CKD 1-5

Question 1

What are the kcal recommendations for CKD 1-5?

Answer 1

25-35 kcal/kg
Individualize for stress, comorbids, overwt/underwt

Question 2

What are the protein recommendations for CKD 1-5?

Answer 2

Low protein: 0.55-0.6 g/kg (0.6-0.8 g/kg with DM)
Very low protein: 0.25-0.43 + keto acid/amino acid analogs
Individualize for metabolic stress, comorbids, overwt/underwt
Promote plant proteins

Question 3

What are the sodium recommendations for CKD 1-5?

Answer 3

1500-2300 mg/d

Question 4

What are the phosphorus recommendations for CKD 1-5?

Answer 4

Individualize to maintain serum level WNL.
Consider bioavailability and absorption

Question 5

What are the potassium recommendations for CKD 1-5?

Answer 5

Individualize to maintain serum levels WNL.
Increased fiber may decrease absorbability

Question 6

What are the CHO recommendations for CKD 1-5?

Answer 6

Encourage complex CHO and whole grains
Adjust intake to maintain BG WNL, limit refined and simple sugars