Low Potassium Diet Handout
This low potassium diet handout is designed to provide dietary guidelines to people with hyperkalemia. High blood levels of potassium may cause muscle weakness, irregular heartbeat and even death. Leaf through this article to know which foods should be included and which should be excluded in a potassium restricted diet.

Blood Potassium Levels
The normal potassium level in blood is between 3.5 and 5.0 mEq/L . A level greater than 6 mEq/L is considered as dangerous. Kidneys help excrete excess potassium ingested through food. Generally, dysfunction of kidneys leads to high potassium in blood. Thus, people with kidney diseases need to lower potassium in their diet. For this, the person has to limit high potassium foods and include low potassium foods in his/her diet. Potassium is represented with sign 'K', and people with hyperkalemia, are expected to check the labels on food items. Foods with sign K+ or 'potassium' should be avoided. Sometimes, potassium is added to food items as a preservative or salt substitute. So labels should be carefully read.
Diet Low in Potassium
Foods to Avoid
- Highly processed fish and meat (processed to preserve) for example, canned, salted, pickled, should be strictly excluded from the diet. Avoid even corned beef, all hot dogs, sandwich spreads, sausages, spiced or smoked fish and meat. Fish like salmon, sardines and flounder are high in potassium.
- Ready to eat canned or frozen dinners, for example, meat entrees, Chinese food, macaroni, meats or casseroles in salted or sweet sauces, etc. should be avoided.
- Stay away from instant breakfast drinks, sweetened, canned and frozen fruits and juices, vegetable juice cocktail, soy milk or milk and milk products like yogurt.
- Vegetables containing sweetened or salted sauces should not be included in the diet.
- Dried fruits and nuts like raisins, prunes, dried apricots and almonds contain high amounts of potassium.
Guidelines
| Food Type | Low Potassium Foods | Moderate Potassium Foods | High Potassium Foods |
| Dairy Products | Sour cream | - | Milk, soy milk, yogurt |
| Breads and Grains | Plain bagel, white bread, white rice, plain pasta, oatmeal | Whole wheat and pumpernickel bread, bran bread, crackers, oat and granola cereals, muffins, corn tortilla | - |
| Fruits | Blueberries, grapes, grapefruit, strawberries | Apple, cherries, pear, apricot, pineapple, peaches | Bananas, orange, kiwi, nectarine, dried fruits, papaya, prune, avocado, coconut |
| Vegetables | Lettuce, green beans, cucumber, cauliflower | Corn, carrot, pepper, eggplant, asparagus, radish, pumpkin | Spinach, potato, broccoli, plantains, winter squash, artichokes, prunes, tomatoes |
| Protein Rich Foods | - | Peanut butter, eggs, poultry, fish, pork, beef, veal | Soy products, pinto beans, imitation bacon bits, nuts, dried beans and peas |
You must have noticed that potassium is present in almost all foods. So, people with hyperkalemia have to be very cautious while choosing food items. Mild hyperkalemia does not exhibit any symptoms. Excessively high blood potassium levels exhibit symptoms and they can prove to be life-threatening. People with advanced chronic kidney disease need to monitor blood potassium levels periodically. They need to incorporate low potassium food in their diet. The diet of a healthy person should contain at least 4700 mg of potassium per day; while those suffering from kidney diseases should consume about 1500 to 2500 mg of potassium per day. One should consult his/her physician to know the right amount of daily potassium intake.
Diet that contains less than 2000 mg of potassium per day is referred to as a 'low potassium diet'. Low potassium recipes are easily available on the Internet. These days, food labels indicate the amount of important elements like sodium and potassium. A diet low in potassium helps lower blood potassium levels naturally. It helps prevent weak muscles, paralysis and heart failure. Those who want to lower the potassium intake may add salt-free herb blends and spices to the dishes. People with hyperkalemia need to take some precautions, for example, they should wash and drain frozen fruits and vegetables and cook them in water before eating. Similarly, liquid from all canned fruits and vegetables should be drained. Canned fruits and vegetables should be washed before serving. Portion sizes should also be reduced.
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