Label Reading for Phosphorus

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1 Volume 13, Issue 3 September 2018 Label Reading for Phosphorus Phosphorus is a mineral found in foods that can build up in our blood There are two different types of phosphorus found in our food (see chart below) Natural Added Absorption Food Sources (This is not a complete list.) Nutrition Recommendations Your body absorbs about 50% of the phosphorus from natural food sources. Beans Dairy Nuts and Nut Butters Bran Products Meat Eggs Chocolate Include meat and eggs in your meals they help albumin levels Limit milk to 1/2 cup per day If prescribed binders, take them at the beginning of meals and snacks Your body absorbs about 90% of the phosphorus from added phosphates. Colas Tea in a plastic bottle Flavored water Frozen Chicken Waffles and Pancakes Cured Meats Deli Meat Salad Dressing Many Other Products Read ingredient labels for added phosphorus (see page 4) Avoid all foods with added phosphorus Inside this Issue Label reading for phosphorus 1 Product Pages: 2-3 Recipe of the Month Social Worker s Corner: NPR Why am I so Cold? 4 5 Label reading for phosphorus 8 Birthdays 8 September Care Conference September 27th 6-7 Sign up in the waiting room

2 Mercy Dialysis Product Pages nutrition news you can use! DIETITIAN RESEARCHED Better Choice: Look for NO ADDED PHOSPHORUS ALL Sparkling ICE varieties have NO added phosphorus High potassium, no added phosphorus, Organic Gatorade varieties are the ONLY Gatorade varieties without added phosphorus ALL Blue Sky varieties have NO added phosphorus P a g e 2 Note: Product ingredients are always changing. Please continue to read ingredient labels.

3 Mercy Dialysis Product Pages nutrition news you can use! DIETITIAN RESEARCHED Avoid: ADDED PHOSPHORUS This is not a complete list ALL KickStart varieties have added phosphorus ALL Brisk varieties have added phosphorus ALL Pepsi varieties have added phosphorus Note: Product ingredients are always changing. Please continue to read ingredient labels. P a g e 3

4 Label Reading for Phosphorus The FDA does not require phosphorus to be listed on the Nutrition Facts label However, if phosphorus is added to a food, it is required to be listed on the ingredient label It does not matter if the phosphorus additive is at the beginning or the end of the ingredient list Avoid all foods with phosphorus additives Common phosphorus additives include: Disodium phosphate Monosodium phosphate Sodium hexametaphosphate Potassium tripolyphosphate To control phosphorus levels: Phosphoric acid Read ingredient labels Tetrasodium pyrophosphate Avoid foods with phosphorus additives Sodium tripolyphosphate Take phosphate binders as directed Trisodium triphosphate COME and STAY for Dialysis treatments Recipe: Brandy Apple Crisp (medium potassium; low phosphorus) Ingredients: 4 cups peeled, coarsely chopped tart apples 3 Tbsp sugar 3 Tbsp brandy 2 Tsp lemon juice 1/2 tsp cinnamon 1/8 tsp nutmeg 3/4 cup dry outs 1/4 cup brown sugar 2 Tbsp flour 2 Tbsp margarine Directions 1. Combine first 6 ingredients in an 8-inch square baking pan. Toss well; set aside. 2. Combine oats, brown sugar, and flour in a small bowl. Cut in margarine until well blended. 3. Sprinkle mixture over ingredients in 8-inch baking pan. 4. Bake at 350 F for 45 minutes Serves 6 portions Serving Size: 1/2 Cup Calories 203kcal Fat 5g Carbohydrates 38g Protein 2g Sodium 36mg Potassium 159mg Phosphorus 59mg P a g e 4

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8 EATING OUT WITH PHOSPHORUS, what should you do? You are at a tailgating party with friends, the following items are available for you to select form, circle the foods you can eat: Hot Dogs Hamburgers Chicken Wings (homemade) Corn Chips Cheese dip Carmel Apple Bites Fruit (strawberries, blueberries, & grapes) Baked beans Brownies Cola Sprite Phosphorus Binders Dialysis Control Your Phosphorus By Diet List high phosphorus & alternative choice Cola & Root beer Return completed phosphorus worksheet to Sarah, the dietitian. & & & Maura W. 2nd Lester H. 10th Jason M. 11th Larry N. 15th Robert Lee J. 15th Luann H. 16th Martha M. 23rd Dwight L. 27th Travis A. 27th Corrine W. 29th Mercy Health Plaza 5264 Council St. NE Cedar Rapids, IA Mercy Medical Center th St. SE Cedar Rapids, IA Mercy Dialysis Vinton 502 N. 9 th Ave Vinton, IA Page 8

9 CONGRATULATIONS TO OUR GRAND PRIZE DRAWING WINNERS GARY B. & LIZ O. Gary and Liz maintained their running monthly average at a 3, meaning their nutrition related labs were in defined limits for the length of the game June-August! Other eligible players with labs in range for the length of the game were: FRANCIS D. CHRISTINE D. CATHERINE F. DENICE H. BETTY H. LESTER H. KENNETH K. JANIT K. SHIRLEY P. ELEANOR R. MICHAEL S. DOUGLAS T. NAOMI A. KEVIN L. GEORGE B. EUGENE E. WILLY G. TERRIE M. CARL V. Keep up the great work and effort! *All grafts must be read from right to left. Overall lab values for all units improved over the course of the game. There were 7 more individuals with perfect nutrition related labs, 7 more individuals with improved nutrition related labs, and 12 fewer people with worsening nutrition related lab values from May through August.

10 Below are the lab report summary scorecards for each dialysis unit for the length of the game June-August. Scores for the units were based on lab averages for the units as a whole. Unit August Results: In general a score of: Plaza: 2.7 3= labs within defined limits Vinton: = improved from last month Inpatient: 2.6 on average however are still out of range PD: =no change from last month and are out of range <1= labs got worse and are out of range Unit averages are just for fun! There will be no unit prizes awarded- just bragging rights ;) PLAZA Fluid K Ca Phos Alb Monthly Running Month Pts Pts Pts Pts Pts Average Average August July June May INPATIENT Fluid K Ca Phos Alb Monthly Running Month Pts Pts Pts Pts Pts Average Average August July June May VINTON Fluid K Ca Phos Alb Monthly Running Month Pts Pts Pts Pts Pts Average Average August July June May PD K Ca Phos Alb Monthly Running Month Pts Pts Pts Pts Average Average August July June May