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All information on the Ask the Dietitian Blog, including but not limited to information about nutrition, or kidney-related or other illness or conditions, is intended for general or background purposes only, and not as medical advice applicable to any individual. Please consult your health-care provider or providers for instructions specific to your own condition or illness.

  • Making Sense of Meat Substitutes

    January 21, 2020

    “Beyond Meat”, “Boca Burger", Phoney Baloney”, “Tofurkey”,  and the “Impossible Burger”. The recent popularity of plant-based “meats” is hard not to notice. Meat substitutes are sometimes called meat analogues, mock meat, imitation meat, or vegan meat. So why has fake meat become so mainstream?

  • What Can You Eat? How To "Kidney-fy" Your Recipes!

    January 07, 2020

    If you are living with chronic kidney disease (CKD) you might wonder how you can make your own recipes more “kidney-friendly.” The good news is there are ways you can “kidney-fy” your favorite dishes with a bit of thoughtful planning!

  • Gift Giving Guide For People Living with Chronic Kidney Disease

    December 24, 2019

    Special occasions like birthdays and holidays are joyous times, however it can be challenging for people with chronic kidney disease (CKD) due to special health needs. The reality is that people require restricted diets, and/or have to go to dialysis sessions 3-4 times per week, holiday or no holiday.  Have you ever wondered what an appropriate gift for a kidney patient would be?  

  • 2019 Kidney-Friendly Holiday Tips

    December 10, 2019

    The holidays are typically a time for celebrating. In many cultures, food symbolizes family, togetherness and sharing. Food is an essential part of holiday celebrations here in Hawaii, which can be challenging for people living with chronic kidney disease (CKD). There are however, still ways CKD patients can enjoy their favorite holiday foods and maintain their dietary restrictions.

  • Herbal Supplements and Chronic Kidney Disease

    November 26, 2019

    Herbal medicines have been used by humans for over 5,000 years. Today, herbal (sometimes called botanical) dietary supplements are a $6 billion industry in the U.S. alone. In a study published in 2017, one-third of subjects reported using herbal supplements “to preserve or recover health.” Often termed “natural”, herbal supplements are considered to be alternative or complementary medicine.

  • Insulin Resistance and Kidney Disease

    November 12, 2019

    Have you ever been told you have prediabetes? One in three adults has prediabetes, which means your blood sugar is higher than normal, but not high enough to be considered type 2 diabetes. Without intervention, you could develop type 2 diabetes within 5 years. Just having higher than normal blood sugar puts you at risk for chronic health problems including kidney disease.

  • November is National Diabetes Awareness Month

    October 29, 2019

    November is Diabetes Awareness Month!  Every November, we try to raise awareness about diabetes risk factors and encourage people to make healthy changes. Forty percent of adults in Hawaii have prediabetes, but only 12% are aware they have it.

  • Is There Really A "Diet" For Kidney Stones?

    October 15, 2019

    Kidney stones are more common than you might think. It's hard to pinpoint the exact reason, but one in ten people will develop a kidney stone at some point. Some factors may be genetics, not drinking enough water, obesity, high sugar and salt intake, kidney disease, weight loss surgery, and mega-dosing on dietary supplements

  • Got Gout?

    October 01, 2019

    If you've ever had gout, you know how painful and debilitating it  can be. What exactly is gout and how does it relate to chronic kidney disease?

  • Natural Sugar vs. Added Sugar: Know the Difference!

    September 17, 2019

    Have you ever heard someone say they avoid fruits because they have “too much sugar?” The idea that naturally healthy foods (like fruit) should be avoided is something that drives dietitians crazy. Fruit doesn’t deserve the bad reputation it gets, and I’ll explain why.

  • Curious About Artificial Sweeteners?

    September 03, 2019

    The blue, the yellow, the pink, and the green packets. Are you confused about artificial sweeteners yet? You’re not alone! Non-nutritive sweeteners (also known as artificial sweeteners or sugar substitutes) are a topic of debate for the public and dietitians alike. Are they safe? Do they cause weight gain? How do they affect diabetes?

  • Thoughts on Intermittent Fasting

    August 20, 2019

    The practice of fasting has been around since ancient times, mainly for religious reasons. Intermittent fasting (also known as IF), is simply a diet regimen that alternates between periods of fasting (no calories) and periods of unrestricted eating. When you IF, you can eat whatever you want, but only within a certain time window. Today, IF is very popular and seems to appeal to those who want to lose fat quickly and still have guilt-free days of unrestricted eating. 

  • Understanding the Renal Diet: Phosphorus and Calcium

    August 06, 2019

    "What should I eat?"  Renal dietitians get asked this all the time! This series of blog entries discusses the general dietary guidelines for people living with Chronic Kidney Disease. The last blog topic was potassium. We also discussed protein and sodium in the previous two entries. Phosphorus and calcium are yet another dietary concern for people with CKD.

  • Understanding the Renal Diet: Potassium

    July 23, 2019

    The diet for Chronic Kidney Disease can be complicated. The last few blog entries have discussed the general dietary guidelines for protein and sodium for CKD patients. Potassium is another dietary consideration in CKD.

  • Understanding the Renal Diet: Sodium

    July 09, 2019

    The most frequently asked question that renal dietitians hear is "what should I eat?" This series of blog entries discuss the general dietary guidelines for CKD patients. The last blog topic was protein. Sodium (or salt), is another dietary concern for people with CKD.

  • Understanding the Renal Diet: Protein

    June 25, 2019

    The most common question that dietitians hear from patients diagnosed with CKD is "what should I eat?"  It can seem confusing when you hear or read different things. Renal (kidney) diets minimize the amount of waste in the blood and decrease the amount of work the kidneys do. Protein, sodium, potassium and phosphorus are the main considerations of a renal diet. Over the next few blog entries I'll be discussing the general dietary guidelines for CKD to hopefully answer that question.

  • The Buzz on Alkaline Water

    June 11, 2019

    Have you heard the buzz about alkaline water? Several celebrities endorse it, and pricey water ionizer machines can be found in many stores. However, before you run out and buy one, there are some things you need to know.

  • Everyone Loves a Gala!

    May 28, 2019

    Everyone loves a good party. The National Kidney Foundation of Hawaii is having its 5th Annual Great Gatsby Gala on June 13, 2019 at the Honolulu International Country Club. The event is held in memory of our beloved U.S. Senator Daniel Kahikina Akaka and benefits the National Kidney Foundation of Hawaiʻi. Together with our community partners, we strive to expand awareness, intervention and treatment for people affected by chronic kidney disease (CKD) in Hawai'i.

  • Changing Habits Not Diets

    May 14, 2019

    People love to diet. According to a study by the 13th Annual Food and Health Survey conducted by the International Food Information Council (IFIC), about one in three adults in the U.S. are following some type of diet, and about half of adults are trying to lose weight. Data trends show people now are becoming increasingly fearful of carbohydrate, rather than fat which was the fad in previous decades.

  • Glycemic Index Explained

    April 30, 2019

    Have you heard of the term "glycemic index", and wondered what it was? Glycemic index (GI) measures how a carbohydrate-containing food raises blood glucose. This can be particularly useful for individuals who are diabetic, prediabetic, or who are trying to manage their blood glucose levels.

  • CKD Nutrition: White or Brown Rice?

    April 16, 2019

    Rice is a staple food for more than half of the world’s population. In Hawaii, we eat more rice than anywhere else in the U.S. with the average consumption of 100 lbs (45 kg) per year! Have you ever wondered what the difference is between white and brown rice and which is healthier?

  • New Study On Eggs: Is It What You Eggspected?

    April 02, 2019

    Eggs have been in the news again recently, this time saying that eating an additional 3-4 eggs per week has been linked to a higher risk of heart disease (CVD) and all-cause death in a study that's sure to revive the egg conversation once again.

  • Have A Healthful Spring Break!

    March 19, 2019

    Spring break is here, and many people are traveling or going on vacations. It’s easy to get sidetracked from healthy eating when you are away from home and break your usual routines. Long flights or road trips can mean sitting for hours with little physical activity, but that doesn’t mean you have to give in to temptations, especially if you are not even hungry.

  • March is National Nutrition Month! 19 Health Tips for 2019

    March 06, 2019

    National Nutrition Month is a nutrition education campaign created annually in March by the Academy of Nutrition and Dietetics (AND). The annual campaign focuses attention on the importance of making informed food choices and developing sound eating and physical activity habits. 

  • Apple Cider Vinegar: A Cure All?

    February 12, 2019

    You’ve likely heard someone swear by the benefits of drinking apple cider vinegar (ACV) for their health. But is there a good reason to consume it?

  • The Lectin Controversy

    February 05, 2019

    You may have seen articles and books on the health benefits of a lectin-free diet. But is there any truth to these claims?  Although the research on lectin is still emerging, preliminary studies have revealed potential health benefits of lectin consumption and little evidence of harm.

  • Eating Well As You Age

    January 29, 2019

    Eating right and staying fit are important no matter what your age, but as we get older our bodies develop special needs. As we age, many will become deficient in calcium, vitamin D, and vitamin B12.  Each nutrient plays a key role in different systems, but it’s important that older adults are eating a balanced diet with some variety.

  • Plant-Based Diets and Kidney Disease

    January 22, 2019

    Plant-based diets have become very popular in recent years. Many people have been led to believe that you can’t follow a plant-based or vegetarian diet if you have kidney disease. But recent studies suggest that people with kidney disease can follow a plant-based diet if they know how to do it correctly.

  • The Skinny On Juicing

    January 15, 2019

    Juicing has become so popular that many people have the misconception that juicing is actually healthier than eating whole fruit.

  • Dining Out: Local Drive-Ins and Plate Lunch Restaurants

    January 08, 2019

    Drive-ins are a popular local food destination in Hawaii. Whether you dine in, or take out, drive-ins offer many of your favorite local dishes for a reasonable price. Knowing what foods to eat and which cooking methods are healthiest are key parts of eating out.

  • Staying Motivated to Eat Healthy and Exercise

    January 01, 2019

    Happy 2019! It's a brand new year and many of you probably want to start off the new year with some health resolutions. How many of you have said you wanted to eat healthier and exercise more, only to find yourself back at square one within a few weeks or even days?

  • Cut Down On That Sugar!

    December 25, 2018

    The holiday season is upon us and we are constantly being bombarded with deliciously addictive sugary foods. How can you say "no" to Grandma’s custard pie or your mom’s cinnamon rolls? Your auntie’s world-famous candied yams? What if your coworkers leave a beautiful tray of festive Christmas cookies in the break room and nobody sees you eat one? Does it really count? Yes!

  • Planning For A Healthy and Happy Holiday Season

    December 18, 2018

    The holiday season is here!  Food has always been an important part of the holidays whether or not you are living with chronic kidney disease (CKD). Due to the abundance of food around the holiday season, it may be harder to meet nutritional needs if you have CKD.

  • To Keto or Not to Keto?

    December 11, 2018

    The ketogenic diet, or “keto diet", is one of a series of trendy low carbohydrate (“low carb”) diets that include the Atkins diet, the South Beach diet and the Zone diet. It was developed at the Mayo Clinic in 1924 as a treatment for epilepsy in children. In recent years the ketogenic diet has made a comeback and today, medical teams are once again using it as a therapy for epileptic kids whose seizures do not respond to medications.

  • The Bust on Booze

    December 04, 2018

    When it comes to alcohol, moderation is the key. You've probably heard in the media that “moderate” alcohol consumption may provide certain health benefits, such as reducing your risk of heart disease -- but is this really true? Well, the evidence isn’t crystal clear and alcohol may not benefit everyone who drinks.

  • Eating Right With Chronic Kidney Disease

    November 27, 2018

    If you have Chronic Kidney Disease (CKD), you may prevent or delay some health problems by eating the right foods. As CKD progresses, nutritional needs will change. Your health care provider may recommend a specific diet to help prevent decline in your kidney function, and to minimize CKD-related complications.

  • Nephrotic Syndrome Diet

    November 20, 2018

    If you have nephrotic syndrome, you may wonder what kind of diet you need. Nephrotic syndrome is a kidney disorder where the body discards too much protein into the urine. This can occur with any kidney disease that damages the nephrons (filtering units). Because you lose so much protein, low levels of protein in your blood can cause edema (fluid retention) or swelling, usually in the ankles or feet, hypertension, and higher than normal fat and cholesterol levels in the blood.

  • Centers for Disease Control & Prevention (CDC) Diabetes Prevention Program

    November 13, 2018

    Eighty-four million U.S. adults (1 in 3) have prediabetes. In Hawai’i, 442,000 people (1 in 2.5) have prediabetes and the numbers are climbing every year. Surprisingly, the majority of prediabetics don’t even know they have it! Without intervention, 15% - 30% of those people will develop type 2 diabetes within five years.

  • A Kidney-Friendly Thanksgiving

    November 06, 2018

    Thanksgiving is a time to come together with family and friends to be grateful for everything we have. It’s also a time to share a meal with delicious foods. Those who are living with kidney disease can still enjoy their holiday meal, even with certain dietary restrictions.   

  • What You Need To Know About Probiotics

    October 30, 2018

    You’ve probably heard about probiotics recently. What are they? Probiotics are live microorganisms (aka bacteria) that may have health benefits. We need these microorganisms help our bodies function properly. 

  • Is Coconut Water Good For My Kidneys?

    October 23, 2018

    Coconuts are native to Asia and the Pacific Islands. Coconut water (or coconut juice), is the clear liquid found in young green coconuts. Lately, it has been popping up everywhere! It is naturally fat free and sweet and you can get it fresh or canned.

  • Halloween Tricks or Treats for Kidney Disease

    October 16, 2018

    If you have kidney disease you can still enjoy many Halloween treats and candies, but moderation is key. Here are some general tips if you need to limit the amount of dietary potassium and phosphorus.

  • Fresh, Frozen or Canned Vegetables?

    October 02, 2018

    Getting a lot of fresh vegetables in your diet is important.  But do you ever wonder which is better - fresh, frozen, or canned?

  • Decoding the Food Label: Percent Daily Value (% DV)

    September 18, 2018

    Have you ever looked at a food label and wondered "What is Percent Daily Value (% DV)"? The % DV on a Nutrition Facts label is simply a guide of what nutrients is contained in one serving of that specific food. For example, if the label lists 20% DV for calcium, it means that one serving provides 20% of the calcium you need each day.

  • The Gist on Gluten

    September 04, 2018

    Most of us know someone that is following a gluten-free diet and have seen the huge emergence of gluten-free food items in the grocery store. But what is gluten and is a gluten-free diet actually healthy?

  • Conquering the Grocery Store

    August 20, 2018

    Grocery stores can be a confusing and even intimidating place, especially when one is trying to eat healthy! Think about it, every time we walk in the store, we are faced with hundreds of choices.

  • Tips to Move More

    June 11, 2018

    Only 20% of American adults meet the national exercise goal of at least 150 minutes per week. Lack of exercise has been linked to risk for heart disease, high blood pressure, type 2 diabetes and cancer. There are many benefits to moving more throughout the day, including improved energy, sleep, mood, weight and mental health. 

  • Sack the Sugary Drinks!

    May 21, 2018

    Current U.S dietary guidelines recommend that less than 10% of our daily calories come from added sugar. For the average person following a 2,000 calorie diet, this would equal about 200 calories or 13 teaspoons of sugar per day, but most Americans consume double or even triple this amount!

  • See Ya Salt!

    May 01, 2018

    You may need to limit the amount of sodium in your diet. This is because high blood pressure, kidney disease, and sodium are often related. Learning to read labels can help you make lower sodium choices. 

  • Simple Snacking

    November 02, 2017

    Most nutrition professionals recommend eating smaller meals throughout the day with healthy snacks in-between. When planning your snacks, aim to pair high protein with high fiber foods.

  • Stay Healthy This Summer

    July 31, 2017

    Summer is finally here!  For most of us that means BBQ's, pool parties, sports, and spending more time with family and friends.  With so many activities going on, it's easy to lose sight of our nutrition, so here are some simple tips to keep you happy and healthy this summer.

  • Fiber

    March 22, 2017

    The importance of fiber in our diets is often looked over when talking about nutrients. There are two types of fiber and they both help us in different ways.

  • Exercising and Your Health

    February 27, 2017

    Exercise is an important factor to manage or prevent diabetes. While this can be difficult to fit into your day, there are simply activities that you can perform for a little exercise.

  • Healthier Holidays for Those with CKD

    December 12, 2016

    The Holidays are here and they bring much of the ohh-so-ONO food we been waiting for all year! But in order to enjoy the food and holiday traditions with family for many more years to come we have to be mindful of our health today. So here are some helpful tips to keep in mind if you have chronic kidney disease.

  • Eating Healthy in the Summer

    August 16, 2016

    Eating healthy during the summer can be hard!  Think about it: beach barbeques, holiday parties, 4th of July and so many more events where foods high in fat, sodium and sugar are offered in endless amounts.  Here are some ways you can eat healthier this summer.

  • Weight Loss Management

    July 18, 2016

    Weight Loss and Weight Loss Management isn’t easy. It takes work and understanding. I read an article today that reminded me how important it is to make sure that you need to be ready to actually make the decision to make a change in your life.

  • Healthy Gut

    April 19, 2016

    Digestion starts in the mouth and ends with our bowl movement, but in order to keep us happy and healthy our gastrointestinal tracts have to work very hard!  A healthy gut will depend on having your intestinal bacteria well balanced which will also promote a healthy immune system.

  • Positive Thinking

    April 06, 2016

    Positive thinking is so important to practice in our everyday lives.  Negative thinking can make us feel bad and/or hurt our self-esteem.

  • Protein Powders and Kidney Disease

    March 21, 2016

    Protein is definitely important to consume while on dialysis.  Eating more protein can help with preventing infections, maintaining muscle mass and it can also help improve albumin levels while on dialysis.

  • Nutrition Works

    February 18, 2016

    We have found that many of you are interested in learning more about nutrition and how it plays a role in our health.  In order to provide you with excellent service, we have created several nutrition related presentations and we are excited to present our Nutrition Works presentation calendar.

  • Breakfast Ideas

    February 12, 2016

    Breakfast has been found to help individuals manage their weight and also help stay focused at school and work. Eating breakfast is so important because it allows us to break our overnight fast and keeps us from overeating at our next meal. 

  • Happy 2016--Goals

    January 25, 2016

    Happy 2016 everyone!  As we begin a new year, I am sure everyone has goals to accomplish.  Goals could include things such as losing weight, eating healthier, helping others, exercising more or maybe finishing school however, it's important to fin your own inner motivation so that you can succeed.

  • Cooking with Keiki Cookbook

    September 14, 2015

    Hope you were able to incorporate some of the tips we shared on our website! If you haven’t had a chance to check out some recipes online, in October the National Kidney Foundation of Hawaii will be promoting our very first children’s cookbook with some fun recipes. 

  • August is Kids Eat Right Month

    August 17, 2015

    With childhood obesity increasing, it is important to make sure kids are eating healthy and getting plenty of exercise. Parents can help by setting good examples and involving keiki in daily physical activities and preparation of meals. The Academy of Nutrition and Dietetics encourages families to take the following steps:

  • Dining Out

    July 30, 2015

    Eating out is something we have the ability to do daily--we have L& L, McDonalds, Ala Moana food court and other tasty fast food restaurants, however, studies have found that eating out frequently is associated with greater weight gain, obesity, greater body fat and higher LDL cholesterol.  So...What do we do?

  • Nutrient Content Claims: Are they Cheating on Us?

    June 29, 2015

    When walking through the grocery store it's as if we're being courted by promises of better choices and healthier options.  Many people know that consuming excess amounts of sugar, fat and salt on a daily basis can contribute to health problems later down the line.  So what have Americans been doing to combat this?  They've been seeking out healthier options, and we should all be proud of our efforts!  However, food companies have been using this health movement to their advantage, leaving many of us feeling cheated on!

  • MyPlate Tips

    May 21, 2015

    Childhood obesity has been such a hot topic recently.  Why?  Well childhood obesity has doubled in children and quadrupled in adolescents in the past 30 years.  In 2012, more than 1/3 of children and adolescents were overweight and obese.  So you begin to wonder, what is the rate in Hawaii?

  • Soda Alternative

    May 04, 2015

    Beverages have been a major contributor of calories in the modern diet.  We have seen studies that have shown an association between sugar sweet beverages and increased risk of obesity, tooth decay and type 2 diabetes.

  • Helpful Grocery Store Tips

    April 17, 2015

    Eating food, talking about food, and making food is always fun but when you have just been diagnosed with CKD/ESRD it can be overwhelming and confusing.  Food is a part of our everyday lives--celebrations, meetings, traditions, and food is also with us during mourning, so what do we do?

  • What's Cooking--USDA Mixing Bowl

    March 30, 2015

    Are you looking for a new recipe or trying to find ways to incorporate fruits and vegetables into your meals?  Check out: What's Cooking--USDA Mixing Bowl.  This is an interactive recipe tool to promote nutrition-focused recipe sharing.

  • Let's Learn About Fiber

    March 20, 2015

    Fiber is a substance that is in foods that our bodies cannot digest.  Therefore, fiber is eliminated from our body as waste.  There are two types of fiber in the diet--soluble and insoluble.  They are found in different types of foods and have different functions in the body. 

  • Food Label Reading

    February 27, 2015

    Using a food label can help you make healthier decisions.

    Step One-look at the serving size.  Keep in mind that if you eat more than the serving size listed, you will have to multiply it by the number of servings you consume to get the accurate nutrient information.

  • Keiki Cookbook Recipe Submission

    February 12, 2015

    The National Kidney Foundation of Hawaii is creating a custom keiki cookbook featuring recipes from our community.  We are requesting healthier keiki recipes that might be lower in fat, sodium and/or sugar.

  • Food Safety

    January 29, 2015

    Did you know that the federal government estimates that there are 48 million cases of food-borne illness annually- the equivalent of sickening 1 in 6 Americans each year? (FDA-June 2011). Food-borne illness can affect anyone however those at higher risk include those with cancer, diabetes or kidney failure, pregnant women, older adults and children. It is very important to practice safe food handling- the FDA has provided 4 great steps for food safety.

  • Let's Get Cooking

    January 05, 2015

    Cooking can be so much fun.  It allows you to work on new recipes, try old recipes with modifications and can also be a stress reliever for some.  You can cook with a friend, family, kids or even on your own.

  • Healthier Children

    December 22, 2014

    Our Youth Programs Coordinator has the opportunity to visit schools about kidney health and nutrition.  It is important that our children are eating healthy daily and getting enough physical activity.  Here are some general tips:

  • Healthier Holidays for those with CKD

    November 17, 2014

    When I think about the holidays, the first couple of thoughts that come to my head are: family, friends, fun and FOOD!  But..we all have to be mindful when it comes to the holidays are a few tips in which you can make your holidays healthier.

  • Zippy's

    November 10, 2014

    Zippy's is a local favorite, and as you may know, they recently created a diabetes-friendly menu.  Isn't that fantastic?  This new menu not only helps those with diabetes but it also helps those who may be wanting to choose a healthier option while dining out with friends and family.

  • Halloween is Just Around the Corner

    October 31, 2014

    Candy is available all year round but BEWARE....Halloween is just around the corner.  For those who have kidney disease, there are a few candies that may need to be restricted.  Candies need to be monitored for potassium, phosphorus and sodium.

  • Eating Out During the Week: Burgers

    October 27, 2014

    Last week, I tried a new burger place called Honolulu Burger--GREAT PLACE!  It's important to know that even when you are on dialysis, you can still enjoy eating out on occasion with your family.

  • Recipe Modification

    October 01, 2014

    Do you have a favorite recipe? Do you want to make it healthier? Most recipes can be adapted to decrease the amount of sugar, salt, and fat and increase some healthier options such as fruits and vegetables. If you want to modify a recipe- it may take some time. Try modifying one thing at a time. Here are a few tips you can try at home.

  • Rice

    September 18, 2014

    Here in Hawaii, rice is at the core of our local culture and we have access to all types: steamed, fried, white, short-grain, long-grain rice, etc. Rice is a carbohydrate - a natural source of energy for your body. You can eat rice with vegetables, protein, add it into casseroles, and it also serves as a great side dish to any meal. It’s also a top choice for those on the kidney diet, which is great news!

  • Watercress

    August 28, 2014

    In June, the CDC published a study by Jennifer Di Noia- PhD, called Defining Powerhouse Fruits and Vegetables: A Nutrient Density Approach. In this study, they took a look at different fruits and vegetables and classified them as “powerhouse fruits/vegetables” as foods providing, on average, 10% or more daily value per 100kcal of 17 qualifying nutrients (potassium, protein, fiber, calcium, iron, thiamin, riboflavin, niacin, folate, zinc and vitamins A, B6, B12, C, D, E, and K).

    Source: Di Noia J. Defining Powerhouse Fruits and Vegetables: A Nutrient Density
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