Serving Size:
1/8 slice of pie

    Diet Types:
  • CKD non-dialysis
  • Diabetes
  • Dialysis
  • Lower Protein


  • 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.

Helpful hints

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

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

Kidney and kidney diabetic food choices

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

Carbohydrate choices


Download Free Kidney-Friendly Cookbooks

Get instant access to recipes and kidney diet tips from DaVita dietitians.


1,000,000+ Downloads So Far!

Kidney Diet Tips Blog

Recipes, tips and news for people on a kidney diet.

Farrow and apple salad in a white bowl


Access free kidney-friendly cookbooks from DaVita dietitians.

1,000,000+ Enjoyed So Far!

Smiling couple sitting in a cafe drinking coffee together

Eating Out

See kidney-friendly food and drink choices to consider when eating out at your favorite restaurants. Choose from 12 cuisine types.

Write a Comment

Tell Us What You Think

Note: Your username will be displayed for reviews.

All comments will be approved by a DaVita teammate and generally will be posted if they are on-topic and not abusive.