Baby Number 2 / Maternal PKU journey 2

28 weeks pregnant

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Hello third trimester! What a big week and milestone it has been.  My levels bottomed out once again and dropped down to 1.1 mg./dl , So my tolerance was increased to 800 mg. Seems we will be and are chasing it again.  I am having pressure in my hips and back.  Well not just pressure but pain!! my legs to. I am getting leg cramps in both my calfs and my thighs. I even pulled a cramp in my shoulder. I am getting tired easily and its getting harder to breathe. I swear baby girl is sitting on my bladder!  my feet hurt to, like burning , like ive been walking on a hot surface.

I can really feel her so much. I can feel her weight and her pressure . I feel like its all baby all the time.

Trying to wrap my head around that I have 5 weeks left of work and approx 12 till this little girl arrives.  There is so much to do!

I am hungry alot of the time now so happy my tolerance has gone up to allow me bigger portions. I have yet to gain any weight and still below my pre pregnancy weight. I am 189.9 so i am up some of what I lost but it does not count til I break over my pre pregnancy weight.

I am still having tachycardia every day, i can really feel it, and its giving me headaches.

 

I just got back in from what I thought was a routine ultrasound , but boy was I surprised.  I had the most amazing and friendly tech ever. She spent a good hour with me and after she got all her measurements she totally surprised me by flipping on the 3d screen and I finally got a real glimpse at this baby girl. She said she thought it helps with bonding and was she ever right. I hadn’t really had a lot of time to sit and process , things have been going along so fast. I mean yes im pregnant and yes we are having a baby but now i after this experiance today i do feel bonded, I feel like I know her a bit better and that i got to meet her. I could really see her for the first time. I seen her stick her tongue out, open and shut her lips, move her hands over her face, punch and kick. She has the cutest little nose and chubby cheeks. She even has hair! It really hit me and I even cried. I had tears running down my face.  I cant wait to really meet her now and hold her. I cannot get over all the images the tech gave me to take home.  Of course the one appointment cole and madelyn miss. Madelyn has been to all my ultrasounds and appointments but today she wanted to stay home with daddy and go for a bike ride.

It was his birthday on friday and we had a big BBQ with all our friends yesterday so we have been sort of celebrating all weekend. I am happy for him he really deserved something nice. We have both been under a ton of stress.

After seeing this baby girl today im reminded how worth it is . Life is truly miraculous.  I am trying to soak these special moments in as they come as its been to busy to enjoy the day to day life. So moments like this I try to hang on to , and reconize this is my last pregnancy my last chance to do this again.

 

I am so happy!

Tomorrow is my bi weekly blood draw and i will take it into the lab tomorrow afternoon. I suspect my tolerance will keep going up rapidly. I am also beginning bi monthly appointments with my midwife in June.

Things are moving along! 12 more weeks!!

 

eek!

 

Uncategorized

Hello 27 weeks!

The final week of trimester 2!

 Hard to believe we are heading into 3rd already. Had my midwife appt on Wednesday and baby’s heart beat was a beautiful 160 bpm. I’m having some anxieties about birth and having 2 kids and about what I am hoping for when it comes to birth. So it was nice to discuss it out loud with my midwife. It gives me such comfort to know I have such a supportive member on my team who I am confident in and know will help me advocate for my choices. Her confidence gives me confidence. I’m so blessed to have the same midwife that delivered Madelyn again. I can’t imagine this journey with out her.

I got my rogham shot at the appt and we borrowed some books to refresh my knowledge and boost my confidence. Even Madelyn borrowed some new baby books.

My #phe levels have been sinking even lower and bottomed out at 1.3mg /dl so I got my biggest boost to my tolerance and was bumped up to 700 mg phe daily.

I had My ferritin rechecked and it was 14 so very low . I need to remember to take my iron supplements.

Next Saturday we have a ultrasound to follow-up on her growth and brain development. Standard for a pku mom. I will have another one after 32 weeks.

My legs and muscles are aching specially when I first wake up. My belly hurts alot to. Like tight and tearing feeling. My midwife suggested a magnesium spray but I had a bad reaction to it so I’m taking it back to try to find an oil instead.

My heart still races periodically through out the day but I’m told that’s normal.and should ease off soon so that will be nice ! Hopefully the headache a and dizzy goes with it.

All in all things are good !

Even though its been a very long week and im really tired, I actually did some low protein baking today. I made some wheatstarch buns and some pizza pockets. 2019-05-18 13.53.29
The weather has been humid and wet and rather dreary but im really hoping to go for a walk sometime this weekend as i feel my legs and my pain could really benift from it. as im sure my energy levels to.
My mind has been on BBQ food all month long. Next weekend is coles birthday party and im hoping my tolerance will be up enough to have some grilled veggies, maybe some corn on the cob and some cauliflower potato salad. My calories have been getting really high this week as ive been craving sweets and salt. i am worried about potential fast weight increase since ive yet to really grain. I am eating way to much low protein foods again and not enough variety for fruits and veggies. I really need to find some healthier meal options.  or at-least if i continue to eat this way, i should try to increase my activity but its been rather hard to be active.
I am buying a double stroller and car seat off a friend today after discovering the double i have for my daycare wont work for baby so thats an expense i was not expecting to have.
Other than that things are good and progressing along :)
Here is what baby center has to say about week 27

 

 

#27weekspregnant

Your baby now weighs nearly 2 pounds/ 875 grams and measures 14.5 inches/ 36.6 centimetres from head to toe. Her eyes open and close, she sleeps and wakes at regular intervals and she may suck a finger or thumb.

Sweet dreams, little baby! Some experts believe that babies begin to dream by the 28th week. What do they dream about? No one knows for certain but the brain is active this week as well. The characteristic grooves on the brain’s surface start to appear and more brain tissue develops.

Chalk up any rhythmic movement you may be feeling to a case of the hiccups, which are common this week and throughout the pregnancy. Your baby has them but is breathing in amniotic fluid rather than air. A paper bag can’t cure her hiccups, obviously, but an episode usually lasts only momentarily. The sensation for you may be strange but not unpleasant.

Since your uterus is now up near your rib cage, you may now find yourself short of breath if you haven’t already. Starting now and continuing through the last three months of pregnancy, you may be plagued by leg cramps, hemorrhoids, varicose veins and an itchy abdomen. Are pregnancy discomforts getting you down? Try some natural remedies to perk you up.

If you were found to be Rh-negative earlier in pregnancy, you’ll probably be tested for Rh antibodies this week or next and have an anti-D injection to combat the incompatibility. You may be offered a repeat injection at 36 weeks.

 

 

***source baby center.ca ***

 

 

Check back next week for ultrasound and week 28 updates!

Baby Number 2 / Maternal PKU journey 2

26 weeks pregnant

It’s a big week! Monday I have a lab appointment to get my antibodies checked and re do my gestational diabetes test because it was done to early. I need to get my antibodies tested as I need to get my RhoGAM shot at my midwife appt on Wednesday.

I need this special shot because I have RH negative blood. RHESUS factor is an inherited protein found on the surface of red blood cells . My blood lacks the protein ( I’ve always wondered if there is a connection with my Pku. ) so I am Rh negative plus A- blood. very super rare. When a mother is pregnant with an RH positive blood baby the mothers immune system could attack the baby’s blood. So they give us this shot now in case that our blood mixes at delivery for some reason. Luckily Madelyn has the same blood type of me so risk to this baby is low. Had Madelyn had a different blood type and her blood was left over in my body it would have been bad for this baby. 

The RhoGAM shot is a sterilized solution made from human blood so it’s similar to having a blood transfusion. So making sure this is all done and ready this weekend is important as we are approaching 3rd trimester !

Looking forward to our midwife appt on Wednesday and hearing baby’s heart beat again. Feeling huge and am starting to gain some weight as I’m up 2 lbs but still under my pre pregnancy weight !

I am now at 600 mg phe daily. My last blood test came back at 1.8mg dl so still under 2!

Some of my favorite foods right now are , my low protein aproten pasta, Cambrooke eggz and mushroom burger mix. I have been eating omelets and sausages a lot! I love dayia cheese, cambrookes “Lynn enchiladas” Balsamic vinegar and Avocados. I have been eating a lot of Avocados! And salt! My first real craving this week has been salt. Anyone who knows me , knows I already eat a ton of salt. More then most people. Cole use to give me a hard time about it but when i was pregnant with Madelyn i had very low blood pressure. I would pass out.  So they told me to eat more salt. My doctor says when I am not pregnant, despite being over weight and in my 30s I had crazy good blood pressure  , like athlete good. He thinks maybe its because I do eat a lot of salt and it is good for me.

This week I have been wanting eat a ton of salt and wanting to eat chunks pink Himalayan salt right out of the jar! I will be sure to mention it to my dietitians and midwife this week.

 

Here is what babycenter.ca has to say about week 26

 

*** Measuring your baby from top to toe with her legs extended, she is about 14 inches/35.6 centimeters. She weighs a little more than 1.6 pounds/ 760 grams. Your baby’s eyes begin to open around now. Response to sound grows more consistent toward the end of the seventh month, when the network of nerves to the ear is complete. She also continues to take small breaths and although she’s only breathing in water and not air, it’s still good practice for when she’s born.

Since your baby is now growing so fast, and brain development is so intense at this stage, your nutrition is very important. Continue to eat a well-balanced diet that includes plenty of grains and vegetables. Fiber-rich foods, including whole-grain breads and cereals, lentils and brown rice are high in vitamin B and help fend off constipation.

Your prenatal classes should start sometime in the next few weeks, if it hasn’t already. Classes should provide you with good, clear information about the birth and the early days of parenthood. Keeping informed goes a long way toward calming any concerns you may have about giving birth. ***

 

We wont be doing prenatal classes this time as we did them with Madelyn. I will start reading some breastfeeding books again tough, My favorite is by Ina May guide to breastfeeding.  I am also thinking of some post partum work books for anxiety and the “fourth trimester” as i have been battling with a lot of anxiety around birth and having 2 kids.  I am getting closer to deciding on a home water birth vs hospital and still leaning towards home but having a lot of anxiety about keeping it private, not wanting to have any family at our house or staying with us, but what to do with Madelyn. If I let someone take her for a couple hours, when they come to bring her back they will want to see baby and i dont want any outside interruptions or visitors for at least 24 hours. I want the time for us to bond as a family of 4 with out grandparents, aunts, uncles or friends. Many people are telling me this is unreasonable and making me feel bad and pressured. I would rather Madelyn go across the street to our friends and come back asap if need be. But i’m worried that when its time they will be at work and we wont have anyone when we need them.  So I still have a lot to think about and time thankfully to think about it.  I want to be comfortable and I want to be respected and listened to and I want to be heard but I am having trouble speaking up about what I want because I dont feel supported in my wants.

 

here are some photos of some of my favorite meals I have made this week.

One thing I am really looking forward to is to be able to indulge in Chinese food again ! i cannot wait for a big bowl of chow mien noodles dripping in sweet and sour sauce and some veggie spring rolls!

I cant wait for my tolerance to really start to climb. It is a lot slower then with Madelyn as at this point i was already at 1150 mg phe.  But i am approaching 3rd trimester in the next couple weeks and will all the development and system building nearly behind us baby will be working hard to gain weight for birth and thats when my tolerance really starts to go up.

I told Madelyn today that her sister can now hear her when we talk and sing so Madelyn wants to sing ” twinkle twinkle little star ” to her tonight when we go to bed! I thought that was so cute.

I find myself getting more and more tired , I actually napped today. I am also finding my belly hurts! I can feel stretching and muscles tearing. I am getting blue veins and stretch marks, something I have never had before.  I am rubbing my belly alot and find going up and down the stairs difficult or getting up and down alot . By the end of the day when they daycare kids go home I am so beat!  I am looking forward to being done work at the end June.  and enjoying the summer building memories with Madelyn before she becomes a big sister and our family is completed!

 

 

Baby Number 2 / Maternal PKU journey 2

25 weeks 4 days pregnant .

We had such a busy week I forgot to post! We have been working on a complete redo of our back yard to create a family friendly kid safe green space. After not having a usable back yard for 5 years this has been a huge project. I also had a garage sale on Saturday but it was a bust.

I am finding that i’m getting tired a bit more easily this week. My belly physically hurts. It does not itch but it hurts. i find myself rubbing it even when I dont know I am doing it. i am guessing it is the skin stretching. I have seen some light stretch marks showing. Baby girl has been move active through out the day and I can actually see my belly moving from the outside.  This week I have been struggling with acid reflex , I can literately taste it in my mouth and feel it in my throat. it is worse at night when i go lie down to go to sleep.  It makes me nauseated through out the day randomly.  I am also still having tachycardia ( rapid erratic heart beat)

My phe level from April 29th came back on May 3rd and was 1.5 mg /dl so my dietitian said to increase to 525 mg phe and I just got the news right now that my Phe level from May 2nd has just come in at 1.3 mg so I am being increased again to 575 mg.dl as of today.  My weight has had its first increase in many many weeks . it has been sitting at 186 lbs since the beginning of the first trimester. Today it was 188.2 lbs so that will make my pku clinic happy. I couldn’t care less either way as long as baby girl continues to grow. I started off this pregnancy obese . I was 195 and went to 184.8 lbs and have been sitting at 186 for many weeks. I didn’t really gain with madelyn until about 30 weeks . I really dont need to gain that much. That being said I still have 3 months left so anything can change. It is always upsetting to see the scale tip over 200 but at least its all for baby!

I have had to start adding tyrosine to my formula now as I’m not getting enough anymore for baby and I. Tyrosine is an amino acid of phenylalanine. It is only found in phe . So normally people get it when they consume high amounts of protein rich food. When people with out pku eat protein there body breaks down phenylalanine into tyrosine which is used as a neuro transmitter in the brain to produce dopamine. Because I can’t break down phe I can’t get enough tyrosine on my own and I can’t get it in my diet. My tyrosine is monitored when they test my blood phe and it has now dropped below normal levels and my baby really needs it to grow. So just like with Madelyn I have to supplement it with a powder. I weigh and add 5 grams to my formula and will be continued to be closely monitored if we need to change the dose again.

Right now my favorite foods are low protein grilled cheese , low protein enchiladas and low protein tacos and lots of avocados or roasted beats over low pro rice ! I am also really enjoying my low protein “omelets and sausages  ” for breakfast every day this week!

 

Baby center.ca app had this to say about week 25!

The baby now weighs nearly 1.5 pounds / 660 grams and is approximately 13.5 inches/ 35 centimetres long from crown to heel. She makes breathing movements but has no air in her lungs yet. At 26 weeks, fetal brain scans show response to touch. If you shine a light on your abdomen, your baby will turn her head, which according to researchers, means her optic nerve is working.

At every prenatal visit, your midwife or doctor will take your blood pressure and do tests on a sample of your urine. In this way, pregnancy-related conditions such as pre-eclampsia and diabetes can be detected and treated.

Your fingers, wrists and hands may be feeling achy and numb. The carpal tunnel in the wrist is swollen, as are many other tissues in your body. Nerves that run through the tunnel end up pinched, creating pressure that manifests itself as shooting or burning pain. Wearing a brace may help; so will taking vitamin B6. Talk to your midwife or doctor about other ways to cope. Find out about natural remedies for numb or achy fingers.

 

**( source babycenter.ca) **

#25weekspregnant
#babynumber2 #maternalpku #mpku #mpkumentor#pku #phenylketonuria#babygirl#2 #25weekspregnant #6monthspregnant #babynumber2 #babygir#2 #August2019
#maternalpku #mpku #mpkumentor #pku #pheylketonuria #dietforlife #lowphe#wecanpku #canpku #pkuadult#lowproteinliving #pkuawarenessmonth 

 

 

Tomorrow we have a busy day ahead. Madelyn starts tot soccer, I had a massage therapy appt and a dentist appt . Having to really keep on top of my oral health as it can effect babies growth and have been going for a cleaning and check up every 3 months since i have always suffered from sensitive teeth and gum disease. Only ever had 1 teeny tiny cavity after Madelyn that they where able to fix with a lazer. Apparently a cavity per child is normal in mamas who knew?

Sent off a blood dot yesterday so should have the results back tomorrow some time! Fingers crossed for another phe increase.

Check back next week for my weekly update.

 

 

 

 

Baby Number 2 / Maternal PKU journey 2, facebook, Madelyn, Managing the diet, MPKU Journey!, News, Social Media, That's my PKU life

PKU Awareness month means, Maternal PKU awarness too!

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For #pkuawarenessmonth I will be mainly focusing on the miracle and wonders of maternal PKU Syndrome. All of my life I was told I would never be a mother. Hearing those words does not make the dream die, it does not take away the wish. It does not take away the hope. It does not prevent you for wishing and praying. As the years melted into each other the want never went away. In 2006 I was told for the first time, it was possible. That it was alot of hard work, that it was not for everyone. Well neither is motherhood, pregnancy or parenting. Hard work does not scare me. When the want is there, you can do anything you set your heart and mind to. I relate to those who struggle with infertility and the want to be a mother but for other reasons. I relate to the heartache and the deep deep passionate and consuming want. I relate to the heart work. Though its not doctors tests , injections and treatments for fertility. Its keeping my blood , my body, my brain and my uterus from being toxic.

For many PKU women , its months and months of planning. For many its returning to diet and treatment. Its many months of preparing the body. For preparing your brain. For many its withdrawing from toxicity of high phe levels and side effects. Its adjusting your body to major food changes, to major life style changes.  How do they do this?

With the recommended maternal pku pre conception diet and treatment.  It is highly recommend that any women with PKU who wants to have a healthy sucessful pregnancy and healthy baby follow a even more restricted treatment then normal , to get their phe levels even lower into pre conception range and keep them there for 3 to 6 months prior to conceiving and then the duration of the pregnancy.  I didn’t have this chance. I did things back wards, looking back its totally way harder.  both of my pregnancy’s where unexpected and unplanned. But very very much wanted. I prayed to god, I prayed to my deceased grandparents, I prayed to my grammie in heaven. I talked to her regularity. I dreamed. I wished. I wished on ” the first star I see tonight”  when the clock stuck 11:11 am or pm. When I had something lucky. I hoped. I held on.  I pleaded, and I bargained. Please god, let it be me one day. Let it be my turn. Bless us. Choose us. I promise I will give it my all.  Please let it happen one day. Please change his mind, please want him to want this to.

Both times I found out I was pregnant my levels where very high.  I was not off diet, I wasn’t compliant. I made allowances. I ate rice, and mashed potatoes, and corn and hash browns. Vegetable sushi, peas, beans, and sooo much rice.

I indulged. I did not weigh my portions. I did not keep track of my intake. I made allowances, and made excuses. Its to hard, Its not fiesable, its not sustainable, i’m to hungry. Its only me that suffers the side effects.  Im not hurting anyone but myself. I will do better tomorrow. I will eat less in the morning so I can eat more later.

Having to crash my levels down with in a week, having to re learn the diet, re learn how to cook low protein recipes, how to measure everything. How to track everything. All at once, plus come off anti depressants , anti anxieties and pain medications all at once. If I could change one thing, I would have done better at looking after myself, managing my PKU and actually planning for my babies I would have. But you know what they say about could have, should haves? and if you change the past you might not have the same present or future. I would not change my life for anything.

For I am a mother.

The fact that my daughter is here is truly a miracle in its self,  Life is a miracle, growing, creating and giving life is a miracle. Pregnancy is a miracle, but then add my PKU on top of it.

Now here I am about to bring another baby girl into the world. The weight of it is not lost on me. Through all the highs and the lows, through all the tears and sleepless nights, through all the struggles and all the ups and downs, through the smiles and the I love yous, The way my precious girl looks at me, I wouldn’t trade a thing for this life ive been blessed with.

Its not always easy and sometimes we get lost in the moment and we forget where we have come from and anxiously worry about tomorrow. But its worth it. Its worth every single moment. Id gladly pay for every second through this life and eternity.

There is no bond like that of a mother and her child. The bond I have my daughter is everything I ever dreamed of.  I cannot simply express in words the depth of my love for her . I see it reflected back in her eyes and its so powerful.  It is deep and beautiful and powerful.  The way she holds my hands, touches my face, the words that she says, the joy she experiences , the happiness she is and gives, that she lives and shares.  Its worth it all.  Now that she is such a fluent talker, her vocabulary really floors me. She talks better then some 4 and 5 year olds I know.   She really expresses herself, she speaks her feelings and her thoughts and the wow the stories she tells me. The way she tells me she loves me, and how i am the best swimmer ever! make me burst with pride.  How even though she is a very strong willed , independent, vibrant , busy 3 year old, she still needs and wants her mama. She still wants our cuddles and our talks, our hugs and our kisses.  I will always give her all of me.

It excites me to hear her talk of her baby sister, the stories she tells me about how she will be a big helper, how she will hold and change ” her baby” and all the things babies do and how her baby is in my belly. How every day she tells me what she wants to name her baby.  It makes each day that I struggle with this damn life, this damn diet, and these damn foods worth it.

Each day when I have to test my blood, and drive it to the lab, Each day when I sit down at my computer to record every gram of food I have eaten, when I plan my meals in advance,  when i make my food, prepare my formula. I am reminded why. My daughter is why. Both of them. For every high risk OB appointment, every midwife appointment, ever extra ultrasound, trip to Vancouver maternal fetal medicine, every email to dietitians and specialists, every panicked phone call, every kick and roll. Every thing I am doing its to give my children the very best start in life.  To ensure their health and ensure their futures. The literately weight of their life hangs souly on me , and what I eat.

They say being a parent is always putting someone else before you, and I do that by watching and weighing and counting every single thing I put in my mouth every single day and more.  I do it because I am so much more then me. I am their mother. I am a parent.  I am a partner and a wife.  This is just one part of my life and my daughters. This is how I give them the start in life they need and my care and my devotion and my love and my hard work grows with them and my role changes. From the day they are made, to the day they are born. To all the years to come, I give them all of me.

If anything having PKU has taught me so many life lessons. It has taught me hard work and sacrifice, it has taught me patience, it has taught me how to be strong. It has taught me how to give, and how to be a voice.  I use my voice in hopes of inspiring others. To help even one person know they are not alone. To provide support, to provide education, to spread awarness.

Many wonder why I do this year after year . Why I share my story so personally. Why I am so open, why I blog, Why I volunteer for CanPKU , Why I plan fundraisers and events, and why I post soooo much about PKU.

Well every year that goes by I am grateful for medical advancements , for changes in treatment and new research. For being alive and being healthy. For new born screening and I am proud to be able to use my voice to spread awareness . For each new friend I’ve made through out the year , for each new follower who does not know my story , for each new baby born , for each new diagnosis , for each new family effected , and for each new maternal pku mother…I share for you. If I can help just one new person by sharing , that is one more person who feels supported , one more person educated. And 1 by 1 more people will be aware and pku will be less unknown , less scary and less rare !

Remember, together we are all #PKUSTRONG

 

 

Happy PKU Awareness month!  thanks for following along. I look forward to connecting with many of you this month through social media. Through Facebook lives, though live questions and answer videos, through Instagram and Facebook.  Please feel free to share, write me a question you would like me to answer a topic you wish me to cover!

 

 

Low pro food / cooking

cambrooke eggz omelet

One of my go to breakfast meals when I was pregnant with my first daughter back in 2015 was a cambrooke foods eggz omelet and pku perspectives mushroom burger mix “sausages” I ate it almost every day. This baby has been a bit different as has my tolerance been so. So I have not been able to enjoy it as I wanted to. I am approaching the 3rd trimester and my tolerance is finally climbing and so is my ability to enjoy some old favorites. So today I finally tried my hand at an omelet again.  I have share my version of the cambrooke foods eggz recipe many times but i have seen the question come up a lot on social media again so I thought id take the opportunity so share how i get the consistency right for me again.

I mix 1/2 cup eggz mix with 1/2 cup Almond milk or coconut milk . ( Whatever I have on hand at the moment) I stir it well with a fork to work out all the lumps and really mix it well.  Then i use a spoon to spread it out in a circle on my pan. Lightly oiled with olive oil. I cook it until it comes away easily from the pan.  I add my ingredients of choice with some dayia or earth island cheese to the center. I flip one side over the ingredients to fold it in half then cook it on both sides until it begins to brown. After it should slide away easily from the pan onto your plate!

For the “sausages” I mix 1 /4 cup pku perspectives mushroom burger mix with 2 tsp oil and 4 tsp water. Then I use my hands to shape them into the form of “sausages” and fry them in the same pan as the omelet at the same time.  You can also use the new cambrooke foods burger mix as it tastes just as good and easy to work with . i just dont happen to have any at the moment.

I always change up the ingredients that I add to my omelet based on how much phe I want to use. sometimes I add baby spinach and salsa but today I just used my go to top list. Which I have shared below.

2019-04-30 08.06.03

 

 

 

Indigents i added to the omelet pictured above :

9 grams cherry tomatoes – 2 grams phe

21 grams mushrooms – 18 mg phe

3 grams garlic – 5 mg phe

12 grams onions – 4 mg phe

11 grams earth island vegan cheddar cheese shreds. –  4 grams phe

 

plus :

1/2 cup eggz –  12 mg phe

1/2 Cup Enriched Almond Milk – 40 mg phe

1/4 Cup mushroom burger mix – 12 mg phe

 

For a total of : 97 mg phe

I usually top with maple syrup, or sweet chili sauce or salsa depending on how much phe I want to use up. OR if i am needing extra calories then i add the maple syrup and season to taste with salt and pepper!

Serve warm and enjoy!

Low pro food / cooking

Low Protein Rice bowls

Lately I have been making my own version of some low protein rice bowls.  Since my tolerance is growing a bit each week I am experimenting with adding more variety and more veggies. I am currently able to eat 500 mg phe and I leave most of it for dinner as that is when i am the most hungry.  Dinner has always been my biggest meal of the day. I find that eating the most at dinner helps me sleep better and not wake up nauseated or hungry.  For this reason some of my dinner posts that I share may be to high in phe for some so please feel free to modify. I just make these up as I go based on how much phe I have left to play with.

My rice bowl that I posted to my facebook page last night has been getting noticed and i have been asked to share my recipe so I am happy to do so.

2019-04-29 18.03.22

Low protein PKU Friendly Rice Bowl ( Buddha bowl)

140 grams Dietary Specialties Imitation Rice – 17 mg phe

6 grams Garlic- 10 mg phe

30 grams onions – 10 mg phe

45 grams mushrooms- 39 mg phe

20 grams cherry tomatoes – 5 mg phe

40 grams egg plant – 18 mg phe

60 grams sweet potatoes / yams – 54 mg phe

82 grams avocado – 80 mg phe

2 tbsp thai sweet chili sauce- 12 mg phe

salt and pepper to flavor.

total:  245 mg phe .

Chop veggies and roast in a pan with olive oil and seasonings.  I used garlic plus. Roast at 350 degrees for 20 mins or until sweet potatoes are tender.

At the same time boil a large pot of water. Bring water to boil, add imitation rice. Boil on high for 10 mins. Strain and rinse with hot water as it will be very thick and starchy.

Add Rice to bowl, layer with roasted veggies, Add Fresh avocado and drizzle with Thai chili sauce. Add salt and pepper to taste. Serve hot and Enjoy!!!!

Baby Number 2 / Maternal PKU journey 2

24 weeks pregnancy update!

24 weeks pregnant with baby girl number 2 !#24weekspregnant is a milestone week. If baby was to come now she could survive outside the womb though it would be a very long Neonatal intensive care unit stay!

So baby girl we are not ready yet keep on growing !

This week was an emotional one for us with being in a car accident on Easter Sunday. We are ok thank god but are dealing with some soft tissue injuries and pain as well as other stressors. A deer hit us when we where coming back from family dinner. It was about 830pm and was getting dark. It happened so fast. We where very lucky though. Cole was driving, I was in the passenger seat , Madelyn and our dog copper where sleeping in the back.  The deer died on impact. My vechile, an SUV i bought just under a month ago is being written off by ICBC . Where the seat belt was below my belly is tender . I have some pain in my hips and low back so I got a maternity support band this week to help. I also have pain in my left shoulder and neck. Cole is having pain to but thank god baby and madelyn are both fine!

 

We had an obgyn appt and baby is still right on track.  I discussed the car accident with her and also emailed my midwife.  I am under alot of stress right now between dealing with ICBC, deciding what to do with my vehicle, trying to find a new one, dealing with the pain and my growing baby, managing my diet, managing my daycare, all our activities, and family stuff.  I am feeling more and more overwhelmed.  I am hoping things will settle down soon.

I have to get my antibodies checked with some blood work next week and a rogham shot , as I’m A- negative blood with RH + ( Cole ie A+ and Madelyn is A- like me ) and my midwife has booked some growth scans in the next few weeks as well.  One at 28 weeks and one at 32 weeks.  I follow up with my OBGYN again at 32 weeks just to check in and then if all is well she will discharge me to full care by my midwife again for delivery. 

I cant believe there is only 3 months left and I am 6 months pregnant already!

My last #phe level was 1.5 mg / dl so my tolerance was increased to 500 mg. Finally. It will continue to increase each week now until she is born then the day she is born it will go back down to my normal tolerance of 350 mg phe. I stayed off at 200 mg phe this pregnancy so its nice to finally see it moving high enough that I can start eating some real food.

Once baby is born she will be able to break down phe on her own as long as she does not have #pku. Chances are very low of her having it. Though she will be a carrier

So whatever i eat that’s transferred through breatsmilk will be safe for her and whatever i eat after will go back to only effecting me and my brain. Hopefully I can breastfeed this time as I wasn’t able to with Madelyn .

Baby girl is getting stronger and i can now see her movements from the outside that was new this week to ! Maybe in a few days Madelyn will be able to feel her to!

We had some mother daughter mother’s day photos taken of us today so I’m excited to see those ♡

#maternalpku #mpku #mpkumentor #pku#pheylketonuria #pkuawarness #pkuadult#lowprotein#lowphelevels #babynumber2

 

Here is what baby center.ca has to say about week 24 :

Your fetus weighs more than 1.3 pounds/ 600 grams. Though she still has little body fat and her skin is thin and fragile, she’s now well-proportioned. Her brain is growing rapidly, and she is starting to fill the space in your uterus. From crown to heel she could measure 11.8 inches / 30 centimetres. If you went into labour at this time, however, many obstetricians and midwives would make every effort to halt the progress of premature labour to enable your baby to continue maturing.

You may be noticing faint, red or brown streaks known as striae or stretch marks on your abdomen, hips and breasts. While creams won’t erase them, wearing a supportive bra may help prevent or minimize them on your breasts. They are very common at this stage of the pregnancy — about 90 per cent of women get them. After you’ve given birth, the reddish or brown pigmentation in the stretch marks gradually fades, and the streaks become lighter than the surrounding skin.

Also, your eyes may be light-sensitive and may feel gritty and dry. This is a perfectly normal pregnancy symptom known as ‘dry-eye’. To ease your discomfort, use an ‘artificial tears’ solution to add moisture.

A healthy diet is still important at this stage of pregnancy, so visit our eating well section for weeks 25-28.

and here are a few of my social media posts this week you may have missed :

So what do you eat?

My daily #phenylalanine intake must stay under 500mg a day in order to keep myself and my baby safe. This is approx 10 grams of protein a day. 1 gram of protein is 50 mg phe.

Here is a day in my life for meals.

Breakfast : 80 grams of western family hash browns = 100 mg phe / 2 grams protein.
My medical formula = 46 mg phe rounded 1 gram protein. Breakfast total 3 grams protein.

Lunch : 2 slices low protein bread at 10mg phe each ( 20 mg)
35 grams low protein cheese = 2 mg phe
88 grams of green apple = 5mg phe
My medical formula = 46 mg phe
Approx 1.5 grams protein.

Leaving me approx 5.5 grams of protein left to make dinner. ( take away 1 for formula so really 4 grams for dinner )

Check back tonight to see what I make .

#pku#pheylketonuria #pkuadult #maternalpku #mpku #mpkumentor#treatmentforlife #lowproteinlife

 

So what do you eat? part 2!

As I explained in my previous post I am aloud 500mg phe ( 10 grams protein ) currently and am 23 weeks 6 days pregnant. I had 3 grams at breakfast and 1.5 grams at lunch.

Here is my dinner. A low protein rice stir fry.

140 grams imitation low protein rice
17 mg phe
4 grams Garlic – 10 mg phe
30 grams Onions -30 mg phe
20 grams tomatoes -5 mg phe
40 grams broccoli -50 mg phe
45 grams carrots – 10 mg phe
47 grams Mushrooms – 40 mg phe
2tbsp sweet chilli sauce – 12 mg phe
86 grams avocado – 84 mg phe
and my formula – 46 mg phe
For a total of 264 mg phe or 5 .28 grams protein.

My total for the day is 500 mg phe and 2345 calories . I’ll test my blood again on Monday ..that will give me 4 days at 500 mg and a good sample to see if we can increase my tolerance again when we get the results back next Wednesday. If my #phe level come a back under 2.0 mg/dl my dietician will increase me. If it’s 2 or over I will stay at 500mg untill it drops.

 

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Yay! Finally broke 500 mg phe intake. Only taken till 23 weeks 5 days lol . Grow baby girl grow mama wants more food !for those of you who don’t understand #phe 500 mg of phe is 10 grams of protein a day.

#maternalpku #mpku #pku #pheylketonuria #pkuawarness #pkuadult#trimester2 #babynumber2 #babygirlnumber2

 

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Every Monday and Thursday I wake up early and take my blood and place it on these filter papers. On Mondays I drive them to the lab and Thursdays Cole does. So they can be sent through the intra labs and courier to Vancouver to be tested. The lab tests my blood for levels of phenylalanine and reports it’s to my pku clinic . I need to do this to make sure my blood does not become toxic with to much phenylalanine as this can cause serious side effects to my baby. I have done this since I found out I was pregnant and I’ll do this untill the day she is born. After she is born I will test my blood weekly untill they re stabilize and then back to monthly. Once the baby is born she is at no risk from my pku or my our levels. Any phe she gets from my breast milk if I’m able to breastfeed she will be able to break down on her own. So the risks go back to souly effect my own brain. Pku is not a childhood disease it’s life long and there is no cure. Only life long treatment.

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and a few photos of my SUV after our accident , Like i said it could have been so much worse. I am so grateful we are ok despite my vehicle being written off and the pain. I cant help but be sad for the deer and for my SUV. I just got it, it had everything I wanted and i love it!

 

 

check back next week for week 25 !

Baby Number 2 / Maternal PKU journey 2

22 and 23 week pregnancy updates.

I had a rough couple weeks so i’m late posting my 22 week update so i am sharing this post for both 22 and 23 weeks.   My daughter and I have been so sick.  Madelyn started with a eye infection and ended up in the hospital last week and then it just progressed and then I got sick last Thursday and am slowly recovering now. Each day i feel a little bit better . I think the turning point was Thursday this week. I still dont have much of a voice while my throat recovers but I can eat again.  I am still coughing a lot and have this nasty taste in my throat when I wake up or when im coughing. I have coughed a couple times till I have puked .  Since i struggled with eating and getting in all the calories I needed my levels went up a bit on Monday to 2.6 but thats still a really fantastic level . Just to bad because if I hadn’t been sick they might have fallen under 2 and I could have had my tolerance bumped up again. I am currently sitting at 440 mg phe and 2100-2500 calories a day.  Alot of my daycare kids choose to stay home and im glad they could as i never would want them to get what we had. I cant remember the last time I was this sick or for this long. It has certainly been a bad one.  But hey im hopeful ill be back to 100 % any day. I have had a bit of energy so been cleaning up around the house. Finally got out on Thursday for the first time in a week to run errands and then again yesterday and today . So feeling good about getting stuff done.

I ordered some maternity dresses online yesterday from Old Navy so i am really excited for those to arrive. I love dresses so thats a bonus about expecting during the summer months.  I also ordered baby girl a baby beluga wrap in a very lovely blush color for while she is little. Baby wearing really helped me with Madelyn and now having a toddler and a daycare I know it something we will be doing a lot. Plus I am not getting a single stroller so I can baby wear baby girl while Madelyn walks or whatever.  I have realized this week there is still a lot of things I am going to need to purchase eventually before baby arrives and its a little daunting. I have not really bought much yet because i have some pretty amazing friends. I am totally regretting getting rid of all of madelyns baby stuff now lol. We have a lot of the big stuff like crib, cradle, change table, car seat, play pen, high chairs etc from the daycare and from friends.  I have madelyns diaper bag still and she dosent use it anymore so baby girl can use it.  We also have a ton of clothing so not worried there. I am keeping a list on amazon of things I will need to get.  Sort of a baby registry i guess but just for me to keep tabs since I dont have a baby shower.  Mostly its all small things like diapers which id like to try to do cloth again, wipes, diaper cream, bath stuff, receiving blankets, burp clothes, hooded towels, feeding supplies. I am really hopeful that I can breast feed this time but they needs supplies to. Because of my struggles i think this time i will invest in a pump.  I also still want a swing for baby but i am super picky about what kind, and id like to get a rocking chair and dresser for her room.

Pregnancy seems to be going much faster this time, I guess that is what happens when you have a toddler and life to focus on and work and a daycare to run!  With madelyn i was already off work on early medical leave at this point so it was just me most days and our dog.  I hope it does not go by to fast though and before I know it its summer cause i am so not ready lol.

Here are my social media posts for my weekly updates :

22 weeks :

#22weekspregnant #5monthspregnant #maternalpku #mpku#mpkumentor #pku #pheylketonuria #dietforlife #lowphe #wecanpku #canpku #pkuadult#pkuawareness

It’s been a hell of a week. Madelyn has been sick and even ended up in emergency. The daycare has been closed all week and now I’m sick to. The worst sore throat I think I have ever had. Was sure it was strep. Doctor said it’s a viral infection going around and Packs a bigger punch when your pregnant to. My head is pounding my ears , eyes and throat burn and I can’t take anything for it ,it just has to run it’s course. I can barely eat and have no voice today.

On the positive side is my tolerance has been increased to 400 mg phe daily.
My weight is holding steady. I’ve started purchasing baby girl clothes from our friends 

Other than that not much say this week.

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baby center update for 22 weeks :

*** #22weeks #5months #babygirlnumber2 #maternalpku #mpku

The baby now weighs almost one pound / 430 grams, measures nearly 11 inches/ just over 27 centimetres long from crown to heel, and is proportioned like a newborn, albeit a thinner version since her baby fat hasn’t yet developed. Although she’s getting heavier every day, her skin still appears wrinkled because she needs to gain more weight. The lips are distinct and the eyes are formed, though the iris (the coloured part of the eye) still lacks pigment. The pancreas, essential in the production of hormones, is developing steadily.

Even this early, the first signs of teeth appear in the form of tooth buds beneath the gum line. Before you know it, your baby will be born, and soon after, her first teeth will come through.

You’ve probably gained between 12 and 15 pounds / 5.4 and 6.8 kilograms. Starting now, you’ll begin to put on weight more steadily, averaging about half a pound / 225 grams per week. You may crave certain foods and this is normal in all pregnancies.

( souce babycenter.ca)

 

 

 

and then for today at 23 weeks!

#23weekspregnant #babygirlnumber2 #babykicks #maternalpku#mpku#mpkumentor #pku#pheylketonuria#pkuawarness

Finally starting feel better a bit more each day. That was the longest and worst sickness I’ve had in many years. I still don’t have much of a voice as my throat recovers and I still have some lingering mils cold symptoms but I can eat again so that’s fantastic. My levels did spike a little tiny bit from being so sick. I wasn’t able to get enough calories in some days no matter what I did. So my level went from 1.7 to 2.6 but that’s still a wicked awesome #phelevel. Considering range is 2 to 4 mg while pregnant. Had I not been sick I probably would have had a level below 2 and been able to bump up my intake some more but there is always next week. I’m starting to get my energy back a bit so looking forward to getting back in the pool and yoga soon. Baby girl is becoming stronger and making herself known through out the day. We are no wear near having any names picked out. We both agree we won’t name her untill we meet her but are trying to come up with 2 or 3 names we both like to make it easier. Madelyn is still stuck on Summer ! While it is a pretty name and has so much happy imagary and memories associated with it I’m not sure I like it for a baby name haha. I’m sure will come up with something. I sure through having to pick names for one gender would make things easier but nope lol. Still doing my blood phe levels twice a week and there still prefect in range. My current intake is 440 mg phe and 2100 to 2500 calories daily 

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and what baby center says this week :

#23weekspregnant #babygirlnumber2

** Your baby now weighs a little over one pound/ 500 grams and measures about 11.4 inches/ 29 centimetres from crown to heel. Her hearing is well established and she can make out a distorted version of your voice, the beating of your heart and your stomach rumblings. Loud noises often heard in utero, such as the barking of a dog next door or the roar of a vacuum cleaner, probably won’t bother your child when she hears them outside the womb.

Numerous studies seem to indicate that the unborn prefer classical music. Play Vivaldi’sThe Four Seasons for your child and pay attention to her movements. Does she quieten down during adagio sections and speed up for the allegro portions? You may have a budding conductor in your womb.

In addition to advances in your baby’shearing, her lungs are developing to prepare for breathing. She’s swallowing but usually won’t pass stool until after birth.

As for you, you may feel clumsy now that your centre of gravity has shifted. Your gums may bleed when you brush your teeth and your belly button, once an ‘innie’, may now stick out. Don’t worry. It’ll revert to its pre-baby state soon after you give birth.

The middle months are a good time to think about a holiday. Find out all you need to know from suntans to vaccinations in ourtravel section.

(source babycenter.ca  )

check back next week for another update. 24 weeks is a big one :)

Baby Number 2 / Maternal PKU journey 2

Results from 20 week maternal pku lab work

The results are in from my 20 week maternal pku blood work , That I had done on April 1st before heading to Vancouver last week. 2019-04-01 09.27.04

Here they are :

General CommentsHours After Meal hours pc: 2Hematology

WBC
8.1
RBC
4.05
Hemoglobin
127 g/L
Hematocrit
0.38 L/L
MCV
94 fl
MCH
31.4 pg
MCHC
335 g/L
RDW
12.5 %
Platelet Count
242 L

Differential

Neutrophils
5.8
Lymphocytes
1.9
Monocytes
0.3
Eosinophils
0.0
Basophils
0.0
Granulocytes Immature
0.0

 

Ferritin
22
ug/L

15-50: Probable Iron Deficiency

General Chemistry

Albumin
36 g/L

Lipids

Cholesterol
4.66 mmol/L
LDL Cholesterol
1.94 mmol/L

The optimal LDL cholesterol level for
intermediate and high risk individuals
is <= 2.00 mmol/L. If triglycerides are
=> 1.50 mmol/L, consider monitoring of
alternate lipid targets non HDL-cholest-
erol or apoB. For low risk individuals
with LDL cholesterol => 5.00 mmol/L,
target reduction of LDL cholesterol
=> 50 percent. See Can J Cardiol 2013
vol 29 pgs 151 to 167.

HDL Cholesterol
1.88 mmol/L

New method effective September 17,2018,
with improved specificity and reduced
interferences in patients with liver
disease.

Chol/HDL (Risk Ratio)
2.48
Non HDL Cholesterol
2.78 mmol/L

Non HDL-cholesterol is calculated from
total cholesterol and HDL-C and is not
affected by the fasting status of the
patient. The optimal non HDL-cholesterol
level for intermediate and high risk
individuals is <= 2.60 mmol/L. See Can J
Cardiol 2013 vol 29 pgs 151 to 167.

Triglycerides
1.85 mmol/L
Homocysteine
5 umol/L

 

 

April 1st blood phe collection – 1.7mg/dl  ( increased from 325 mg phe to 360 mg phe daily)

April 4th Blood phe colletion – 2.1 mg /dl ( no increase)

 

 

check back next week for my 22 week pregnancy update!