Phosphate-specific food diary

Meals, snacks and drinks should all be recorded. Please make sure it includes what your child usually eats. For example, by including at least 1 week day and 1 day at the weekend.

Please give as much detail as you can regarding the type of food eaten, including any ingredients if the dish is homemade, as well as portion size.

There are a few short questions after completing the log below which will help us analyse the diary.

Day 1

Date: //

Time	Description of food or drink	Details of portion size	Any other information including brand or cooking method

Day 2

Date: //

Time	Description of food or drink	Details of portion size	Any other information including brand or cooking method

Day 3

Date: //

Time	Description of food or drink	Details of portion size	Any other information including brand or cooking method

Other questions

What milk does your child drink at home? If this is a plant-based milk please give details of the brand and specific product name where possible.

Does your child’s school offer your child milk?
Yes
No
N/A
Comments:

What bread does your child usually have?
White
Brown or wholemeal
Wholegrain

What brand do you usually buy?

Where do you buy your meat, fish or poultry from?
or N/A

Does your child take any vitamin supplements? Please include those you may buy or are currently prescribed for your child.

Is your child on a phosphate-binder?
Yes
No
If so, please give details of when this is taken and how often

Thank you for taking the time to complete this food diary.

Please send the completed dairy back to: Renal Dietitian, Sheffield Children’s Hospital, Western Bank, Sheffield, S10 2TH or email it to: scn-tr.sch.dietetics-noreply@nhs.net. Please include your child’s name, hospital number or date of birth.

A dietitian will be in touch with any advice as soon as possible or as agreed with you in person.

Disclaimer

Please note: this is a generic information sheet relating to care at Sheffield Children’s NHS FT. These details may not reflect treatment at other hospitals. This information is not intended as a substitute for professional medical care. Always follow your healthcare professionals’ instructions. If this resource relates to medicines, please read it alongside the medicine manufacturer’s patient information leaflet. If this information has been translated into another language from English, efforts have been made to maintain accuracy, but there may still be some translation errors. If you are unsure about any of the guidance in this resource or have specific questions about how it relates to your child, always ask your healthcare professional for further advice.

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