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.

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:
Tiredness that rest does not fix
Swelling in your ankles, feet, hands or face
Passing urine more often at night, or passing less than usual
Poor appetite, a metallic taste, or food tasting different
Nausea, particularly in the morning
Itchy skin and muscle cramps
Breathlessness
Your plan comes from your assessment and your most recent pathology, not from a printed food list.
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
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
Book an assessment if:
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.
Seven clinics across three regions
Find a clinic near you. Each location is staffed by local practitioners who know your community.
Penrith
Western SydneyOur largest centre, with our full range of services under one roof.
Ropes Crossing
Western SydneyPodiatry, at Ropes Crossing Village.
Blaxland
Blue MountainsPodiatry, physiotherapy, exercise physiology and group classes.
Springwood
Blue MountainsPodiatry, dietetics and a boutique footwear store.
Katoomba
Blue MountainsPodiatry, physiotherapy and dietetics, in a restored 1914 cottage.
Ryde
North ShorePodiatry, physiotherapy, dietetics and exercise physiology, with a footwear store and gait analysis.
Lindfield
North ShorePodiatry, with mobile podiatry across the North Shore and Northern Beaches.
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
Do I need to avoid bananas, potatoes and other high potassium foods?
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.
Is a high protein diet bad for my kidneys?
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.
How much salt should I have each day?
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.
Does drinking more water protect my kidneys?
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.
Can I see a dietitian if I am on dialysis?
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
Are protein powders, herbal supplements and vitamins safe with kidney disease?
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.


















































