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Re: 5 hour GTT From: Atkinson, Samuel M (ATKINSONS@mail.ecu.edu) Tue Aug 2 15:27:27 2005 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Atkinson, Samuel M: "Re: Postdates,Neonatal Death" Previous message: Atkinson, Samuel M: "Re: New paper - Peritoneum closure" Maybe in reply to: Richard Chudacoff, MD: "5 hour GTT" Next in thread: art fougner, md: "Re: 5 hour GTT" Reply: art fougner, md: "Re: 5 hour GTT" Richard. It is my observation and understanding that reactive hypoglycemia is a result of a high carbohydrate load followed by a somewhat inappropriate insulin release causing hypoglycemia. Many consider it a disorder of insulin regulation and a precursor to insulin resistance and subsequent Type II diabetes. The treatment is not more carbs but more protein-breakfast,lunch, dinner and HS. I suspect the new Byetta from Lilly or Symlin from Amylin might help if she can tolerate the initial nausea and the injections. She may not have insulin resistance yet but she will. Of course neither of these two drugs carry any clearance for pregnancy so try the high protein diet. The Atkins people (HIGH CARB diet) declared bankruptcy yesterday. Sam ________________________________ From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of -- ________________________________ Richard Chudacoff, MD Sent: Monday, August 01, 2005 6:49 PM To: Multiple recipients of list OB-GYN-L Subject: 5 hour GTT I have an OB patient I'm pretty sure has reactive hypoglycemia. Government assist so I cannot get her into an endocrinologist. I want to get a 5 hour GTT but need to giver her a high carb diet, on that she can follow stepwise. Anyone have one in their possession? Richard Chudacoff, MD, FACOG Women's Specialists of Houston 6624 Fannin Suite 1800 Houston, TX, 77030 713-797-1144 713-425-3071 Email: Richard.Chudacoff@obgyn.net rchudacoff.md@womenspecialists.com This message is confidential, intended only for the named recipient(s) and may contain information that is privileged or exempt from disclosure under applicable law. If you are not the intended recipient(s), you are notified that the dissemination, distribution or copying of the messages is strictly prohibited. If you receive this message in error, or are not the named recipient(s), please notify the sender at either the e-mail address or telephone number above and delete this e-mail from your computer. Next message: Atkinson, Samuel M: "Re: Postdates,Neonatal Death" Previous message: Atkinson, Samuel M: "Re: New paper - Peritoneum closure" Maybe in reply to: Richard Chudacoff, MD: "5 hour GTT" Next in thread: art fougner, md: "Re: 5 hour GTT" Reply: art fougner, md: "Re: 5 hour GTT"

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