Healthy Thinking Leads to Healthy Living

Hi my name is Tony and I am the Director of Research and Information at DPC. On a monthly basis, I will use this space to share new educational opportunities created by DPC and our partners, answer questions submitted through email, Facebook or the comments section below or just to share a quick educational tip.

This month I want to highlight our new three pronged approach to improving fluid control between dialysis treatments. Sometimes even though you are watching the amount of fluid you drink, you might find yourself gaining fluid between treatments. Often this is because of fluid that is overlooked in your diet called hidden fluid. It is easy to forget that eating ice chips or having a bowl of ice cream still adds fluid to your diet.

As you were reading this month’s Patient Citizen, you probably noticed a couple of items that looked different, a sticker and a pull out booklet. The sticker should be attached to a medium to large drink container and is a visual tool to tell you how much hidden fluid you are consuming. I suggest that you pick one cup that you designate as your fluid control cup since the sticker will lose its ability to stick over time. You simply pour liquid up to the corresponding line of what you consumed or plan to consume. The booklet in the newsletter is the instructions to use and care for the sticker, and it includes a longer list of foods and their hidden fluid. You can use the chart at the end of the instructions to add more choices to your designated fluid control cup. The last piece is the online database located here that has thousands of different foods that you can look up and add to either your real cup or the virtual cup.

Screen shot of the fluid control sticker

The idea behind the three tools is that almost everything you eat or drink has water in it. We don’t want to scare you away from enjoying a cucumber, but want you to be aware that eating several might put you over your recommended fluid intake. Also none of the tools should overrule your dietician or doctor’s advice. Finally, to get the most out of the sticker, instructions and online database, you should use them to keep track of what you are eating and share this journal with your health care team that can help you adjust your diet.

Comment below to let us know what you think!


  1. GREAT Idea! I use a graduated 8oz cup I affectionately refer to as my “sippy cup”. The nutritionist at the center gave it to me when she saw I was having problems with fluid control. I wrote about it in my blog as it’s been a problem I had to revisit recently. Sorry, fluid control is not a one-time success or failure, it’s a constant struggle. You can read my posting at

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