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High Potassium Foods

High-Potassium Foods
Fruits Vegetables Other Foods
Apricot,
raw (2 medium)
dried (5 halves)
Acorn Squash

Bran/Bran products
Avocado (¼ whole) Artichoke Chocolate (1.5-2 ounces)
Banana (½ whole) Bamboo Shoots Granola
Cantaloupe Baked Beans Milk, all types (1 cup)
Dates (5 whole) Butternut Squash Molasses (1 Tablespoon)
Dried fruits Refried Beans
Figs, dried Beets, fresh then boiled
Grapefruit Juice Black Beans
Honeydew Broccoli, cooked Nuts and Seeds (1 ounce)
Kiwi (1 medium) Brussels Sprouts Peanut Butter (2 tbs.)
Mango(1 medium) Chinese Cabbage Salt Substitutes/Lite Salt
Nectarine(1 medium) Carrots, raw Salt Free Broth
Orange(1 medium) Dried Beans and Peas Yogurt
Orange Juice Greens, except Kale Snuff/Chewing Tobacco
Papaya (½ whole) Hubbard Squash
Pomegranate (1 whole) Kohlrabi
Pomegranate Juice Lentils
Prunes Legumes
Prune Juice Mushrooms, canned
Raisins Parsnips
Potatoes, white and sweet
Pumpkin
Rutabagas
Spinach, cooked
Tomatoes/Tomato products
Vegetable Juices
Posted on by Dr. Sean in Nutrition Leave a comment

Potassium and Chronic Kidney Disease Diet

This page is taken from the National Kidney Foundation website. Here is the link:

What is potassium and why is it important to you?
Potassium is a mineral found in many of the foods you eat. It plays a role in keeping your heartbeat regular and your muscles working right. It is the job of healthy kidneys to keep the right amount of potassium in your body. However, when your kidneys are not healthy, you often need to limit certain foods that can increase the potassium in your blood to a dangerous level. You may feel some weakness, numbness and tingling if your potassium is at a high level. If your potassium becomes too high, it can cause an irregular heartbeat or a heart attack.

What is a safe level of potassium in my blood?
Ask your doctor or dietitian about your monthly blood potassium level and enter it here:

If it is 3.5-5.0………………………You are in the SAFE zone
If it is 5.1-6.0………………………You are in the CAUTION zone
If it is higher than 6.0……………..You are in the DANGER zone

How can I keep my potassium level from getting too high?
You should limit foods that are high in potassium. Your renal dietitian will help you plan your diet so you are getting the right amount of potassium.
Eat a variety of foods but in moderation.
If you want to include some high potassium vegetable in your diet, leach them before using. Leaching is a process by which some potassium can be pulled out of the vegetable. Instructions for leaching selected high potassium vegetables can be found at the end of this fact sheet. Check with your dietitian on the amount of leached high potassium vegetables that can be safely included in your diet.
Do not drink or use the liquid from canned fruits and vegetables, or the juices from cooked meat.
Remember that almost all foods have some potassium. The size of the serving is very important. A large amount of a low potassium food can turn into a high- potassium food.
If you are on dialysis, be sure to get all the treatment or exchanges prescribed to you.

What foods are high in potassium (greater than 200 milligrams per portion)?
The following table lists foods that are high in potassium. The portion size is ½ cup unless otherwise stated. Please be sure to check portion sizes. While all the foods on this list are high in potassium, some are higher than others.

High-Potassium Foods
Fruits Vegetables Other Foods
Apricot
, raw (2 medium)

dried (5 halves)

Acorn Squash

Bran/Bran products
Avocado (¼ whole) Artichoke Chocolate (1.5-2 ounces)
Banana (½ whole) Bamboo Shoots Granola
Cantaloupe Baked Beans Milk, all types (1 cup)
Dates (5 whole) Butternut Squash Molasses (1 Tablespoon)
Dried fruits Refried Beans Nutritional Supplements:

Use only under the

direction of your doctor

or dietitian.

Figs, dried Beets, fresh then boiled
Grapefruit Juice Black Beans
Honeydew Broccoli, cooked Nuts and Seeds (1 ounce)
Kiwi (1 medium) Brussels Sprouts Peanut Butter (2 tbs.)
Mango(1 medium) Chinese Cabbage Salt Substitutes/Lite Salt
Nectarine(1 medium) Carrots, raw Salt Free Broth
Orange(1 medium) Dried Beans and Peas Yogurt
Orange Juice Greens, except Kale Snuff/Chewing Tobacco
Papaya (½ whole) Hubbard Squash
Pomegranate (1 whole) Kohlrabi
Pomegranate Juice Lentils
Prunes Legumes
Prune Juice Mushrooms, canned
Raisins Parsnips
Potatoes, white and sweet
Pumpkin
Rutabagas
Spinach, cooked
Tomatoes/Tomato products
Vegetable Juices

What foods are low in potassium?
The following table list foods which are low in potassium. A portion is ½ cup unless otherwise noted. Eating more than 1 portion can make a lower potassium food into a higher potassium food.

Low-Potassium Foods

Fruits Vegetables
Other Foods
Apple (1 medium) Alfalfa sprouts Rice
Apple Juice Asparagus (6 spears) Noodles
Applesauce Beans, green or wax Pasta
Apricots, canned in juice Cabbage, green and red

Carrots, cooked

Bread and bread products:
(Not Whole Grains)
Blackberries Cauliflower Cake: angel, yellow
Blueberries Celery (1 stalk) Coffee: limit to 8 ounces
Cherries Corn, fresh (½ ear)
frozen (½ cup)
Pies without chocolate or
high potassium fruit
Cranberries Cucumber Cookies without nuts or chocolate
Fruit Cocktail Eggplant Tea: limit to 16 ounces
Grapes Kale
Grape Juice Lettuce
Grapefruit (½ whole) Mixed Vegetables
Mandarin Oranges Mushrooms, fresh
Peaches, fresh (1 small)
canned (½ cup)
Okra
Pears, fresh (1 small)
canned (½ cup)
Onions
Pineapple Parsley
Pineapple Juice Peas, green
Plums (1 whole) Peppers
Raspberries Radish

Strawberries Rhubarb
Tangerine (1 whole) Water Chestnuts, canned
Watermelon(limit to 1 cup) Watercress
Yellow Squash
Zucchini Squash

How do I get some of the potassium out of my favorite high-potassium vegetables ?
The process of leaching will help pull potassium out of some high-potassium vegetables. It is important to remember that leaching will not pull all of the potassium out of the vegetable. You must still limit the amount of leached high-potassium vegetables you eat. Ask your dietitian about the amount of leached vegetables that you can safely have in your diet.

How to leach vegetables.

For Potatoes, Sweet Potatoes, Carrots, Beets, and Rutabagas:

Peel and place the vegetable in cold water so they won’t darken.
Slice vegetable 1/8 inch thick.
Rinse in warm water for a few seconds.
Soak for a minimum of two hours in warm water. Use ten times the amount of water to the amount of vegetables. If soaking longer, change the water every four hours.
Rinse under warm water again for a few seconds.
Cook vegetable with five times the amount of water to the amount of vegetable.
For Squash, Mushrooms, Cauliflower, and Frozen Greens:
Allow frozen vegetable to thaw to room temperature and drain.
Rinse fresh or frozen vegetables in warm water for a few seconds.
Soak for a minimum of two hours in warm water. Use ten times the amount of water to the amount of vegetables. If soaking longer, change the water every four hours.
Rinse under warm water again for a few seconds.
Cook the usual way, but with five times the amount of water to the amount of vegetable.

References:
Bowes & Church Food Values of Portions Commonly Used, 17th Ed., Pennington, JA, Lippincott, 1998.
Diet Guide for Patients with Kidney Disease, Renal Interest Group-Kansas City Dietetic Association, 1990.
More than 20 million Americans—one in nine adults—have chronic kidney disease, and most don’t even know it. More than 20 million others are at increased risk. The National Kidney Foundation, a major voluntary health organization, seeks to prevent kidney and urinary tract diseases, improve the health and well-being of individuals and families affected by these diseases, and increase the availability of all organs for transplantation. Through its 50 affiliates nationwide, the foundation conducts programs in research, professional education, patient and community services, public education and organ donation. The work of the National Kidney Foundation is funded by public donations.

Updated: 6/28/04

©2008 National Kidney Foundation. All rights reserved. This material does not constitute medical advice. It is intended for informational purposes only. No one associated with the National Kidney Foundation will answer medical questions via e-mail. Please consult a physician for specific treatment recommendations.

Posted on by Dr. Sean in Nutrition Leave a comment

The skinny on sugar alcohols

Hey guys. I just got an email asking about sugar alcohols, so I thought I would share the answer with you.

Q: Hi Dr. Sean! What’s so good about fake sugar, and why does it have that horrible after taste? I don’t understand why people would ruin their perfectly good coffee with several of those blue or pink packets. Also, why would people order a super-sized meal with a diet coke?

A: Fake sugar is the latest diet craze on the market. People love sweets and have been searching for ways to avoid the calories of simple sugars. Let’s start with the newest sugar alternatives on the market: the polyols (also known as sugar alcohols). Polyols are basically sweetening and bulking agents. They come from certain fruits and berries.

The good things about them are:

  1. They taste almost like sugar.
  2. They provide somewhere between 1/2 to 1/3 less calories than regular sugar.
  3. Their conversion to glucose is far slower so they require little or no insulin to be metabolized and don’t cause sudden increases in blood sugar (thus useful for patients with diabetes).
  4. They DO NOT promote tooth decay (FDA has approved a claim of “does not promote tooth decay” for sugar-free foods and beverages sweetened with polyols).
  5. They add texture to food, retain moisture and prevent foods from browning when they are heated.

Common polyols include: mannitol, sorbitol, xylitol, lactitol, isomalt, maltitol, and hydrogenated starch hydrolysates (HSH). They can be found in candies, cookies, chewing gums, soft drinks, throat lozenges, toothpaste, and even mouthwash.

Now the bad things about them:

  1. Gastrointestinal side effects such as bloating and diarrhea when eaten in excessive amounts.
  2. Weight gain with overuse (as with everything else in life).
  3. Large amounts increase blood sugars

Sugar Alcohols vs. artificial sweeteners:

Artificial sweeteners are your saccharin (Sweet and Low) and Aspartame (Equal and NutraSweet). The good thing about artificial sweeteners is that they contain zero calories vs. sugar alcohols with ~2.6 cal per gram. Another good thing is that artificial sweeteners do not raise blood sugars.

Here is a handy table from caloriecontrol.org that shows exactly how many calories you get from each of the polyols.

  • 3.0 calories per gram hydrogenated starch hydrolysates.
  • 2.6 calories per gram sorbitol.
  • 2.4 calories per gram xylitol.
  • 2.1 calories per gram maltitol.
  • 2.0 calories per gram isomalt.
  • 2.0 calories per gram lactitol.
  • 1.6 calories per gram mannitol.
  • 0.2 calories per gram erythritol

As for the last part of you question “why would people order a super-sized meal with a diet coke?”, your guess is as good as mine.

Posted on by Dr. Sean in Nutrition Leave a comment

Why men don’t listen well!!!

Hey guys
This is meant to be a fun little blog. So there is a lot of talk shows, books, magazines about women saying that men are bad listeners. Well here is a possible explanation. Enjoy!

Recently, a study in NeuroImage showed that men process male and female voices differently. Men use the VISUAL area in brain to “hear” male voices, while they use the AUDITORY area to hear female voices. MORE brain activity is required to use the auditory area. Female voices are far more complex in vibration and sound waves compared to male’s.

So the use of the auditory area makes men hear female voices MORE clearly, BUT their brains also tire quickly due to the complex processing involved. So women, please forgive us if sometimes we seem like we are not listening, its really not our fault. :)

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6 scary facts about obesity

1. Number of Americans age 20-74 yrs who are obese: >61% (110 million)
2. Rate of increase in obese children from 1960-1991: Doubled
3. Annual Deaths from obesity related causes: 300,000
4. Annual medical expenses and cost of lost productivity: >$100 billion per year
So here is an interesting way to jump start the economy. Make people lose weight.
5. Chronic diseases associated with obesity: heart disease, type 2 DM, HTN, stroke, cancer, gout, gallbladder, genitourinary disease.
6. Specific cancers associated with obesity: endometrial, breast, prostate, colon

References:

  1. Physical Activity and Health: A Report of the Surgeon General. Washington, DC: US Dept of Health and Human Services, Centers for Disease Control and Prevention; 1996.
  2. McGinnis JM, Foege WH. Actual causes of death in the United States. JAMA. 1993;270:2207-2212.
Posted on by Dr. Sean in Health Leave a comment

How to save $6000 per year in health expenses

Hey guys
Here is an interesting article from Journal of the American Medical Association regarding being overweight in young/middle age to Medicare expenditures in older age. The study looked at Medicare data from 1984-2002 with baseline data from 1967-1973 for 9978 men and 7623 women (ages 33-64) who did NOT have heart disease or diabetes and were either normal weight (BMI 18.5-24.9), overweight (BMI 25-29.9), obese (BMI 30-34.9) or severely obese (BMI>35). After the authors had adjusted for age, race, education, and smoking, they found some very amazing difference in annual and cumulative charges for men and women:

Women
Normal Weight: $6224 annual costs and $76866 cumulative costs
Overweight: $7653 annual costs and $100959 cumulative costs
Obese: $9612 annual costs and $125470 cumulative costs
Severely obese: $12342 annual costs and $174752 cumulative costs

Men
Normal Weight: $7205 annual costs and / $100431 cumulative costs
Overweight: $8930 annual costs and $109098 cumulative costs
Obese: $10128 annual costs and $119318 cumulative costs
Severely obese: $13674 annual costs and $176947 cumulative costs

Bottom line, eating healthy and exercising regularly can help save you as much as $6000 in annual healthcare expenditures in your old age
So get up and go for a run, it may be the best investment you ever make.

Daviglus M, et al. Relation of Body Mass Index in Young Adulthood and Middle Age to Medicare Expenditures in Older Age. JAMA. 2004;292:2743-2749.

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Another reason why whey protein is still my favorite

Hey guys
There was a study published in the New England Journal of Medicine that looked at 47,150 men over 12 years examining risk factors for gout. They found that higher levels of meat and seafood consumption were associated with increased risk of gout, whereas higher consumption of dairy products had a decreased risk.
Just another reason why whey protein (milk protein) continues to be one of my favorites.

In case any one is wondering what is gout, here is a great definition from the Mayo Clinic website (http://www.mayoclinic.com/health/gout/DS00090): a form of arthritis that’s characterized by sudden, severe attacks of pain, redness and tenderness in joints.

Reference:

Choi, KH. Purine-rich foods, dairy and protein intake, and the risk of gout in men. NEJM. 2004;350;1093-1103.

Posted on by Dr. Sean in Health, Nutrition, Supplements Leave a comment

5 easy ways to lower your blood pressure

Hi guys
Here are some simple ways to lower your blood pressure without medications. Enjoy

1. Losing weight: did you know that each ~20 lb weight loss can reduce your blood pressure by 5-20mm Hg.
2. Switching to a diet low in saturated fats, high in fruits and vegetables can decrease blood pressure by 8-14mm Hg.)
3. Cutting your salt intake to less than 6 grams a day can drop your blood pressure by 2-8mm Hg.
4. Simply walking 30 minutes everyday can lower your blood pressure by 4-9mmHg.
5. Finally, cutting your alcohol to less than 2 drinks a day for men and less than 1 drink a day for women can decrease your blood pressure by 2-4mmHg

As you can see, the biggest bang for your buck comes from weight loss. The combination of these steps can really improve your blood pressure.

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Does Chewing Slowly Really Make You Eat Less?

I came across a very interesting article that I wanted to share with everyone about whether or not chewing slowly helps you eat less. The idea is that eating slowly enhances the taste and enjoyment of food, gives the feeling of being full faster, and allows people to feel satisfied with smaller amounts of food. Read more

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