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PKU & Pregnancy – 3rd Trimester

When you reach your third trimester (after 26 weeks) you are now in the final countdown. With only 3 months to go, you will notice significant changes in your body and PKU diet. For some, your permitted protein intake may increase. Continue to be in close contact with your metabolic clinic.

If you are not in your 3rd trimester and wish to learn more about the other stages of pregnancy, here are links in our series on PKU & Pregnancy:

PKU & Pregnancy – Preconception

PKU & Pregnancy – 1st Trimester

PKU & Pregnancy – 2nd Trimester

In the 3rd trimester, depending on your pre-pregnancy weight, you will have gained roughly 11-40 pounds by the end of your pregnancy.  From now until birth, your baby will grow from the size of a large butternut squash to a small watermelon. Continue to work closely with your metabolic clinic as only your clinic can provide the best guidance for you and your baby.

Now you are getting closer to the exciting day.  As your baby grows you may experience some discomfort such as reflux, heartburn or feeling full quickly when eating.

If heartburn strikes, here are some tips to help:

  • Avoid foods that may increase risk of heartburn, such as caffeine, peppermint, spearmint, soda, spicy or acidic foods
  • Avoid eating large meals; try small frequent meals spread throughout the day
  • Limit meals close to bed time
  • Sleep with you head at an elevated angle
  • Consider a ginger candy or herbal tea

If you have difficulty consuming your formula, here are some tips to help:

  • Divide your current PKU formula into small frequent portions throughout the day
  • Ask your metabolic dietitian if a lower volume PKU formula is appropriate for you
  • Drink your formula before or between meals to be sure you are consuming your full recommended amount

You are almost there – Stay on Diet!

You have been working hard on maintaining your PKU diet.  It is important to stay on diet once you baby arrives, but it may be difficult with the demands of a newborn.   Now is the time to begin discussing a plan with your metabolic clinic and family to remain in control of your phenylalanine (PHE) levels once they baby arrives.

Here are some suggestions:

  • Teach your significant other, family or friends how to prepare your formula (the way you like it) so they can help in the first few weeks.
  • Share your favorite low-PHE recipes with family and friends so they can prepare some meals for you.
  • As you begin preparing for the baby cook some low-PHE meals and freeze for easy reheating once the baby arrives.
  • Write shopping lists for friends and family so they know what fruits, vegetables and other items to pick-up for you.

REMINDER –  Keep Sending in Blood Spots!

Request a Nutricia Maternal PKU Starter Kit for more helpful tips and tools to help get you ready for this special time in life.

All products shown are medical foods are for the dietary management of Phenylketonuria (PKU) and must be used under medical supervision.  Please consult your metabolic healthcare professional prior to making any changes to your PKU diet.

©2020 – Nutricia North America

PKU & Pregnancy – 2nd Trimester

Week 13 through 26 is considered the second trimester of your pregnancy.

View PKU & Pregnancy – Preconception Blog Here

View PKU & Pregnancy – 1st Trimester Blog Here

During this time, you will continue to work closely with your clinic as only they can provide the best guidance for you and your baby

In the 2nd trimester, depending on your pre-pregnancy weight, you will now start gaining about 0.5 – 1 pound per week. During this time period your baby will grow from the size of peach to about the size of an acorn squash.

In the 2nd trimester you may notice the return of your appetite and a desire to eat more. It is still extremely important to keep your phenylalanine (PHE) levels in control, so be sure to continue to work closely with your metabolic dietitian and have a meal plan in place.

If hunger strikes go for your formula first!

You may also benefit from preparing portioned out low-PHE snacks for the week. This may help reduce temptations to grab foods which are not a part of your meal plan when you find yourself hungry and craving a snack.

Here are some pre-portioned low-PHE snack ideas:

  • Make single-serve bags of low protein pretzels, popcorn and cereal
    • Consider gluten-free items*
  • Cut up fresh fruit or fresh pressed fruit snacks
  • Sliced vegetables; such as cucumbers, peppers, zucchini, etc.
  • Portioned out bite-size veggies; such as baby carrots, cherry or grape tomatoes
  • Bake and freeze low protein bread, biscuits, muffins, cookies and more – find recipes here
  • Prepare your favorite low-PHE soup recipes in bulk and freeze in single-serve units – find recipes here

GET READY!

During this trimester you MAY have an increase in your daily PHE tolerance, which means increased food options. Your metabolic dietitian will work closely with you and monitor your blood PHE, but remember PKU formula is still your main source of PKU-friendly protein for both you and your rapidly growing baby.

**Important!** Be sure to read labels and check serving sizes when planning your snacks. PHE content of foods can vary by brand. Remember that not all foods that are gluten-free are low in protein. For more information on finding the PHE content in commons foods, check out HowMuchPHE.org.  

Request a Nutricia Maternal PKU Starter Kit for more helpful tips and tools to help get you ready for this special time in life.

All products shown are medical foods are for the dietary management of Phenylketonuria
(PKU) and must be used under medical supervision. Please consult your metabolic healthcare professional prior to making any changes to your PKU diet.

© 2019 – Nutricia North America

Happy New Year!

The start of a new year is a great time to re-commit to better diet management.

Improving your metabolic diet is different for everyone. It can range from calling your clinic for the first time in years to making simple improvements such as:

  • Eating more fresh fruits and vegetables
  • Drinking the full amount of formula
  • Finding a formula you enjoy drinking
  • Sending in blood spots more frequently
  • Trying new low protein recipes

Nutricia is proud to offer support services to help you achieve some of your dietary goals.

Our Nutricia Connect™ program is here to provide support at various stages of life’s journey.  We offer an array of low protein recipes, educational tips and resources, and a team of professionals who can assist you or your loved one to get back on-diet.

Additionally, Nutricia’s team of formula coverage specialists can review your insurance and answer any questions you may have about formula coverage.

Connect with them today by emailing Coverage@Nutricia.com or by calling 1-800-605-0410.

Improve Your Metabolic Diet Today

About Us:

Nutricia Metabolics provides a variety of formula options for inborn errors of metabolism, including Phenylketonuria (PKU), Maple Syrup Urine Disease (MSUD), Tyrosinemia (TYR), Homocystinuria (HCU), Urea Cycle Disorders (UCD), Glutaric Aciduria Type-1 (GA-1), Isovaleric Acidemia (IVA), Propionic Acidemia (PA), Methylmalonic Acidemia (MMA) and Fatty Acid Oxidation Disorders (FAODs). Learn more at www.MedicalFood.com

NOTE: All Nutricia Metabolics products are medical foods and must be used under medical supervision. Always consult your metabolic healthcare professional prior to making any changes in your metabolic diet plan.