Nutrients per serving

  • Calories  374
  • Protein  4 g
  • Carbohydrates  49 g
  • Fat  18 g
  • Cholesterol  84 mg
  • Sodium  149 mg
  • Potassium  91 mg
  • Phosphorus  65 mg
  • Calcium  47 mg
  • Fiber  0.2 g

Buttermilk Pie

Just because you’re on dialysis doesn’t mean you can’t enjoy a sweet treat every now and then. renal dietitian, Monica, from Michigan, dishes up a scrumptious kidney-friendly dessert recipe that is great if you need extra calories.

Diet types:

  • CKD non-dialysis
  • Dialysis

Recipe submitted by DaVita dietitian Monica from Michigan.

Portions: 8     Serving size: 1/8 slice of pie


  • 1 cup buttermilk
  • 2 eggs
  • 1/4 cup butter
  • 2 tablespoons lemon juice
  • 1 teaspoon almond extract
  • 1 teaspoon vanilla extract
  • 1-1/2 cups sugar
  • 4 tablespoons all-purpose flour
  • 1 deep-dish pie crust, 9-inch


  1. Preheat oven to 375° F.  Set butter out to soften.
  2. In a large mixing bowl, mix together buttermilk, eggs, softened butter, lemon juice, almond extract, vanilla extract, sugar and flour.
  3. Pour mixture into a deep-dish pie crust.
  4. Bake for one hour.
  5. Let cool and serve.

Renal and renal diabetic food choices

  • 1-1/2 starch
  • 3 fat
  • 1-1/2 high calorie 

Carbohydrate choices


Helpful hints

  • Buttermilk is high in phosphorus and potassium but the portion per serving is small enough to keep this recipe kidney friendly.

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2 Comments | Average User Rating:

Buttermilk Pie

crocherdi says:


If you make your own buttermilk adding one tablespoon of lemon juice or white vinegar to one cup of milk is the phosphorus and potassium as high as the buttermilk?? Dietitian comment: Yes, the potassium and phosphorus differ only by a few milligrams. Be aware that commercial buttermilk may have added sodium. Some brands may contain phosphate additives making phosphorus higher.

Oct. 03, 2013, 10:52 AM - Inappropriate review?

Buttermilk Pie

fireballchef says:


so glad i found this recipe my daughter passed away with kidney failure & this was one of her favorite desserts thank u thank u fireballchef

Jun. 18, 2013, 9:27 AM - Inappropriate review?

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