Kidney Health: Eat Well, Live Well

Eligibility Criteria

• * Adult (18 years of age or older)
• * Primary care visit at either one of the three partner clinics from Harris Health \[Smith Clinic, Harris Health Outpatient Center (located on the LBJ campus), or Martin Luther King Jr. Health Center (MLK)\] and a primary care patient within Harris Health System
• * Have had at least 1 visit in the past 18 months with prior history in the clinic (i.e., not first visit)
• * Diagnosis of CKD (Stage 2, 3a, and 3b) as defined by estimated Glomerular Filtration Rate (eGFR) ≥ 30 and \<90 mL/min/1.73 m2 OR CDK 1 or undiagnosed with urine Albumin Creatinine Ratio ≥ 30 mg/g
• * Within the past 12 months, the most current serum K+ ≤ 4.6 mEq/L
• * English or Spanish speaking
• * Ability to participate in the program at least 6 months
• * Ability to clean, prepare, refrigerate/freeze food products that are given to them
• * Have access to receive SMS text messages
• * Location of preferred produce bag delivery within an available delivery zone
• * CKD 4, ESRD or on dialysis.
• * Taking certain medications chronically (more than twice a week for 90 days) that may interfere with K+ metabolism (such as non-steroidal anti-inflammatory drugs (NSAIDs), as self-reported during enrollment screening
• * Taking mineralocorticoid receptor antagonists
• * Taking Warfarin
• * Diagnosis of any specific kidney conditions (such as polycystic kidney disease, glomerulonephritis, Lupus associated with Nephritis, Antineutrophil cytoplasmic antibody (ANCA)-associated vasculitis (AAV)) that would contraindicate study participation as determined by physician
• * Medical history of organ transplant that would contraindicate study participation as determined by physician
• * Received immunotherapy for primary or secondary kidney disease within 6 months prior to enrolment
• * Diagnostic of heart failure conditions Class IV in the New York Heart Association (NYHA) functional classification
• * Had myocardial infarction, unstable angina, stroke, or transient ischemic attack (TIA) within 12 weeks prior to enrolment
• * Had coronary revascularization (PCI, CABG) or valvular repair within 12 weeks prior to enrolment
• * On active hospice care as self-reported during enrollment screening
• * Diagnosis of active malignancy requiring treatment that would contraindicate study participation as determined by physician
• * Has decompensated cirrhosis as determined by physician
• * Cognitive impairment that would contraindicate study participation as self-reported during enrollment screening