Cabbage Rolls-- Kidney Diet / Renal Diet

This recipe is in a series of indeterminate length on kidney-healthy foods.
The goal is to cook food that takes good, and meets the following nutritional guidelines:

<2000mg / day potassium
<1500mg / day sodium
Low to moderate protein content

Along with each recipe, I'll post the nutrition breakdown based on the USDA nutrient database.

Cabbage Rolls

The idea here is to incorporate starch, in the form of rice, into our meat and also to introduce kidney friendly vegetables.

I mixed 1 cup of cooked brown rice with the 1.2lb ground beef (that's what was in the pack).  I then sauteed the 1 onion, 3 celery, 1/16th tspn salt, some garlic and dill to taste.

Once the filling was done I blanched the leaves for 1-2min to soften them.  At that point I just had to assemble them as seen below:

I baked it all at 350 for 1hr, covered with foil.

They were super nummy, and made for lots of easily portioned leftovers.  The cooked beef looks a bit odd because we are using grass fed beefalo.  I really liked the dill, which is an herb I underutilize.

Nutrient	Unit	1.2lb ground beef	1 medium onion	3 large celery stalks	14.0"leaf, large"462.0g	1 cup brown rice cooked	1/16th tspn salt	1 tbspn olive oil	TOTAL	Serving
Water	g	342	98	183	426	143	0	0	1192	170
Energy	kcal	979	44	31	116	216	0	119	1505	215
Protein	g	99	1	1	6	5	0	0	113	16
Total lipid (fat)	g	65	0	0	0	2	0	14	81	12
Carbohydrate, by difference	g	0	10	6	27	45	0	0	88	13
Fiber, total dietary	g	0	2	3	12	4	0	0	20	3
Sugars, total	g	0	5	4	15	1	0	0	24	3
Calcium, Ca	mg	61	25	77	185	20	0	0	368	53
Iron, Fe	mg	10	0	0	2	1	0	0	14	2
Magnesium, Mg	mg	97	11	21	55	84	0	0	268	38
Phosphorus, P	mg	892	32	46	120	162	0	0	1252	179
Potassium, K	mg	1474	161	499	785	84	0	0	3003	429
Sodium, Na	mg	347	4	154	83	10	155	0	753	108
Zinc, Zn	mg	23	0	0	1	1	0	0	26	4
Vitamin C, total ascorbic acid	mg	0	8	6	169	0	0	0	183	26
Thiamin	mg	0	0	0	0	0	0	0	1	0
Riboflavin	mg	1	0	0	0	0	0	0	1	0
Niacin	mg	25	0	1	1	3	0	0	29	4
Vitamin B-6	mg	2	0	0	1	0	0	0	3	0
Folate, DFE	µg	31	21	69	199	8	0	0	328	47
Vitamin B-12	µg	10	0	0	0	0	0	0	10	1
Vitamin A, RAE	µg	0	0	42	23	0	0	0	65	9
Vitamin A, IU	IU	0	2	862	453	0	0	0	1317	188
Vitamin E (alpha-tocopherol)	mg	2	0	1	1	0	0	2	5	1
Vitamin K (phylloquinone)	µg	6	0	0	0	0	0	0	6	1
Fatty acids, total saturated	g	27	0	56	351	1	0	8	444	63
Fatty acids, total monounsaturated	g	24							24	3
Fatty acids, total polyunsaturated	g	3	0	0	0	0	0	2	5	1
Fatty acids, total trans	g	4	0	0	0	1	0	10	14	2
Cholesterol	mg	316	0	0	0	1	0	1	318	45

Roasted Red Pepper Pasta Sauce -- Kidney Diet / Renal Diet

This recipe is in a series of indeterminate length on kidney-healthy foods.
The goal is to cook food that takes good, and meets the following nutritional guidelines:
<2000mg / day potassium
<1500mg / day sodium
Low to moderate protein content


Along with each recipe, I'll post the nutrition breakdown based on the USDA nutrient database.

Roasted Red Pepper Pasta Sauce

Tomatoes are on the verboten list in terms of low-potassium foods, and any sort of concentrated sauce doubly so, but spaghetti is a pretty common mid-week dinner in our house, so I tried making a sauce with a different base.

Ingredients:

• 450g roasted red pepper (5 anaheim chillies turned red, and 5 sweet Italian peppers)
• 2 large white onions
• 0.8lb grass fed beef ('cause that was how much we had)
• A lot of basil.  I estimated 1 cup of leaves
• 1 cup low sodium chicken broth
• 1 teaspoon salt
• We used garlic, lemon juice, balsalmic vinegar, black pepper, and red pepper flakes to season.  I included the lemon and garlic in the nutrition table because they're the ones with potassium and sodium.

Directions:

1. Fire roast the chilies. I saw an Alton Brown comment about using a metal in-pot basket steamer placed directly over a flame, and it worked great.  Basically you want them over a flame until they looked blackened in spots, then you place them in a pot with a lid and let them steam for 15min.
2. De-seed and chop up the chillies.  Also chop up the basil and dice the onions
3. Brown the beef in 1tbspn olive oil.  Set aside.
4. Brown the garlic and onions in 1 tbspn olive oil.  Add to beef
5. Degalze the pan with the chicken broth, add the peppers and basil, then use a stick blender to puree it all.  I was not patient enough to get a fine puree.  Next time I might use a blender or food processor instead
6. Place everything in the pot back together, along with 1 tspn salt.  Simmer over low heat, and add black pepper, lemon juice, red pepper, and vinegar to taste.

This was the best thing I have made so far, but also the highest in potassium and sodium.  Definitely a sometimes food.  The salt could easily be reduced to 1/2 tspn once we're more acclimated to a low salt diet.  The balsalmic vinegar really added something.

Nutrition:
6 servings
Served over pasta (not included in nutrition totals)

Nutrient	Unit	450g  red peppers	2 large onions	1 cup basil leaves	Juice of 1 lemon	2 tblspn minced garlic	3tblspn olive oil	1tspn salt	Grass Fed Beef 0.8lb	1cp low sodium chicken broth	Total	Per Serving
Energy	kcal	598	120	6	11	9	358	0	695	38	1835	306
Protein	g	4.68	3.3	0.76	0.17	0.38	0	0	70.3	4.8	84.39	14
Total lipid (fat)	g	57.38	0.3	0.15	0.12	0.03	40.5	0	46.08	1.44	146	24
Carbohydrate, by difference	g	29.56	28.02	0.64	3.31	1.98	0	0	0	2.88	66.39	11
Fiber, total dietary	g	8.1	5.1	0.4	0.1	0.1	0	0	0	0	13.8	2
Sugars, total	g	19.26	12.72	0.07	1.21	0.06	0	0	0	0.31	33.63	6
Potassium, K	mg	868	438	71	49	24	0	0	1046	206	2702	450
Sodium, Na	mg	94	12	1	0	1	1	2325	246	72	2752	459

Chile Relleño -- Kidney Diet / Renal Diet

This recipe is in a series of indeterminate length on kidney-healthy foods.
The goal is to cook food that takes good, and meets the following nutritional guidelines:

• <2000mg / day potassium 
• <1500mg / day sodium 
• Low to moderate protein content 

Along with each recipe, I'll post the nutrition breakdown based on the USDA nutrient database.

Chile Relleño

This is the sort of thing I would never have put on my blog before I needed to start slavishly recording nutritional content, in that it is just a straight copy of another website's recipe with very few changes.

http://www.chow.com/recipes/29565-chiles-rellenos

Ingredients:

• 6 poblano chilies (all peppers are low in potassium)
• 5oz shredded cheese (we used part-skim mozzarella cause we had some)
• 3 eggs, separated
• Cholula or another hot sauce for condiment (nutritional value not shown, as it varies wildly from sauces.  None have much potassium, but sodium can be high)

Steps:

1. Fire roast the chilies. I saw an Alton Brown comment about using a metal in-pot basket steamer placed directly over a flame, and it worked great.  Basically you want them over a flame until they looked blackened in spots, then you place them in a pot with a lid and let them steam for 15min.
2. Slice open and de-seed the chilies, using a T shaped incision, that doesn't cut all the way through
3. Stuff with cheese and close with a toothpick
4. Heat enough oil in your pan to just cover the bottom
5. Whip the egg whites until stiff, then fold in the mixed yolks
6. Dredge eat chile through the egg mixture then plop it in the pan.
7. Turn then as each side becomes a golden brown

I liked it a lot, though I am still getting used to the low-sodium flavors of things.  No picture sadly as it was late and I was hungry.  As a note:  Work quickly once you fodl the yolks into the whites as they will start to deteriorate.

I think i will use a modified version of this to make low-sodium homemade jalapeno poppers.

Nutrition

This serves two, three peppers each.  It would go well with tortillas.

Nutrient	Unit	3 large eggs	6 poblano peppers	5oz cheese	4tbspn canola oil	Total	Serving
Energy	kcal	214	76	360	495	1145	572.5
Protein	g	18.84	4 g	34.39	0	53.23	26.615
Phosphorus, P	mg	297	78	656	0	1031	515.5
Potassium, K	mg	207	672 mg	119	0	326	163
Sodium, Na	mg	213	12 mg	877	0	1090	545

Turkey Leek Soup - Kidney Diet / Renal Diet

This recipe is the first in a series of indeterminate length on kidney-healthy foods.
The goal is to cook food that takes good, and meets the following nutritional guidelines:

1. <2000mg / day potassium
2. <1500mg / day sodium
3. Low to moderate protein content

Along with each recipe, I'll post the nutrition breakdown based on the USDA nutrient database.

Turkey Leek Soup

Leeks are a kidney friendly vegetable, and I like them in soup, so I thought I'd give this a try.  The ingredients are:

• 0.5lb cooked (in my case smoked) herbed turkey breast
• 4 cups low sodium chicken broth (from TJs, note: do not buy broth containing Potassium Chloride as a salt substitute)
• 5 medium leeks, just the bulbs and lower leaves (~3 cups diced)

The prep was easy. I finely cut the bulb ends and top leves off the leeks and halved them, before blanching in boiling water for ~5min.  Then I rinsed them in a collander and chopped them finely.

I cut the leftover turkey into chunks, threw everything in a  pot and let it all simmer for 2hrs.

First let me say that my salt-loving palate this soup tasted bland.  It definitely needed more bite, and I will play with that in future iterations.  That said, the smokiness from the turkey really added needed flavor, so I recommend using smoked meat.  The herbs from the turkey (a standard herbs de'provence mix) also helped. 

Extreme Soup close-up

Serving suggestion:  We ate this with sourdough bread, and found the sourness complemented the coup well and added some of that missing bite.  I definitely recommend this, especially as sourdough bread is high in neither potassium nor sodium.

Nutrition

Recipe makes 4 servings (~2cups each)

Nutrient	Unit	3cups boiled leeks	4 cups low Na broth	250g roasted turkey breast	Total	1 serving
Water	g	283.3	921.6	169.7	1374.6	343.65
Energy	kcal	97	154	367.5	618.5	154.625
Protein	g	2.53	19.2	75.325	97.055	24.26375
Total lipid (fat)	g	0.62	5.76	5.2	11.58	2.895
Carbohydrate, by difference	g	23.77	11.52	0	35.29	8.8225
Fiber, total dietary	g	3.1	0	0	3.1	0.775
Sugars, total	g	6.58	1.25	0	7.83	1.9575
Minerals				0	0	0
Calcium, Ca	mg	94	38	22.5	154.5	38.625
Iron, Fe	mg	3.43	2.02	1.775	7.225	1.80625
Magnesium, Mg	mg	44	10	80	134	33.5
Phosphorus, P	mg	53	288	575	916	229
Potassium, K	mg	271	826	622.5	1719.5	429.875
Sodium, Na	mg	31	288	247.5	566.5	141.625
Zinc, Zn	mg	0.19	0.96	4.3	5.45	1.3625
Vitamins				0	0	0
Vitamin C, total ascorbic acid	mg	13.1	0	0	13.1	3.275
Thiamin	mg	0.081	0	0.0875	0.1685	0.042125
Riboflavin	mg	0.062	0.288	0.5125	0.8625	0.215625
Niacin	mg	0.624	13.152	29.375	43.151	10.78775
Vitamin B-6	mg	0.353	0.096	2.0175	2.4665	0.616625
Folate, DFE	µg	75	0	22.5	97.5	24.375
Vitamin B-12	µg	0	0.96	0.975	1.935	0.48375
Vitamin A, RAE	µg	128	0	7.5	135.5	33.875
Vitamin A, IU	IU	2533	0	27.5	2560.5	640.125
Vitamin E (alpha-tocopherol)	mg	1.56	0	0.15	1.71	0.4275
Vitamin D (D2 + D3)	µg	0	0	0.75	0.75	0.1875
Vitamin D	IU	0	0	25	25	6.25
Vitamin K (phylloquinone)	µg	79.2	0	0	79.2	19.8
Lipids				0	0	0
Fatty acids, total saturated	g	0.084	1.718	1.4825	3.2845	0.821125
Fatty acids, total monounsaturated	g	0.009	2.63	1.565	4.204	1.051
Fatty acids, total polyunsaturated	g	0.346	1.21	1.32	2.876	0.719
Cholesterol	mg	0	0	0.06	0.06	0.015

Banana Cream Trifle

I decided to make a Banana Cream Trifle for a monthly gathering, which is basically a fancied name for banana pudding.  Originally if was going to be a banana cream pie, but since nilla wafers are better than crush with banana pudding, why make crust?

OK, so this is a pretty simple concept with 4 ingredients:

1)  A layer of vanilla wafers.  Traditionally you use the 'Nilla wafer brand, but I was at Trader Joe's and so I used their "ultimate vanilla wafers".  They worked well, and I endorse them

2) Bananas.  You need 3 and they should be ripe, y'know with no green and some brown.

3) Whipped Cream.    I made my own, using 1.5c heavy cream and ~2tbspns confectioners sugar whipped in a freezer-chilled metal bowl.

4) Pastry Cream.  More on that below.


The first step was making the pastry cream, and I pretty much followed steps 3 & 4 of this recipe:
http://www.marthastewart.com/331723/banana-cream-pie

However, when I make this again I will introduce a few caveats:

• `5tbspns corn starch is a bit excessive, and gave a slightly chalky taste to me, at least before cooking.  On food and cooking recommends 5-10g / 0.5- 1tbspn per cup of milk.  I think next time I will do 3.5tbspn or 4 total.
• Straining is for suckers
• Whisking is for suckers, and scrapes pots.
• Egg yolk amylase will digest your starch overnight if the mix is not brought to a boil and kept there for a minute.  This is very different from a creme anglaise or egg only custard which needs to be kept from boiling.  I believe this is why step 4 says "until bubbles appear in the center".  In any case, don't be too skittish with the heat.
• I added 2 tspns of vanilla extract to the pastry cream once I had removed it fromt he fire.  This added a lot flavor-wise
• Instead of letting this cool in the fridge over night and then assembling the pie, I should have poured it over the wafers right away.  It is a pain to work with once solidified.

That was so many caveats that I am just going to re-write my process:

1. In a pot combine 4tbspn corn strach, 1/4 tspn salt, 2/3 cup sugar, stir to mix
2. Gradually add 3 cups whole milk, stirring to mix
3. Heat over medium low heat until the milk begins to thicken from the starch
4. Turn off the heat, and whisk 1/4 of the mixture into a bowl containing 4 egg yolks
5. Dump this mix back into the pot
6. Continue to heat over LOW heat with constant stirring, until the mixture boils/bubbles int he middle.
7. Immediately transfer to a new container

The last step was assembly.  

First I layered wafers to cover the bottom of the pie pan, first in on layer, and then with a sparse second layer of upside down wafers to cover the natural gaps.  Second I stood wafers up around the edge of the pan.  I thought this made a pretty effect. Next, I added 1/2 the pastry cream, followed by a layer of sliced banana, then another layer of pastry cream followed by a second banana layer.  On top of all this I spread whipped cream.

Much as I remembered from my childhood, this dish was better than the sum of its parts.  So good in fact, that we had devoured it all before I thought to take a photo:

In conclusion, I recommend this for the crust-phobic or effort phobic, or anyone who just likes cream pies.

P.S.  Look at the pretty pie plate I got for Christmas!