have you changed your diet?

Are you pregnant again after having preeclampsia once already in a previous pregnancy? Post your thoughts/concerns here - there are others who share your feelings. This is also the home of our Bedrest Buddies Support group.
mychaelelaine
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Re: have you changed your diet?

Postby mychaelelaine » Thu Mar 01, 2012 08:54 am

thanks everyone. all of your responses put things into perspective. caryn, you summed it up for me. i don't use salt @ all on my food. i used mrs. dash. i pretty much have always kept my salt intake below 1200 mgs. i didn't think drastically reducing my salt intake to lets say no more than 600 mg would prevent preeclampsia but wanted to get you guys opinion. i see the mfm next wednesday. i will get her input as well. thanks everyone!
10/17/2011 ~ Mychael Elaine was born sleeping. We miss and will always love you!
9/16/2012 ~ Michael Leon was born, God is so good! Severe pre-e again, induced at 34 weeks, c-section due to baby's heart decelerating with each contraction. 1 week in NICU. I'm done! :)

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danielsmom
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Re: have you changed your diet?

Postby danielsmom » Wed Feb 29, 2012 05:02 pm

Ah-ha. Thank you very much! I'm still eating eggs because omelets are yummy. And hey, might be good DHA food too.

I wish there was a magic pill or food for this awful disease, but in a way, I'm glad it's not in our hands. Truth be told, I probably ate more healthy with my son's pregnancy than I have with this one, but things are already more successful this time around (no growth restriction or other ultrasound "look at" stuff). I'm now 25 weeks, the gestation that I started getting sick last time. I thought I'd be more nervous about that. It's just that this pregnancy is so different.
Miscarriage Feb 05 & Dec 07
Daniel born Feb 09 at 27w5d, 1 lb 1 oz/12 inches (severe IUGR) due to Severe Pre-E & HELLP. Now tall for age and no complications.
Diagnosed with MTHFR
Cornual Ectopic miscarriage Mar 11
Natalie born 6-5-12 at full term, 7 lb 11 oz & 21.5 inches, progesterone 2-8 weeks (for suspected luteal phase defect), lovenox 6-29 weeks, lda 0-36 weeks, folic.

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caryn
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Re: have you changed your diet?

Postby caryn » Wed Feb 29, 2012 07:46 am

Oh! And no, it doesn't really affect the amount of work your liver and endocrine system do to make human serum albumin to eat ovalbumin, because what happens when you eat food is that it gets broken into individual amino acids in your stomach. Then those individual amino acids (385 of them if you eat ovalbumin) move into your bloodstream, and then the liver handles glucose/glycogen manufacture (for energy), protein synthesis, and lipid synthesis, using those constituent amino acids and hormones and such.

IIRC it's all about the pressure differential - if the liver "notices" that the blood is at lower pressure than the target it makes more human serum albumin. A lot of bodily functions work like that - stuff diffuses across membranes or gets produced in response to a difference in pressures on the two sides of the membrane, wherever the membrane is. In this case, it would be the liver, but the placenta works like this too - oxygen diffuses into the fetal side of the placenta from the maternal side because there's more on our side, and it pushes across just because the pressures want to be equal...
Science! The articles you don't want to miss:
The Preeclampsia Puzzle (New Yorker) and Silent Struggle: A New Theory of Pregnancy (New York Times)
Looking for recent articles and studies?
A chance to participate in research? For us on Facebook or Twitter?

Caryn, @carynjrogers, who is not a doctor and who talks about science stuff *way* too much
DS Oscar born by emergent C-section at 34 weeks for fetal indicators, due to severe PE
DD Bridget born by C-section after water broke at 39 weeks after a healthy pregnancy

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caryn
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Re: have you changed your diet?

Postby caryn » Tue Feb 28, 2012 11:12 pm

(And before a chemist fusses at me - I shouldn't call them "colloid solutions" because the point of a colloid is that it's not a solution. A "solution" is one substance dissolved in a solvent, and a "colloid" is just evenly mixed, not dissolved. They are technical terms which I just blithely misused because I was running out of straightforward words! But stuff can be dissolved in the solution and then it can form a colloid, and that's what happens here - oxygen etc. is dissolved in the bloodstream, which is colloid because it has human serum albumin mixed throughout it.)
Science! The articles you don't want to miss:
The Preeclampsia Puzzle (New Yorker) and Silent Struggle: A New Theory of Pregnancy (New York Times)
Looking for recent articles and studies?
A chance to participate in research? For us on Facebook or Twitter?

Caryn, @carynjrogers, who is not a doctor and who talks about science stuff *way* too much
DS Oscar born by emergent C-section at 34 weeks for fetal indicators, due to severe PE
DD Bridget born by C-section after water broke at 39 weeks after a healthy pregnancy

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caryn
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Re: have you changed your diet?

Postby caryn » Tue Feb 28, 2012 10:46 pm

Yep, it's completely different! "Albumin" is just a word for "water-soluble protein" - these are usually shaped sort of spherically, which is why they disperse in water and distribute evenly through it.

Egg white has a lot of ovalbumin and some other water-soluble proteins in it. Blood has "human serum albumin", which is an entirely different water-soluble protein. The molecular structures of the two water-soluble proteins are not very similar - ovalbumin has 385 amino acids and human serum albumin has 585, so different shapes and masses, both roughly spherical. (They might say "globular".)

The reason albumins generally would help to transport things in solution would just be that they'd tend to form colloid solutions - drop some into a glass of water, and it will disperse throughout the water and thicken it up a bit, like egg white or blood, and push on the other stuff dissolved in the solution.
Science! The articles you don't want to miss:
The Preeclampsia Puzzle (New Yorker) and Silent Struggle: A New Theory of Pregnancy (New York Times)
Looking for recent articles and studies?
A chance to participate in research? For us on Facebook or Twitter?

Caryn, @carynjrogers, who is not a doctor and who talks about science stuff *way* too much
DS Oscar born by emergent C-section at 34 weeks for fetal indicators, due to severe PE
DD Bridget born by C-section after water broke at 39 weeks after a healthy pregnancy

mychaelelaine
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Re: have you changed your diet?

Postby mychaelelaine » Tue Feb 28, 2012 09:18 pm

guys, thanks so much!! i have to type reports tonight but i will read tomorrow. thanks so very much for the input! :) :)
10/17/2011 ~ Mychael Elaine was born sleeping. We miss and will always love you!
9/16/2012 ~ Michael Leon was born, God is so good! Severe pre-e again, induced at 34 weeks, c-section due to baby's heart decelerating with each contraction. 1 week in NICU. I'm done! :)

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danielsmom
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Re: have you changed your diet?

Postby danielsmom » Tue Feb 28, 2012 09:04 pm

Caryn,
Maybe you can help me sort this out. Nothing I read is really clear on it, but has enough buzz words to get me interested. Here's one article:
http://www.nlm.nih.gov/medlineplus/ency ... 003480.htm

Is the albumin mentioned there a completely different thing than the albumin found in eggs? Or is it the same, just coming from a different source? So egg albumin does not sort of supplement a liver function of producing albumin?

This also got me interested from the article:
"Albumin helps move many small molecules through the blood, including bilirubin, calcium, progesterone, and medications. It plays an important role in keeping the fluid from the blood from leaking out into the tissues."

That sounds like albumin and VEGF have a connected role as far as edema, and downline BP issues, and pre-e perfect storm stuff (http://www.preeclampsia.org/forum/viewt ... 12&t=16607). By the way, great post. :)
Miscarriage Feb 05 & Dec 07
Daniel born Feb 09 at 27w5d, 1 lb 1 oz/12 inches (severe IUGR) due to Severe Pre-E & HELLP. Now tall for age and no complications.
Diagnosed with MTHFR
Cornual Ectopic miscarriage Mar 11
Natalie born 6-5-12 at full term, 7 lb 11 oz & 21.5 inches, progesterone 2-8 weeks (for suspected luteal phase defect), lovenox 6-29 weeks, lda 0-36 weeks, folic.

alexis
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Re: have you changed your diet?

Postby alexis » Tue Feb 28, 2012 07:12 pm

Interesting - I am a chronic but not sodium sensitive (conclusively proven during the Great Salt and Vinegar Potato Chip Binge of 2009). My understanding is that a sizable number of hypertensives are not salt sensitive, tough if you don't know, it's probably worth trying.

I aim for a healthy, balanced diet. I pay a little more attention to my blood sugar, since I have PCOS and am at risk for gestational diabetes. I have actually eaten a lot of eggs during both pregnancies. No diet theories, I just really seem to like omelettes when I'm pregnant. With buttered toast. I also am prone to iron deficiency anemia even when not pregnant so try to eat more iron rich foods. (and, having gone into Caesarean #2 with a hemoglobin of 9.8, I'd probably be even more aggressive on that if I have a third. I took SlowFe, but clearly, not enough.)
Chronic hypertension
Aliza - 01/05/2007 - Severe preeclampsia, emergency CS 37 weeks
Isaac - 09/26/2011 - controlled on 150mg Toprol, NO PE, 39 weeks!

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caryn
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Re: have you changed your diet?

Postby caryn » Tue Feb 28, 2012 05:04 pm

There's an odd thing that goes on with this disease - we all "know" that a healthy lifestyle will help to prevent disease, but we also know that the researchers who work on *this* disease tell us that there's no evidence lifestyle modifications will affect our risk in pregnancy.

That's because this disease appears to be set during implantation, which seems to be governed by a unique part of the immune system that's just for managing placentas. It makes sense that we'd have this, since reproduction is a time when we simply have to cooperate with a foreign organ, and it makes sense that it would be broadly isolated from impact from diet and exercise, since eggs used to come with all that was necessary to develop an entire new organism (think of how chicken eggs get no further input between being laid and being hatched!). During the initial development of the placenta, the pregnancy isn't really drawing down much in the way of maternal resources, and it's later in the pregnancy when the fetus begins to demand more than the placenta can ferry (because the implantation is not working properly) that we start to see symptoms.

That said, you'd way rather go into a pregnancy healthy than not. If the placental development doesn't proceed normally, recovery from a nasty acute pregnancy condition is going to be much easier in a fit healthy young woman. If you know you're a salt-sensitive hypertensive outside of pregnancy, then odds are one way that you manage your underlying conditions is by eating less salt, but that isn't going to affect the course of your preeclampsia so far as the best research says at the moment.

(BTW, eating eggs - which have albumins in them, mostly ovalbumin - doesn't support the liver particularly. But they're yummy. :) )
Science! The articles you don't want to miss:
The Preeclampsia Puzzle (New Yorker) and Silent Struggle: A New Theory of Pregnancy (New York Times)
Looking for recent articles and studies?
A chance to participate in research? For us on Facebook or Twitter?

Caryn, @carynjrogers, who is not a doctor and who talks about science stuff *way* too much
DS Oscar born by emergent C-section at 34 weeks for fetal indicators, due to severe PE
DD Bridget born by C-section after water broke at 39 weeks after a healthy pregnancy

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lennoxlm1
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Re: have you changed your diet?

Postby lennoxlm1 » Tue Feb 28, 2012 03:22 pm

before I became pregnant I cut all meat and dairy out because I was trying to lose any extra pounds when I found out we were pregnant again I added everything back I think a balanced diet it the best thing, and I try not to fret about the little things I have eaten (like ice cream) :)
Lee and Melissa,
Delilah 4 years old, born at 38 weeks. Isaac 3 years old born at 36 weeks due to pre-e. Shiloh 2 years old born at 37 weeks due to high b/p.


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