Nutrients per serving

  • Calories  304
  • Protein  4 g
  • Carbohydrates  27 g
  • Fat  20 g
  • Cholesterol  72 mg
  • Sodium  196 mg
  • Potassium  118 mg
  • Phosphorus  85 mg
  • Calcium  36 mg
  • Fiber  0.7 g


Don’t wait for your next dinner out to savor the sweet and creamy goodness of Tiramisu. With the help of DaVita renal dietitian Leslie from Kentucky, you can create this fabulous dessert right in your own kitchen. And it’s low in phosphorus so even those on a kidney-friendly diet can indulge.

Diet types:

  • CKD non-dialysis
  • Dialysis
  • Diabetes

Recipe submitted by DaVita renal dietitian Leslie from Kentucky.

Portions: 10     Serving size: 1/10th recipe


  • 10 ounces of pound cake, prepared
  • 12 ounces regular cream cheese
  • 1/2 cup sugar
  • 1 teaspoon vanilla extract
  • 2 tablespoons unsweetened cocoa
  • 1 ounce semisweet chocolate, finely grated
  • 4 ounces brewed espresso


  1. Using a serrated knife, cut pound cake into 10 equal slices and set aside.
  2. Mix cream cheese, vanilla and sugar with electric mixer until smooth.
  3. Combine cocoa and grated chocolate in a separate bowl and set aside.
  4. Pour espresso into a shallow dish.
  5. Dip both sides of 4 pieces of pound cake into the espresso, then place in bottom of 8" loaf pan. Break up pieces, if necessary, in order to coat bottom of pan.
  6. Gently spread 1/3 of cream cheese mixture over cake layer. Sprinkle with 1/3 cocoa mixture. Repeat procedure with remaining slices, cream cheese mixture and cocoa mixture to make 3 layers.
  7. Refrigerate 2 hours, then cut into 10 pieces and serve.

Renal and renal diabetic food choices

  • 1 starch
  • 4 fat
  • 1 high calorie


Carbohydrate choices


Helpful hints

  • A 10-ounce prepared pound cake is the smaller size.
  • This is a low phosphorus version of traditional tiramisu.
  • To reduce carbohydrates and fat, use sugar substitute instead of sugar and replace regular cream cheese with low-fat cream cheese. You can also adjust to a smaller portion size. 



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2 Comments | Average User Rating:


spideygirl says:


Loved the recipe! SO glad my friend could enjoy a "light" version of Tiramisu. He says moderation is the key and never to strictly prohibit anything unless labs are at acutely dangerous levels. This will only make someone want it even more. ANYWAY, THANKS. YUMMY.

Oct. 11, 2011, 3:46 PM - Inappropriate review?


felix00623 says:


I am amazed that you are suggesting that this particular recipe is remotely "friendly" for people on dialysis. I realize that everyone is different but practically all of the ingredients listed are prohibited by my father's dietician. I rate this very low. PS I love tiramisu but would not allow my father to enjoy this delicacy.

Jun. 21, 2011, 6:40 PM - Inappropriate review?

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