Nutrients per serving

  • Calories  270
  • Protein  10 g
  • Carbohydrates  24 g
  • Fat  15 g
  • Cholesterol  41 mg
  • Sodium  270 mg
  • Potassium  195 mg
  • Phosphorus  152 mg
  • Calcium  136 mg
  • Fiber  1.2 g

Macaroni and Cheese

Macaroni and Cheese is the ultimate comfort food. Michele from North Carolina created this lower phosphorus, lower sodium version to satify her family while keeping it renal friendly.

Diet types:

  • CKD non-dialysis
  • Dialysis
  • Diabetes

Recipe submitted by DaVita patient Charlie’s wife Michele from North Carolina.

Portions: 4     Serving size: 1/2 cup


  • 1 cup rotini pasta, uncooked
  • 6 ounces light cream cheese
  • 2 tablespoons unsalted butter
  • 1/2 cup low fat milk
  • 1 garlic clove
  • 3 tablespoons grated parmesan cheese
  • 1/8 teaspoon crushed red pepper flakes
  • 1/4 teaspoon black pepper


  1. Cook pasta according to box instructions, omitting salt.
  2. In a saucepan on low heat, melt butter. Add garlic and simmer for one minute.  Add cream cheese and stir until melted. Add 1/2 cup milk and whisk to make a sauce. Add more milk to desired consistency.  Simmer sauce on low-medium heat, being careful not to burn.
  3. Add a few sprinkles of the red pepper flakes and black pepper to taste.
  4. Mix sauce with the cooked pasta and enjoy!

Renal and renal diabetic food choices

  • 1 starch
  • 1/2 milk
  • 2 fat

Carbohydrate choices


Helpful hints

  • Vegetables and cooked chicken can also be added if desired to make a one-dish meal.

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4 Comments | Average User Rating:

Macaroni and Cheese

Pinkyz9 says:


I made this dish with Almond Breeze (plain) & added some mixed veggies & very-low-fat ground beef. after I mixed it all together, I baked it until nicely browned on top! The hubby loved it & said to make it again!!

Nov. 19, 2014, 10:21 AM - Inappropriate review?

Macaroni and Cheese

Blindblonde says:


My family thought it was a little bland as straight Mac and cheese - but this would be an amazing Alfredo type sauce! Add some cooked chicken, zucchini and cooked red peppers and you have a one pot meal. :)

Nov. 12, 2014, 8:01 PM - Inappropriate review?

Macaroni and Cheese

Liquidsunshine says:


Hint: You can increase your fiber from 1.5 to 6.5 by making one simple change. Use DreamFields Pasta. They make Spaghetti, Angel Hair, Linguine, Elbows, Penne Rigate, Rotini and Lasagna. Their serving size, ranges from 1 cup to 1 1/2 cups, depending upon the pasta. It does not take long to cook either. When they say, 5 minutes, it's done, they mean it. Here's a little info about their pasta: 5 grams of fiber and 7 grams of plant protein per serving Helps you feel full with a balance of fibers and plant proteins. Prebiotic fiber helps promote healthy digestion. Taste and texture of traditional pasta.

Apr. 10, 2014, 11:00 AM - Inappropriate review?

Macaroni and Cheese

MGD2Lite says:


could you use nondairy creamer instead of milk and NO fat Cream cheese ( I sometimes can find it at Wal-Mart) ? To lower fat and phosphorus? Dietitian comment: The nondairy creamer is higher in fat than the low fat milk and the no-fat cream cheese is higher in phosphorus than the light cream cheese. These changes will decrease fat by 4 grams per serving and increase phosphorus to 209 mg per serving..

Apr. 09, 2014, 1:45 PM - Inappropriate review?

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