LOW SODIUM DIET
Limit sodium intake to 2,000 - 2,300 mg per day for CKD and hypertensive patients, and as a
preventive measure to avoid having hypertension to general population.
Upon gathering data from USDA food database, an estimated 800 mg sodium are inherent or
naturally occurring from all the food items typically consumed on a 2000 Calories per day - without
added flavor, sauces, or marinades - as in plain foods including cooked rice, some breads, meats,
fish, chicken, vegetables and fruits are included.
Therefore, to meet the required <2,300 mg sodium per day, may add 1,000-1,200 mg sodium OR
LESS from various flavorings and sauces. There is no such a thing as bland foods, no added salt
diet, because practically, it’s impossible to live or give up the way we eat our favorite daily dishes
without added flavors.
•
May consume meaty dish with 2-4 teaspoons thickened sauces or watered sauces. In
contrast, for concentrated sauces, example is TOYO, about 1-2 teaspoon is enough per day
preferably low-sodium soy sauce.
•
Ideally, herbs and spices have very small amount of sodium that we can use to our dishes
instead of relying on too many salty condiments. Sautee the dish with lots of onion, garlic,
ginger, pepper for full flavor. May add vinegar, calamansi, tanglad, laurel leaves, and other herbs
to make it flavorful but not salty.
•
Avoid salt substitutes containing potassium.
•
Totally avoid all processed, frozen deli meats, and canned fish. It’s better to make home-made
chicken meat-balls, embutidos, and plant-based ground patties.
•
Check the food labels for sodium content with <140 mg sodium, or <35 mg sodium, or 5% DV
per serving. Limit or avoid the use of seasonings with “sodium, “phos”, and “potassium” in the
name as these are higher in sodium, phosphorus and even potassium.
FOR CKD NON-DIALYSIS PATIENTS
•
Limit to <2,300 mg sodium required per day. Therefore, limit the additional 1,000 –
1,200 mg sodium OR LESS from sauces and condiments. Fluids are not necessarily
restricted, achieve 2.5 liters water per day or as needed.
FOR CKD DIALYSIS PATIENTS / EDEMA (MANAS)
•
Limit to additional 500 mg sodium per day from condiments, and use more herbs and
spices instead. The lesser, the better. Follow the amount of fluid restriction as ordered, 32
ounces (1 liter). Measure your fluid intake and record it.
•
Fruits and vegetable water contents are not included.
•
You should aim to gain <1.5 kg – 2.0 kg of fluid between each HD session.
REFERENCE:
T. Alp Ikizler et al. KDOQI Clinical Practice Guideline for Nutrition in CKD: 2020 Update
https://www.ajkd.org/article/S0272-6386(20)30726-5/fulltext
Renal Disease: Managing Your Fluid Balance
https://www.uhcw.nhs.uk/download/clientfiles/files/Patient%20Information%20Leaflets/Clinical%20Support%20Services/Dietetics/117445_Renal_dis
ease_-_Managing_your_fluid_balance_(March_2018).pdf
https://www.healthline.com/health/nephrotic-syndromediet#:~:text=Limit%20sodium%20intake%20to%20400,content%20than%20herbs%20and%20spices.
INSTRUCTION: Achieve for <1,000 mg sodium from various flavorings.
ITEMS
Table Salt (CAUTION!)
Average Sodium in milligrams (mg) per serving
1,162 mg – half (½) teaspoon per day
** Make sure to use carefully by 1 dash or 1 pinch = 155 mg
** Avoid excessive table salt, replace some sauces and spices with lower amount of
sodium. Have some meals without being deprived of flavors but in moderation.
Chicken Cube
2,220 mg – 1 cube good for 6-8 servings
Aji Ginisa Mix
260 mg – 1/4 teaspoon (1.3 g powder)
Sinigang Mix Original
470 mg (Knorr) – ½ teaspoon
Fish sauce
413 mg (Lorins) – 1 teaspoon
Soy Sauce
340 mg (Silver Swan) – 1 teaspoon
Less Sodium Light Soy
191 mg (Kikkoman) – 1 teaspoon
Liquid Seasoning Original
323 mg (Knorr) – 1 teaspoon
BBQ Marinade
220 mg (Mama Sita’s) – 1 teaspoon;
30 mg (Datu Puti) – 1 teaspoon
Oyster
173 mg (Mama Sita’s) – 1 teaspoon
Vetsin (MSG) - as enhancer is not bad! 125 mg - ¼ teaspoon or dash is (Ajinomoto)
Hoisin
128 mg (Lee Kum Kee) – 1 teaspoon
Teriyaki Sauce
123 mg (Kikkoman) – 1 teaspoon
Peri-peri Marinade
100 mg (Nando’s) – 1 teaspoon
Sweet Chili
72 mg (UFC Brand) – 1 teaspoon
Satays
62 mg (Lee Kum Kee) – 1 teaspoon
Mang Tomas All-around Sarsa
50 mg (Mang Tomas) – 1 teaspoon
Thai Marinade
70 mg varies – 1 teaspoon
Hot Sauce
124 mg varies – 1 teaspoon
Burger Sauce
79 mg varies – 1 teaspoon
Tomato Sauce
35 mg (Del Monte) – 1 teaspoon
or 100 mg (Del Monte) – 1 Tablespoon
Mayonnaise
21 mg (Lady’s Choice) – 1 teaspoon
Thousand Island Dressing
26 mg (Lady’s Choice) – 1 teaspoon
Chicken Spread
50 mg (Lady’s Choice) – 1 teaspoon
Banana Ketchup
50 mg (UFC) – 1 teaspoon
Tomato Ketchup
54 mg (Heinz) – 1 teaspoon
Worcestershire or Steak Sauce
160 mg (Silver Swan) – 1 teaspoon
Mustard
54 mg (McCormick) – 1 teaspoon
** List of condiments are illustrated only for reference and quick ideas, not to promote them. Kindly check other brands for sodium
content.
** Reference: USDA Database, and Google images of nutrition fact labels of certain products
ADD VARIETY OF HERBS AND SPICES FOR FULL FLAVORS…