I had a really good session with my dietician today. Encouraging, supportive, and quite pleased with what I was already doing, she was very helpful in steering me towards a more finely tuned approach to my diet. I knew that for my kidneys’ sake I need to manage my protein and sodium intake in particular, and I have been paying them some attention, but I must confess I have mainly been trying to ensure I meet my kilojoule goals yet have a balanced and pleasurable diet. Though my kidneys should be my priority I have really been concentrating on losing weight to hopefully relieve the pain and improve my mobility. It is more a matter of life and death that rather than losing weight I keep my kidneys functioning at their current level and prevent them deteriorating further.
So I must do both. Because what is the point of living longer if it is no fun?
Now we have fine tuned the goals to reduce the protein and sodium limits further. I can manage the protein easily enough. I’ve already reduced my meat consumption to a few hundred grams a week. But I’ve noticed that it is easy to exceed the daily sodium limits. I haven’t worried about it too much, but it appears I should. Now my limits are even lower, and it may be that sodium, rather than energy, is what will actually limit my choices of food or quantity.
It looks like anchovies are out, for a start.
Many Cheeses too, which is a shame.
I must pay more attention to the nutritional information on foods and not just focus on the kJ.
Lastly, though I thought I was drinking plenty of water already, I must increase my intake back to Kimberley summer quantities.