Today's Kidney Diet

Summer Picnic Recipes

* Consult your dietitian or physician for the specific diet that is right for you. Kidney diet guidelines vary for each individual based on factors such as stage of chronic kidney disease, treatment modality if on dialysis, body size, nutritional status, blood test results and other factors. This cookbook is for informational purposes only and is not intended to be a substitute for medical advice. © 2016 DaVita HealthCare Partners Inc. 11058 Summer Picnic Recipes

Dear Reader, It’s time to bring out the picnic basket and get ready for those summer outings. Planning is half the fun, especially when food is involved. Our goal with the Today’s Kidney Diet series is to help you discover the great tastes for every season and occasion while adding healthy proteins, and keeping phosphorus, potassium and sodium within your targets. In this cookbook, we’ve pulled together some of our favorite picnic recipes for you to try. Plan a day in the park, by a lake or at the beach with Picnic Potato Salad; Lisa’s Awesome Burgers; Grill Thyme Corn on the Cob; lemonade made with our Lemonade Base; and many other recipes. We hope these recipes inspire you to plan more outdoor fun with family and friends this summer.

Happy picnicking!Your DaVita Care Team

Today's Kidney Diet

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Chicken and Summer Vegetable Kebabs Portions: 6 Serving size: 1 large kebab or 2 small kebabs

Recipe submitted by DaVita dietitian Sara from California.

1. To make the marinade, measure the peach jam into a small microwave-safe bowl and heat for 10 to 15 seconds to liquefy. Add the olive oil, lemon juice, Mrs. Dash herb seasoning and salt. Stir until well blended. 2. Rinse the chicken thighs and pat dry with a paper towel. Cut each thigh into 4 pieces and place in a zip-top bag. 3. Add 3 tablespoons of marinade to the chicken pieces. (Reserve 2 tablespoons of marinade to use on the vegetables.) Seal the zip-top bag and refrigerate to marinate.

4. Cut the vegetables into bite- sized pieces for the kebabs (zucchini: 8 slices; yellow squash: 8 slices; red pepper: 16 pieces; onion: varies). Place them in a medium bowl and add the reserved marinade. Stir to coat the vegetable pieces. 5. Thread the vegetables and chicken pieces onto skewers (4 large or 8 small skewers). 6. Heat the grill to medium heat. Place the skewers on the grill and cook covered for 12 to 15 minutes. Turn the skewers two or three times to cook evenly.

Preparation

• 1 tablespoon peach jam • 2 tablespoons olive oil • 2 tablespoons lemon juice • 1 teaspoon Mrs. Dash® herb seasoning blend • 1/4 teaspoon salt

• 1 pound boneless, skinless chicken thighs • 1 medium zucchini • 1 medium yellow summer squash • 1 red bell pepper • 1 medium onion

Ingredients

Diet types: CKD non-dialysis, dialysis, diabetes Nutrients per serving: Calories: 284, Protein: 24 g, Carbohydrates: 10 g, Fat: 16 g, Cholesterol: 80 mg, Sodium: 215 mg, Potassium: 456 mg, Phosphorus: 194 mg, Calcium: 30 mg, Fiber: 1.7 g Food choices: 3 meat, 2 low-potassium vegetables Carbohydrate choices: 1/2

E N T R É E

Find 900+ kidney-friendly recipes on DaVita.com/GetRecipes today. 3

Consult your dietitian or physician for the specific diet that is right for you. Kidney diet guidelines vary for each individual.

Lisa's Awesome Burgers

E N T R É E

Portions: 4 Serving size: 1 burger

Recipe submitted by DaVita dietitian Lisa from New York.

Ingredients

1. Preheat the grill.2. Finely chop the onion. 3. In a large bowl, combine

the ground beef, onion, egg and Mrs. Dash seasoning until all the ingredients are mixed throughout.

4. Divide ground beef mixture into 4 equal size patties.

5. Grill to the desired temperature and doneness.

6. Serve on hamburger buns. Add red onion, thin tomato slice and lettuce if desired.

• 1 pound lean ground beef• 1 cup sweet onion• 1 large egg

• 3 tablespoons Mrs. Dash® Hamburger Grilling Blend• 4 hamburger buns

Preparation

Diet types: CKD non-dialysis, dialysis, diabetes Nutrients per serving: Calories: 352, Protein: 27 g, Carbohydrates: 27 g, Fat: 15 g, Cholesterol: 126 mg, Sodium: 292 mg, Potassium: 458 mg, Phosphorus: 260 mg, Calcium: 92 mg, Fiber: 1.5 g Food choices: 3 meat, 2 starch, 1/2 medium-potassium vegetable Carbohydrate choices: 2

Find 900+ kidney-friendly recipes on DaVita.com/GetRecipes today.

Get No-Cost Kidney Diet Education Learn how diet can impact your kidney health during a 90-minute kidney education class in your community. Register at DaVita.com/KidneyEducation.

Consult your dietitian or physician for the specific diet that is right for you. Kidney diet guidelines vary for each individual.

Find 900+ kidney-friendly recipes on DaVita.com/GetRecipes today.

E N T R É E

Portions: 8 Serving size: 3 ounces

Recipe submitted by DaVita dietitian Barb from North Carolina.

Ingredients• 2 pounds rainbow trout fillets• 1 tablespoon cooking oil• 1/2 teaspoon salt

• 1 teaspoon salt-free lemon pepper• 1/2 teaspoon paprika

1. Preheat the grill on high heat.2. Spray or brush the fillet side of the trout fillets lightly with oil. Combine the seasonings in a small bowl. Sprinkle evenly over the fillets.

3. Place the trout directly on the grill, fillet side down. Cook for 4 minutes. Spray or brush the skin lightly with oil. Turn the fillets over and cook until the fish flakes easily with a fork, about 3 to 5 minutes.

Preparation

Diet types: CKD non-dialysis, dialysis, diabetes Nutrients per serving: Calories: 161, Protein: 21 g, Carbohydrates: 0 g, Fat: 8 g, Cholesterol: 58 mg, Sodium: 169 mg, Potassium: 385 mg, Phosphorus: 227 mg, Calcium: 75 mg, Fiber: 0.1 g Food choices: 3 meat Carbohydrate choices: 0

Grilled Trout

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4 Food Safety Tips for Summer Picnics1. Practice proper handling: Wash your hands frequently or use hand sanitizer.2. Watch your time/temps: Bacteria grows in food between 40° F to 140° F. Don't allow food to remain in this zone for more than two hours. Carry food in a cooler.3. Mind your meats: Marinate meat in the refrigerator, throw away excess marinade and thaw frozen meat in the refrigerator or microwave.4. Cover it up: Keep food covered to avoid insects, as they may carry bacteria.

Consult your dietitian or physician for the specific diet that is right for you. Kidney diet guidelines vary for each individual.

Picnic Potato Salad

1. Boil the eggs until they are hard-cooked.2. To reduce the potassium in the potatoes, peel the potatoes, cut them into small pieces, cover them with water and bring them to a boil. Discard the water and add fresh water. (Skip this part if a low-potassium diet is not required.) Boil the potatoes until they’re tender but still firm when punctured with a fork.3. While the potatoes are cooking, finely chop the celery, onion and bell pepper. Peel and chop the hard-boiled eggs.

4. Drain the potatoes and place them in a bowl. Add the vegetables and chopped eggs. Do not stir.5. Mix the salad dressing ingredients together; add them to the potatoes and toss gently. Top with fresh chopped dill.6. Cover and chill until ready to serve.

Preparation

• 3 large eggs• 3 cups potatoes • 1 stalk celery• 1 small onion• 1/2 red bell pepper

• 3/4 cup reduced-fat mayonnaise with olive oil• 3 tablespoons cider vinegar• 1 teaspoon Dijon mustard• 1/2 teaspoon black pepper• 1 teaspoon fresh dill

Portions: 8 Serving size: 1/2 cup

Recipe submitted by DaVita dietitian Michelle from Washington.

Ingredients

Diet types: CKD non-dialysis, dialysis, diabetes Nutrients per serving: Calories: 172, Protein: 4 g, Carbohydrates: 12 g, Fat: 12 g, Cholesterol: 77 mg, Sodium: 222 mg, Potassium: 213 mg, Phosphorus: 81 mg, Calcium: 24 mg, Fiber: 0.9 g Food choices: 1/2 starch, 1 medium-potassium vegetable, 2 fat Carbohydrate choices: 1

S I D E

Find 900+ kidney-friendly recipes on DaVita.com/GetRecipes today.

Read Kidney Diet TipsLearn more about nutrition and the kidney diet from DaVita dietitians on the Kidney Diet Tips blog.Visit DaVita.com/DietTips.

Consult your dietitian or physician for the specific diet that is right for you. Kidney diet guidelines vary for each individual.

Find 900+ kidney-friendly recipes on DaVita.com/GetRecipes today.

Portions: 6 Serving size: 3/4 cup

Recipe created by Michele, wife of DaVita patient Charlie, and submitted by DaVita dietitian Maria from North Carolina.

Preparation1. Finely chop the garlic. Chop the onion and zucchini. Shred the carrots.2. In a large skillet, heat the olive oil over medium heat. Sauté the garlic, onion, zucchini and carrots for 5 minutes. 3. Add the curry powder, chicken broth and salt. Bring to a boil.

4. Add the orzo pasta and stir until the mixture returns to a boil. Cover and reduce the heat to a simmer. Cook, stirring occasionally for about 10 minutes until the liquid is absorbed and the pasta is al dente. 5. Add the cheese, chopped parsley and frozen peas. Heat until the vegetables are hot, adding a bit more broth if necessary to maintain creaminess. Add pepper to taste.

Ingredients• 1 garlic clove• 1 small onion• 1 small zucchini • 1/2 cup carrots• 2 tablespoons olive oil• 1 teaspoon curry powder• 3 cups low-sodium chicken broth

• 1/4 teaspoon salt• 1 cup orzo pasta, uncooked• 1/4 cup grated Parmesan cheese• 2 tablespoons fresh parsley• 1/2 cup frozen green peas• 1/4 teaspoon black pepper

Diet types: CKD non-dialysis, dialysis, diabetes Nutrients per serving: Calories: 176, Protein: 10 g, Carbohydrates: 25 g, Fat: 4 g, Cholesterol: 4 mg, Sodium: 193 mg, Potassium: 170 mg, Phosphorus: 68 mg, Calcium: 53 mg, Fiber: 2.6 g Food choices: 1/2 meat, 1-1/2 starch, 1 medium-potassium vegetable Carbohydrate choices: 1-1/2

S I D E

Creamy Orzo and Vegetables

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Consult your dietitian or physician for the specific diet that is right for you. Kidney diet guidelines vary for each individual.

Grill Thyme Corn on the CobPortions: 4 Serving size: 1/2 ear of corn

Recipe created by DaVita dietitian Maria from North Carolina.

Ingredients• 2 tablespoons olive oil• 1 tablespoon grated Parmesan cheese• 1/2 teaspoon dried thyme

• 1/4 teaspoon black pepper• 4 half-ear size frozen corn on the cob

1. Mix the oil, cheese, thyme and black pepper in a shallow bowl.2. Place the corn in the oil mixture and roll to thoroughly coat the corn.3. Place all four pieces of the corn in the center of a heavy duty aluminum foil sheet. Pour any oil left in the bowl over the corn. Top the corn with 2 ice cubes.

4. Double fold the top and ends of the foil to make a packet, leaving room for heat to circulate.5. Place the foil packet on the grill over medium heat and cook for 20 minutes, turning once during cooking.

Preparation

Diet types: CKD non-dialysis, dialysis, diabetes Nutrients per serving: Calories: 125, Protein: 2 g, Carbohydrates: 15 g, Fat: 8 g, Cholesterol: 1 mg, Sodium: 26 mg, Potassium: 188 mg, Phosphorus: 63 mg, Calcium: 16 mg, Fiber: 1.8 g Food choices: 1/2 starch, 1 low-potassium vegetable, 1 fat Carbohydrate choices: 1

S I D E

Find 900+ kidney-friendly recipes on DaVita.com/GetRecipes today.

Access DaVita Diet HelperTM Easily make shopping lists, plan menus and track your daily nutrition goals. Sign up at DaVita.com/MealPlanning.

Consult your dietitian or physician for the specific diet that is right for you. Kidney diet guidelines vary for each individual.

Find 900+ kidney-friendly recipes on DaVita.com/GetRecipes today.

Ingredients• 2-1/2 cups water• 1-1/4 cups sugar or granular sugar substitute• 1/2 teaspoon finely shredded lemon or lime peel

• 1-1/4 cups fresh lemon or lime juice• ice cubes

1. In a medium saucepan, stir the water and sugar or sugar substitute over medium heat until the sugar is dissolved. Remove from the heat; cool for 20 minutes. 2. Add the citrus peel and juice to the sugar mixture. Pour into a jar or pitcher; cover and chill. This will keep for up to three days.

3. For each glass of lemonade or limeade, combine 3 ounces of base and 3 ounces of water in an ice-filled glass. Stir and sip slowly to enjoy. Freeze the leftover base in ice cube trays and add to beverages instead of ice.

Preparation

Recipe submitted by DaVita dietitian Bonnie from Texas.

Portions: 10 Serving size: 3 ounces base + 3 ounces water

Diet types: CKD non-dialysis, dialysis, diabetes Nutrients per serving: Calories: 108, Protein: 0 g, Carbohydrates: 27 g (5 g with sugar subsitute), Fat: 0 g, Cholesterol: 0 mg, Sodium: 2 mg, Potassium: 39 mg, Phosphorus: 2 mg, Calcium: 4 mg, Fiber: 0.1 g Food choices: 1/2 low-potassium fruit, 1 high calorie Carbohydrate choices: 2

Lemonade or Limeade Base

B E V E R A G E

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Consult your dietitian or physician for the specific diet that is right for you. Kidney diet guidelines vary for each individual.

Watermelon Summer Cooler Portions: 2 Serving size: 3/4 cup

Recipe submitted by DaVita dietitian MaryAnn from North Carolina.

Ingredients• 1 cup crushed ice • 1 cup seedless watermelon cubes • 2 teaspoons lime juice

• 1 tablespoon sugar • 2 small watermelon wedges for garnish

1. Place all the ingredients except for the garnish wedges in a blender and blend for 30 seconds.

2. Pour into two small glasses, garnish with wedges and enjoy!

Preparation

Diet types: CKD non-dialysis, dialysis, diabetes Nutrients per serving: Calories: 52, Protein: 0 g, Carbohydrates: 13 g, Fat: 0 g, Cholesterol: 0 mg, Sodium: 1 mg, Potassium: 96 mg, Phosphorus: 9 mg, Calcium: 6 mg, Fiber: 0.3 g Food choices: 1 low-potassium fruit Carbohydrate choices: 1

B E V E R A G E

Find 900+ kidney-friendly recipes on DaVita.com/GetRecipes today.

6 Kidney-Friendly Picnic Swaps Instead of …• Hot dogs• Processed lunch meats• Baked beans• Spinach or tomato salad• Cantaloupe or honeydew• Ice cream

Enjoy this …• Grilled hamburgers• Fresh chicken salad• Pasta salad• Coleslaw• Grapes• Fruit-flavored ice pops

Consult your dietitian or physician for the specific diet that is right for you. Kidney diet guidelines vary for each individual.

D E S S E R T

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B E V E R A G E

Red, White and Blue PiePortions: 8 Serving size: 1/8 pie

Recipe submitted by DaVita dietitian Heather from Missouri.

1. To make the filling, beat the cream cheese and preserves with until smooth with an electric mixer on medium speed.

2. Fold the whipped topping into the cream cheese mixture.

3. Spread the filling evenly over the bottom of the graham cracker crust.

4. Arrange the blueberries around outer ring of pie. Layer the raspberries around the inner ring of the pie.

5. Chill for at least 30 minutes.6. Before serving, finish

decorating with a dollop of whipped topping in the center and a raspberry or strawberry on top.

Ingredients• 8 ounces light cream cheese• 1/2 cup low-sugar red raspberry preserves• 3 cups dairy whipped topping

• 1 prepared graham cracker crust, 9" size• 1 cup fresh blueberries• 1-1/2 cups fresh raspberries

Preparation

Diet types: CKD non-dialysis, dialysis, diabetes Nutrients per serving: Calories: 237, Protein: 4 g, Carbohydrates: 35 g, Fat: 9 g, Cholesterol: 19 mg, Sodium: 220 mg, Potassium: 162 mg, Phosphorus: 91 mg, Calcium: 75 mg, Fiber: 2.6 g Food choices: 1/2 starch, 1/2 low-potassium fruit, 1 dairy Carbohydrate choices: 2

Get No-Cost Kidney Care EducationMeet your local kidney expert. Register for a no-cost, 90-minute training session taught by a certified instructor in your community.Register at DaVita.com/KidneyEducation.

Consult your dietitian or physician for the specific diet that is right for you. Kidney diet guidelines vary for each individual.

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Foods Stages 1-2 CKD Stages 3-4 CKDStage 5

End Stage Renal Disease (ESRD)In-center Hemodialysis, Home Hemodialysis (HHD)

and Peritoneal Dialysis (PD)

Non- and low-fat dairy Include Limit to 1/2 cup per day or amount decided with your dietitian

All types of dialysis: Limit to 1/2 cup per day or amount decided with your dietitian

Poultry, seafood, lean red meats, eggs, egg whites or meatless protein sources Include; avoid excess Include; avoid excess All types of dialysis: Increase

Grains, pasta and rice (whole and other grains) Include IncludeAll types of dialysis: Include; make lower

phosphorus whole-grain choices; be aware some whole grains are high in potassium

Fruits and vegetables Include Include; change types and amount if potassium from blood test is high

In-center Hemodialysis: Include; select lower potassium choices and limit portions

HHD and PD: Include; change types and amount if potassium from blood test results is high or low

Legumes (beans, lentils, peas) Include Serving size and how often depends on potassium and phosphorus blood test results

All types of dialysis: Serving size and how often depends on blood test results

Seeds and nuts Include Serving size and how often depends on potassium and phosphorus blood test results

All types of dialysis: Very limited; avoid if potassium and phosphorus are high; serving size and how often

depends on blood test results

Healthy fats (vegetable, canola, flax and olive oil; omega-3 fatty acids) Include Include All types of dialysis: Include

Unhealthy fats (saturated fat, trans fats) Limit or avoid Limit or avoid All types of dialysis: Limit or avoid

Herbs and spices Include Include All types of dialysis: Include

Salt, soy sauce, salty seasonings Limit or avoid Limit or avoid All types of dialysis: Limit or avoid

Sweets/sugary foods and drinks Limit Limit All types of dialysis: Limit

Phosphate additives Avoid Avoid All types of dialysis: Avoid

Today's Kidney Diet: Quick Reference GuideGuidelines for What to Eat for Chronic Kidney Disease (CKD) Stages

Find 900+ kidney-friendly recipes at DaVita.com/GetRecipes.Consult your dietitian or physician for the specific diet that is right for you. Kidney diet guidelines vary for each individual.

Today's Kidney Diet: Quick Reference GuideKnowing What to Eat for Chronic Kidney Disease Stages

Do you know what to eat when you have chronic kidney disease (CKD)? Diet recommendations are different for each person depending on their stage of CKD, type of dialysis treatment, body size, nutritional status and blood test results. We've created this chart* to help you with your diet. * Note: These are general guidelines.

Talk to your dietitian or physician to create a plan based on your needs.

Find 900+ kidney-friendly recipes at DaVita.com/GetRecipes.

© 2016 DaVita HealthCare Partners Inc. 11058 Summer Picnic Recipes