Ropes Crossing Village.

1B/2 Central Pl, Ropes Crossing NSW 2760

Blaxland

Blue Mountains

Podiatry, physiotherapy, exercise physiology and group classes.

10 Layton Ave, Blaxland NSW 2774

Springwood

Blue Mountains

Podiatry, dietetics and a boutique footwear store.

20 Ferguson Rd, Springwood NSW 2777

Katoomba

Blue Mountains

Podiatry, physiotherapy and dietetics, in a restored 1914 cottage.

69 Megalong St, Katoomba NSW 2780

Ryde

North Shore

Podiatry, physiotherapy, dietetics and exercise physiology, with a footwear store and gait analysis.

819 Victoria Road, Cnr Shepherd Street, Ryde NSW 2112

Lindfield

North Shore

Podiatry, with mobile podiatry across the North Shore and Northern Beaches.

2/324 Pacific Highway, Lindfield NSW 2070
view all locations

Ready to work out what you can actually eat?

Book with a dietitian who reads your kidney results and builds a plan around them.

Frequently asked questions

Only if your blood potassium is high. Many people with early kidney disease have normal potassium levels and can eat fruit and vegetables freely, which supports blood pressure and bowel health. If your level is raised, your dietitian will target the biggest contributors first. Boiling potatoes in plenty of water, then draining, removes a useful amount of potassium without cutting the food out entirely.

Very high protein intakes can increase the filtering workload on kidneys that are already damaged. That does not mean protein is the enemy. Underneath the recommended amount, you lose muscle, which affects strength, balance and immunity. Your dietitian sets a target based on your body weight and stage, and dialysis usually raises the target rather than lowering it.

Most Australian adults with kidney disease are advised to keep sodium under about 2,000 mg a day, which is roughly one teaspoon of salt from all sources. Around three quarters of that comes from packaged food, not the shaker. Bread, processed meat, sauces, stock and takeaway are the usual culprits. Your dietitian shows you how to read the per 100 g sodium column when shopping.

Not always. Staying reasonably hydrated helps if you are prone to kidney stones or urinary infections, but drinking large volumes does not flush kidneys clean or improve filtering. If your kidney function is low or you have swelling, extra fluid can build up and raise your blood pressure. Some people are given a daily fluid limit.

Yes, but your kidney specialist will link you up with dietitians in the hospital who can support your dialysis treatment. Our dietitians are suited to kidney diseases at stage 1-4

Many are not. Herbal products can contain concentrated potassium, and some cause direct kidney injury. Standard multivitamins may contain vitamin A or minerals that build up when filtering is reduced. Protein powders vary widely in phosphate and potassium content. Bring the actual containers to your appointment so your dietitian can check the labels against your results.