if dad simply won't cook, then it's bloody well time for him to go sit out by the woodshed and let the vultures pick his bones clean... most of the older men I have worked with are IN the shape that they're in because they've never HAD to care for themselves- from their mom's table to their wife's table to their daughters running themselves to death trying to make up for their father's childishness. if he loved you as much as you obviously love him, he'd take better care of himself. period.

If you can see a dietician, that would be a good start. Although they are not all created equal so it doesn't hurt to do a little research on your own. Monica gave good guidelines. I'm a 'diet' for gestational diabetes but it's really just the way one should eat. I get so many proteins, carbs and fats to eat but primarily I watch the carbs. You want to eat good carbs - whole grains, high fiber, low-starch vegetables and whole fruits in moderation. Eat lean meats and fish for protein. Eat good fats - olive oil, canola, etc. Use low-fat dairy products in moderation. You can eat well once you figure out what you can eat. I've been dropping back to simple meats and sides which makes it much easier. If blood sugar is a problem, you need to eat regularly with small snacks between meals and maybe even before bed. You want to avoid highs and lows. Without monitoring your blood glucose, it's hard to tell what's working or not in that respect. Everything else should fall into place. My BP was lower after not even a week. I'm eating less sodium just due to eating less junk.

Here's another canine renal diet from my clinical nutrition textbook, based on an 18 kg dog: 237g cooked white rice 78g cooked regular beef (not lowfat) 20g boiled egg 50g white bread 3g vegetable oil 1.5g calcium carbonate 0.5g iodized salt 1 adult vitamin per day This is a reduced protein (21%), phosphorus restricted (0.22%) diet, appropriate for early renal failure. Sounds a lot like the one you already found. Dr. Pitcarin's for dogs is: 1/4# hamburger (not lowfat) 2 3/4# cooked white enriched rice 2 large beaten whole raw eggs 1/4 cup cooked carrots 2 tablespoons cold-pressed safflower, soy, or corn oil 1 slightly rounded teaspoon eggshell powder 1/8 teaspoon iodized salt 20 milligrams vitamin B complex 1000 milligrams vitamin C optional- 1/2-1 clove minced garlic Mix and serve raw if accepted. Or mix everything except the vitamins together and bake 20 minutes in a moderate oven and wait until it cools to mix in the vitamins. Occasionally substitute 1-3 teaspoons liver for part of the meat. Will feed a 40# dog for 1 day. Provides slightly less protein (17%) 25% fat, and 55% carbs, low phosphorus. If you can calculate recipe nutrients or have a program that can do that, here are the recommendations from my clinical nutrition book for dogs with early renal disease: Phosphorus: 0.15-0.3% dry matter Protein:Sodium: Potassium recommendations vary based on individual- some animals especially cats become hypokalemic, whereas dog may become hyperkalemic. If Taco has normal potassium levels now, try to feed the same amount but make sure you monitor her renal profile including potassium on a regular basis so adjustments can be made. omega 6: omega 3 fatty acid ration There has been considerable debate on when to restrict dietary protein in dogs with renal disease, and by how much. I would definately have the urinalysis done on Taco to determine if she has proteinuria. If so, she needs more restricted protein than if not. However, the protein in either case should be high quality and easily digestible, like the eggs and hamburger meat, not plant-based which is harder to digest. My personal belief is that you should restrict the protein as little as necessary and monitor the pet to see how the diet is working. If you switch diets and the BUN (especially sensitive to dietary changes) goes up, may have to reduce the protein a little bit and recheck. The appropriate protein level will vary among individuals and by the stage of renal disease. You have to adjust as needed. It is not 100% true that there are no meds to help with kidney disease. Any medications are based upon the symptoms of each individual pet, and applied on an as-needed basis. For example, if Taco is protienuric, an ACE inhibitor such as Enalapril may be beneficial. Secondary hyperparathyroidism may require more restricted phosphorus or phosphorus binders. Anemia may require erythropoietin. If she is dehydrated and cannot drink enough water to compensate, she may need subcutaneous fluid maintenance. If she has GI signs such as vomiting or nausea, then histamine blockers (cimetidine) or proton-pump inhibitors (omeprazole) may help. If she develops hypertension, the ACE inhibitor may help but if that is not enough then can add calcium channel blockers. Proteinuria is managed through the diet. Keep in mind that you can only safely restrict the protien by so much, since protein is required for a healthy immune system. Also at some point, restricting the protein more can contribute to worsening protein-losing nephropathy, which is definately not wanted. Chronic renal disease affects pretty much the entire body. But quality of life and survival can be enhanced by careful frequent monitoring (I'd do blood pressure, CBC, renal chemistries every 3-6 months depending on progression of signs) and appropriate treatment of signs as they occur. It is not easy nor inexpensive, but I think it's worth it to keep on top of things. The single most important thing to be careful about, as others have alluded to, is water. Even a short episode of dehydration in a pet with kidney disease can be devestating and send the animal over the edge and into failure. Second most important thing is to make sure she eats well. Eating doggie junk food is preferred over anorexia, even in animals with kidney disease. The best thing though, as always, is the easiest- provide lots of love and attention as you already do. Good luck.

"his dog treats (which is chicken jerky/dehydrated chicken breasts) are all loaded with sodium" Tammy, I lost two dogs to kidney failure within about a year of each other and I highly suspect the jerky treats I was giving them was a big part of it. I discovered later they were very high in salt. I switched to other pet treats but (and this might sound a bit gross) I always licked them to make sure they didn't taste salty. Well it was just hard to get good quality treats without salt. So I decided to try and make my own, and I bought a food dehydrator. The only thing that goes into my dogs' treats is lean meat, no flavoring, no salt, nothing so I don't need to worry about it anymore. It's actually pretty easy. I get the butcher to slice up meat nice and thin then I cut it into smaller strips and put it into the multilevel dehydrator, switch it on until they are done. I keep a bag in the fridge (not even sure if it's necessary) and put other bags into the freezer to take out when the fridge bag runs out. My dogs love them, no added flavors or salt needed.