BC Residents and news, Managing the diet, News, Social Media

DIY Diagnostic – A life changing test for PKU Patients.

Yes that’s me whom Nathan mentions in his fascinating speech!!! .

Nathan is a grade 11 student from my home town of Victoria. Last may he was featured in our local newspaper the “times colonist ”
Now that I no longer live in Victoria my
my mom sent me the whole article by snail mail..she cut out the entire page!

After reading the article I was blown away by this hometown teen and wrote to him immediately. Hearing Nathan read my note in the beginning of his speech gave me chills.

I have yet to meet Nathan and do hope to the next time I travel back to Victoria. Even though we have yet to meet I am so ridiculously proud of this young man.

I’ll be closely following Nathan progress and expect great things in his future as well as the future of pku.

Now that I have seen his Ted talks clip I’ll be writing Nathan again soon to congratulate him and ask him a few questions !

I encourage everyone to Please watch and share this video..

Well done Nathan !
Ps great to be able to put a face to your name !

facebook, News, Social Media, That's my PKU life

3 years today.

On this date 3 years ago tonight I was working  a night shift at my old job and decided to start this very blog. I never knew that it would do as well as it has done. I am so grateful and appreciative of it.

In honour of 3 years blogging about my life with PKU it is my hope to share my older posts on my fb fan page, to reintroduce them to all new members and to refresh for regulars.

Each day I will do my best to start from the beginning and share each post over again in order.  Please patient with me when I miss a day here and there.  Life is about to get busy for us!

I hope you will enjoy the look back and share any posts that you deem share worthy with others.

My blog goal in 2016 is to write more and to reach more people.

Help me reach this goal by continuing to read, comment , give feedback , ask questions and share!

 

 

BC Residents and news, News, Social Media

PKU and Poltics.

 

11950347_10207394526003959_6460202592098199798_o

With the coming Canadian election approaching us on October 16th 2015 I wanted to take a moment to talk about voting and politics.

As a young adult I never had any interest in politics. I just didn’t understand  , never did the research of get involved.  I had no interest and found it all confusing and daunting.

As I grew older and got more involved in the PKU community I began to see things differently. The more I got involved and the more I heard the voices of others around me, I learnt the importance my voice could carry if used right. My experiences in public speaking, awarness and advocacy efforts with CanPKU taught me a lot about politics and how to work towards change. I’ve attended parliament with CanPKU and spoke at the legislator to politicians, I have written campaign letters and done petitions and I have done my research into each party and what their platforms are.

It was not until the last provincial election that I really got involved. After years of watching and listening and researching and learning how to talk to politicians how to ask and how to deal with them I reached out to our MLA candidates about why I should vote for them in the provincial election? Just how would they help someone like me?  Most of my letters and emails went unanswered or dismissed.  I requested meetings with each member. One MLA called me and we talked on the phone. However one MLA did answer my request. Our now BC Health Minister Terry Lake met with me for 2 hours! It was such a positive experience and meeting that The honourable Terry Lake earned my respect and my vote. After the election he was named the health minister and shortly after we received low protein food subsidy for all PKU patients in BC.

Since my experience with Terry, I have followed his career as health minister not only for PKU but because I am a nurse. I work as an part time Licensed practical nurse in an extended care hospital for the elderly. I follow the issues in health care and the politicians promises and platforms on how they will or how they plan to make a difference.

I follow other social issues now, things that effect myself, my PKU community, my health care community, my fellow nurses, my family, and what effects cole and I personally. I have taken time to understand my beliefs and views . I know what issues I think need to be changed. We watch the news and watch the debates when we can.

I really believe the more voices that join together and tell our government what we want the more change we can make in our beautiful nation. I find it irritating and frustrating that so many people choose not to vote. I am writing this post today to encourage everyone to get involved. to take the time, be interested, do the research the parties , the leaders and the platforms. Find where you stand and who you side with. Look at the issues that effect you , or that you are about. What drives your passion, and understand the way voting and government works.

All to often I hear people say they won’t vote because they don’t like the options, that it comes down to the lesser of the evils, or that there voice won’t matter. All voices matter. The more of you that vote depending on what party you choose, the better the chances of that party getting into power there is.

There are some great links online to help you understand.

Here are 2 of my favorites.

Strategic Voting 2015 Canadian Federal Election

http://www.strategicvoting.ca/

 

and :

Canadian Election Quiz, I side with.com

https://canada.isidewith.com/political-quiz

i found the second link to be extremely helpful as it showed me what issues where the most important to me and how much I agreed with each party in percentages.

Dont get me wrong, there are pros and cons to each party. There are things I like about each and things I hate about each. I am currently torn between 2 parties but am leading more closely to another.

When making my decision I also look at the party leaders. Who I feel would make a better leader. I also look at the past track records, and development of past issues and how they where changes or not changed. I also look to the future as some things we face today we have never faced before. I look at the promises and the facts. I also look critically at the adds, specially the attack ads.  I have no respect for the attack adds. It seems to me only one party is truly advertising and has not openly attacked another party in an add. I look at facts, science, and my community. I look at what affects me at work, at home, and in my province.

Voting is  a right, a responsibility and an honour years ago women did not have. So please take the time to research and exercise your vote. its simple and has more impact than you can know right now!

It is time for Change in Canada and I am calling on all of you to get out in vote!

 

 

 

 

Managing the diet, News

Repost of the 2014 new PKU treatment guidlines

I am posting this again as there have been frequent questions asked regarding treatments and PHE levels. I think it is very important for everyone to be aware of these changes. I am hearing about more and more clinics implementing these new guidelines. I am hoping that one day all countries will set these guidelines as the standards for PKU treatment. It makes me very uncomfortable that each place , province , and country has many differences in expectable levels and treatment guidelines. I really think it should be the same globally. Change is slow but these new guidelines are the best I have seen. I believe they where announced February 2014. I do have another post in my archives the day the news was announced.

2014 New PKU Treatment Guidelines

****The ACMG and GMDI recently released new guidelines to the medical community for the optimal treatment of PKU.****

Below is a list of the key recommendations on the new guidelines:

The guidelines refer to PKU as phenylalanine hydroxylase deficiency.

* The treatment of PKU should be initiated as early as possible. Treatment is lifelong with a goal of maintaining blood phe levels in the range of 120-360 umol/l (2-6 mg/dl) in patients of all ages.

* There is no convincing evidence that levels about 360 umol/l and above are without clinical effect.

* Blood phe levels should be monitored at least weekly until age 1; biweekly to monthly in ages 1-12; and monthly in adolescents and adults who are stable and well controlled.

*Routine biochemical assessments (phe, tyrosine, plasma amino acids, prealbumin, total protein, complete blood count, ferritin, and vitamin D 25-OH should be monitored at regular intervals based on age.

*Plasma amino acids (full panel) should be considered when a formal nutritional assessment suggests it is needed.

*Patients treated within the early weeks of life with initial good metabolic control, but who lose that control in later childhood or as an adult, may experience both reversible and irreversible neuropsychiatric consequences.

* PAH genotyping (i.e. mutation analysis) is recommended for improved therapy planning.

* Medical foods (formula and foods modified to be low in protein) are medically necessary for people living with PKU and should be regarded as medications.

* Medical foods should be consumed throughout the day and divided into at least three servings because more frequent consumption is associated with better phe tolerance and improved plasma phe concentrations.

* Any combination of therapies (medical foods, sapropterin, large amino acids, etc) that improve a patient’s blood phe levels is appropriate and should be individualized.

* Large amino acids may be used in adults who are not in good metabolic control and do not adhere to other treatment options.

* Experience with sapropterin under the age of 4 is limited.

* Response to sapropterin is not accurately predicted by a person’s gene mutations and thus response should be documented by formal testing.

*Reduction of blood phe, increase in phe tolerance or improvement in clinical symptoms of PKU are all valid indications to continue a particular therapy.

*Genetic counseling should be provided as an ongoing process for individuals with PKU and their families.

* Due to an increased risk for neurocognitive and psychological issues, regular mental health monitoring is warranted. A number of screening tests are recommended to identify those in need of further assessment.

* Blood phe should be monitored at a consistent time during the day, preferably 2-3 hours after eating.

* Tyrosine levels should also be maintained in the normal range.

* Clinic visits should occur weekly- monthly for infants; every 6 months for children 1-7 years; every 6-12 months for 8 years old and up; and monthly to per trimester for maternal PKU.

Maternal PKU recommendations:
– Maternal phe levels should be maintained at 120-360 umol/l before conception and throughout pregnancy.
– Large neutral amino acids should not be used during pregnancy
– Women taking sapropterin who become pregnant should be offered the option of remaining on the medication
– Women who may benefit from the lowering of blood phe levels with sapropterin should be offered it as an option during pregnancy
– There are no contraindications to breastfeeding postpartum as infants not affected by PKU are able to metabolize the slightly higher phe levels in their mother’s breast milk

Treatment of PKU will eventually be individualized with multiple medications and medical foods available to tailor therapy. The primary goal of therapy should be to lower blood phe, and any interventions, including medications, or combination of therapies that help to achieve that goal in an individual, without other negative consequences, should be considered appropriate therapy.

For more information please see :
https://www.acmg.net/docs/Phenylalanine_Hydrosylase_Deficiency_Practice_Guideline_AOP_Jan_2013.pd

Levels, Managing the diet, News

First-ever PKU treatment guidelines

This email was just sent to me by the President of CanPKU and my Friend John Adams. It is very lengthy and detailed but worth the read. Admittedly I have not read the article in depth but I have skimmed through it and am in awe. I will attempt to read all 13 pages later and make a summery post about it as well as my thoughts. For those of you who read it , Id like to hear from you and your thoughts.

I have had the pleasure of meeting both Dr. Jerry Vockley and Dr. Barbara Burton at CanPKU PKU days in Vancouver.  They are incredibly wonderful and brilliant people and a vital resource to the community as well as wealth of knowledge and information. Their brilliance leaves me in awe.

I am very happy to see the results of there hard work and years of endless research. Things are changing in the world of PKU , new advancements like this make me very hopeful.

Here is the link to the PDF’s online.

https://www.acmg.net/docs/Phenylalanine_Hydrosylase_Deficiency_Practice_Guideline_AOP_Jan_2013.pdf

 

 

News

Will government decision herald the stork?- Written by Dale Bass

Will government decision herald the stork?

Will government decision herald the stork?

By: Dale Bass in HealthNewsProvincial Politics 15 days ago 0 481 Views

When Cole Rickett came home from work one day, his partner greeted him at the door, shaking and crying.

“He looked at me and I just blurted out, ‘I can have a baby’,” said Amanda Cosburn.

Her emotional state was the result of finally hearing something she had hoped for, but hadn’t counted on happening — the B.C. government will introduce a monthly food subsidy for people like Cosburn, people whose bodies cannot handle protein.

The technical name is phenylketonuria, a disease parents know as PKU, and one that has meant Cosburn and 170 other PKU patients in the province have had to live on a restricted diet.

KTW ran a feature on Cosburn in October that described how she would have to pay $19 for nine tiny specially made bagels or a basic baking mix that would cost her $55 a week.

A pregnancy would have been difficult for her, Cosburn said at the time, because she would have to keep her level of phenylalaline, an amino acid found in foods that can be toxic to the brain and lead to a variety of conditions, at a low level for six months before conception, during the pregnancy and during nursing.

That wouldn’t have been easy given the unpredictability of conception and the simple reality that, sometimes, the simple costs of the PKU diet could be extraordinarily high.

In fact, Cosburn said, since the announcement of the subsidy was made by Health Minister Terry Lake on Nov. 28, she has had women calling her who have not been able to afford the diet.

“And now they are saying they can go back on it and one of them said that now she can have a baby,” she said.

“It’s been an emotional whirlwind since it was announced.

“This is going to change a lot of lives.

The subsidy will benefit 209 people now, the others having various metabolic conditions, such as maple syrup urine disease, which stops the body from processing some proteins and which can lead to developmental issues and death.

Cosburn is still hoping the government will approve Kuvan, a drug available in Ontario, Saskatchewan and Quebec that would also help her control the PKU.

“We have a long way to go but this is a big step,” she said.

In making the announcement, Lake said the monthly $250 subsidy will cost the government $700,000 a year to provide.

It comes into effect on Jan. 1.

BC Residents and news, News

B.C. to subsidize food costs for those with rare genetic disorders – BY KIM PEMBERTON, VANCOUVER SUN

The PKU disorder limits a person’s ability to break down proteins often found in wheat, dairy, meat and fish products.

 

More than 200 British Columbians diagnosed with rare genetic disorders such as phenylketonuria (PKU) will get a break on their food bills after the province announced Thursday it will provide a monthly food subsidy of up to $250 to pay for low-protein foods.

There are 209 patients being treated for metabolic disorders in B.C. of which approximately 170 have PKU. The PKU disorder limits a person’s ability to break down proteins often found in wheat, dairy, meat and fish products. A person with PKU must eat specially modified, low-protein breads, pastas and other foods along with fruits and vegetables, which can be expensive.

Newborns in B.C. have been routinely screened for the brain-threatening disorder since the 1960s. Every year, two to three children are diagnosed with PKU, but it is treatable.

Provincial Health Services already supplies the metabolic formula that PKU patients need for proper body development. And with Thursday’s announcement of the food subsidy program, British Columbia joins six other provinces in providing people with PKU financial assistance for low-protein foods.

Kamloops nurse Amanada Cosburn said the news also means she and her husband now feel they have the option of having a child, since as a PKU patient she didn’t want to try to be a mother until she felt certain she had the means to ensure her health.

“I’m thrilled. As an adult with PKU it has been my dream for this to come to pass. It will drastically impact many lives and make it easier to comply with the diet to keep my brain safe,” she said.

Cosburn explained that she works as a casual nurse and before that she was working at minimum paying jobs so found it difficult to afford the special food she needed.

Nicole Pallone, the vice-president of Canadian PKU and Allied Disorders said the food subsidy program will improve the health outcomes of many patients, but more is needed.

“Obviously, we’re thrilled. It’s a great step in the right direction,” she said.

Pallone said the organization is advocating for the provincial government to spend $2.8 million in total to improve the lives of people with PKU. Part of that request was to cover the $700,000 estimated annual cost of the food subsidy program and also to increase services at the one adult PKU clinic and one child PKU clinic in B.C.

The remainder of the requested money would go toward paying for a new drug called Kuvan, which is now publicly funded in Ontario and Saskatchewan and for some patients in Quebec.

“We are delighted the minister of health has listened to our needs in terms of the necessary medical foods, and we are hopeful that the ministry will continue to improve the health outcomes for PKU patients by providing public funding of Kuvan,” she said.

© Copyright (c) The Vancouver Sun
BC Residents and news, News

BC Metabolic Nutrition Program for People with Inherited Metabolic Diseases

BC Metabolic Nutrition Program for People with Inherited Metabolic Diseases
After an extensive review, the Ministry of Health has approved funding to help patients with Phenylketonuria (PKU) and other Inborn Errors of Metabolism (IEM) with the cost of low-protein foods.

On January 1, 2014, B.C. will join at least eight other provinces in providing some form of food subsidy to PKU and IEM patients.

British Columbian patients with PKU and IEM will receive up to a $250 monthly subsidy to help with the high cost of low-protein foods.

The program will be managed by the Provincial Health Services Authority as an add-on to their already-existing supplement program, which supplies a free metabolic formula to PKU patients. A program based clinical nutritionist will work with the patient(s) to determine the required patient dietary needs (e.g., caloric intake and low protein foods required).
What does the program cover?
The BC Metabolic Nutrition Program (BCMNP) covers the cost of certain outpatient drugs, nutritional supplements and specialty foods used to treat PKU and other IEM.
The program covers approved:
IEM formulas (medical foods) and nutritional supplements (e.g. L-amino acids).
As of January 1, 2014: Special low protein foods up to $250/month distributed by the Special Products Distribution Centre (SPDC) located at BC Children’s Hospital.
Am I eligible?

Talk to your doctor, an eligible person must be:

Resident of BC with a valid BC Services Card or Care Card;
Diagnosed with PKU or IEM and be under the medical care of a doctor from BC Children’s Hospital Biochemical Diseases Clinic or Vancouver General Hospital Adult Metabolic Clinic; and,
Be prescribed the IEM formulas, supplements, and low protein foods as a medical treatment.

 

 
Frequently Asked Questions (FAQs):

Q: If I ordered less than $250 of approved low protein foods one month, can I order more the next month?
A: Yes, there will be some flexibility as to how the funds can be spent. Eligible people are allowed a maximum benefit of $3000 per year for approved low protein foods, but due to expiry and ‘best before’ dates, it will be advisable for an eligible person to order only the amounts that they can consume before these dates.

Q: What low protein foods will be covered under this program?
A: Initially the approved low protein food list will include shelf stable low protein foods that are currently available at the SPDC. By January 1, 2014, a list of approved low protein foods will be posted to the SPDC website: http://www.bcchildrens.ca/spdc.

Q: Will I be able to order perishable foods such as approved frozen low protein pizza or bread?
A: The funded approved product lists will be reviewed periodically by an expert advisory committee. Once logistical and storage issues have been managed, additional foods will be added to the approved list.

Q: Will eligible people have input as to which low protein foods are included in the approved list?
A: Yes, a process will be developed for eligible people to put forward suggestions for new low protein foods to be added to the approved list. These requests would be reviewed periodically by an expert advisory committee.

Q: Where can I learn more about the program?
A: You can ask your Dietitian or Physician from BC Children’s Hospital Biochemical Diseases Clinic (www.bcchildrens.ca/Services/SpecializedPediatrics/BiochemicalDiseases/default.htm) or Vancouver General Hospital Adult Metabolic Clinic (www.vch.ca/403/7676/?program_id=451) for more information. Once the program is operational in January 2014, a list of approved low protein foods will be posted to the SPDC website: http://www.bcchildrens.ca/spdc.

 

 

BC Residents and news, CanPKU, News

Let the Happy Tears Fall,

I am terrible with secrets, and I have been holding a big one for weeks! My heart is over joyed and pouring out happiness and excitement to finally be able to share this great news!!

The British Columbia Health Minister Terry Lake announced today, a $250.00 subsidy for low protein foods. This subsidy is for patients with metabolic disorders in BC such as PKU and Maple Syrup Urine disease who rely on these specially modified medical necessary low protein foods to maintain healthy blood levels and prevent mental retardation.

I have been working towards this goal since 2008 when I first made the decision to open up my life with PKU to the world and use my voice to become an advocate. I have always drempt of this day. I remember in 2008 when I first found my passion for PKU and organized my first walk a thon for PKU at Jaun De Fuca rec centre with the help of my friends Nick and Tyrai, Laura, Nick and Daphne. This walk a thon drew the attention of CanPKU president John Adams, and its where I first met little baby Roise and her mother Nicole Pallone, whom later became the vice president of CanPKU. When I was organizing that walk a thon, my goal was to raise money for a low protein food bank.

Over the years my involvement in the PKU community has evolved and I have been an active advocate with CanPKU and there fabulous BC Advocate Team. We have all worked tirelessly on making this dream a reality. I could not be more thrilled today.  I feel like everything I have done has lead to this moment and I cannot help but cry happy tears. I feel like this will impact so many lives, and change them for the better. BC PKU residents can finally achieve the quality of life they deserve.

Though the  journey is not over, and there is still much work to do with our government and funding for KUVAN, this is a huge step forward and I am thrilled our voices have been heard, our hard work has paid off!

For myself, this means the worry of complianing with diet is lessened, it will be easier to maintain my blood phe levels in safe range. My abilty to control my levels will not be direclty effected by my finaces. It will be easier to acheieve my health goals and to one day have a baby of my own.

For years I have put off having a baby because of the pre conception diet women with PKU are required to be on for 6 months prior to conception and the entire pregancy. You see, whatever my blood phe levels are , are double in the uterus and are toxic to a fetus. So if my levels are high, If I cannot afford low protein foods and keep them low, my baby could be born mentally retarded or deformed. The risk has always been to high for Cole and I to justify. I never was confident that I could maintain my levels low enough to be safe , because I could  not afford the low protein foods I required to stay on diet.

This announcement today, changes that and gives me the confidence and makes my dream of mother hood a real possibilty.

I am truly blessed and grateful to Minister Terry Lake, Bill Bennett and CanPKU for their support and hard work, to the BC Advocacy team and all my friends and family who took time to learn about PKU , to support my efforts and campaigning. To all of those who took the time to read my blogs, to share my story, like my page, Sign the petitions, read and share my radio interviews, news interviews and the CanPKU media Campaign. All of you helped make this possible. You all helped change my life , and all 177 PKU patients in BC and the 32 other BC Patients who require low protein foods such as those who suffer from Maple Syrup Urine Disease.

 

Now I know that everyone has alot of questions so I will do my best to answer what I can with the information that I have.

This is a monthly subsidy that is applied to the BC residents account at BC Children’s Hospital Special Products Distribution Centre. It is open to all 177 PKU patients and the 32 others who require them. There is no enrolment application, it is not a pay now be reimburse later.

This program will be through the same program that already funds our low protein formula. All orders HAVE to go through Special Products distribution centre. You call in and order up to 250 dollars and it is covered! Anything after that is our responsibility. You have 250 a month. So my plan is to one month order all my baking mixes, and the next my pasta and other foods.

I know everyone is worried about the limited stock at SPCD and that they don’t have the cambrooke pre made foods, or country sunrise products. We are already talking to the staff at SPDC on how to remedy this and possibly get them more space or a new location as well as freezers and more stock!

The program and its leaders will be taking a lot of feedback from the PKU community , no doubt there will be some kinks to work out along the way and the first little while will be trial and error as the program grows.

This is all the information I currently have , Please feel free to contact me with any questions or comments and I will try my best to get them answered.

So for today, Celebrate! and spread the news!

The new program starts January 1st 2014!

 

Thank you again to everyone who made this possible. My heart is so full of joy, I am so happy! We all should be proud today!

 

 

 

 

 

BC Residents and news, CanPKU, News

CANPKU News Release!

Patients celebrate B.C.’s decision to fund medical foods to protect against brain-threatening disease

– Access to Kuvan still needed as third component of PKU Comprehensive Brain Protection Strategy –
Vancouver, B.C. – November 28, 2013– Canadian PKU and Allied Disorders (CanPKU) is delighted with the B.C. government’s decision to provide funding for special low-protein medical foods for patients affected by Phenylketonuria (PKU) and similar inborn errors of metabolism (IEMs). Medical foods play a critical role in preventing devastating neurocognitive, psychiatric and physical symptoms, and in some cases even death, caused by PKU and 24 other rare, inborn metabolic disorders. The foods are one of three medical components of CanPKU’s Comprehensive Brain Protection Strategy for People with PKU submitted to the B.C. government in February 2013.
In PKU, the body is unable to process an essential amino acid found in dietary protein, called phenylalanine (or “Phe”), and the resulting accumulation of Phe in the blood is toxic to the brain. If left untreated, symptoms can range from mild cognitive impairment to severe mental retardation. As such, patients must adhere every day of their lives to a complicated and highly-restrictive low-protein diet to stave off Phe’s harmful impacts. Medical foods help PKU patients maintain their blood Phe levels at acceptable levels, protecting their brains.
Patients with other IEMs are affected by different amino acids in protein, and low-protein medical foods help them to maintain proper growth while on the severely restricted diet. One such IEM called Maple Syrup Urine Disorder (MSUD) can cause death if a similar diet is not adhered to. Medical foods, which cost on average 10 times more than regular foods, are not regulated by the Canadian Food Inspection Agency, but instead by Health Canada as medical treatment.

“We commend B.C., and particularly the leadership of Health Minister Terry Lake, for recognizing low-protein medical foods as a key treatment to improve IEM health outcomes. This is a decision that will go far to help the children and adults in this province who work hard each day to protect their brains and lives from these diseases,” says Nicole Pallone, from Sparwood, B.C., who is vice president of CanPKU and mother to a five-year-old daughter with PKU. “This announcement marks B.C.’s most significant improvement in funding for PKU treatments in 50 years – and our community is so thankful to all who contributed to this decision.”
According to the Ministry of Health, each patient in B.C. who requires this treatment will be entitled to a subsidy of $250 per month to spend on special medical foods, starting January 1, 2014. Prior to this decision, B.C. only provided a nominal $40 monthly stipend for foods, which was only available to patients on social assistance. Aside from medical foods, B.C. IEM patients receive synthetic amino acid formulas which continue to form the basis of the complicated medical diet. These formulas are high in protein, vitamins and minerals, but are specifically manufactured to exclude the amino acids that cause harm to patients with each condition.
Access to third treatment in PKU Comprehensive Brain Protection Strategy still needed
While this funding decision marks a monumental step forward for PKU treatment in the province, one critical treatment remains inaccessible to patients who depend on B.C. Pharmacare. Kuvan (sapropterin dihydrochloride), the first and only Health Canada approved drug therapy for PKUi, is now funded in Ontario and Saskatchewan, as well as Quebec where the government funds Kuvan on a case-by-case basis for women with PKU who are pregnant or plan to become pregnant.ii Kuvan is covered for some patients with private health insurance.
Following the approval of Kuvan in 2009, negotiations with the drug’s manufacturer began with the drug programs in Ontario, Saskatchewan and B.C. Much to the disappointment of PKU patients in B.C., it was the only province to walk away from these negotiations. It remains unclear to the patient community why B.C. funds Kuvan to treat BH4 deficiency (originally called malignant PKU) and as a diagnostic tool to determine whether newborns with high Phe levels have PKU or BH4 deficiency, but not for its Health Canada approved indication to treat PKU.
“It is our sincere hope that B.C. continues to improve PKU patients’ health outcomes by providing access to the remaining essential treatment tool – Kuvan – to ensure that the brains of adults, adolescents and children are protected,” says John Adams, President and CEO of CanPKU, whose adult son has PKU and has been successfully treated with Kuvan for more than six years. “We are grateful to the Ministry of Health for its renewed support for patients and families in B.C., but our mutual work is not yet done to bring treatment of PKU to national and international standards.”
To date, Kuvan is publicly funded and accessible to patients with PKU in Austria, Belgium, Denmark, France, Germany, Greece, Italy, Japan, Netherlands, Norway, Slovakia, Spain, Switzerland and the United States.iii
About PKU PKU (phenylketonuria) is a rare inherited, brain-threatening metabolic disorder, observed when the body is unable to process phenylalanine (“Phe”), an essential amino acid found in dietary protein. The resulting accumulation of Phe in the blood is toxic to the brain, and if left untreated, symptoms can range from mild cognitive impairment to severe mental retardation. Approximately 1 in 12,000 to 15,000 infants in Canada is born with PKU. All provinces and territories, including B.C., offer newborn screening tests to determine if a child is born with PKU. If PKU is detected, the appropriate treatment must be initiated immediately and maintained throughout life to ensure normal brain development.
About Canadian PKU and Allied Disorders Inc. Canadian PKU and Allied Disorders Inc. is a non‐profit association of volunteers, dedicated to providing accurate news, information and support to families and professionals dealing with PKU and similar, rare, inherited metabolic disorders. Our mission is to improve the lives of people with PKU and allied disorders and the lives of their families. By allied disorders we mean other rare, inherited metabolic disorders also detected by newborn screening. For more information, visit http://www.canpku.org and download our comprehensive resource for patients and families, PKU and the Brain.