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Re: preteen PCOSFrom: AllanHo@aol.comSat Nov 17 11:26:37 2007
In a message dated 11/14/2007 9:12:40 PM Eastern Standard Time, stephen.raymond@dhhs.tas.gov.au writes: Antihyperglycaemics are only indicated for those who have glucose intolerance, and giving her glucophage to raise her insulin even further when she already has hyperinsulinaemia is just anti-intellectual -------------------
------------------- I agree that diet and weight management should be the first line of ------------------- treatment. However, I disagree that glucophage is indicated for glucose intolerance only. My understanding is that glucophage is an insulin sensitizing agent. Less circulating insulin will be needed to maintain euglycemia with glucophage on board. It does not tend to precipitate hypoglycemia by itself. It tends to reduce central obesity. My question for this 11 year old girl is that - what is her diagnosis? Medical treatment at this point may be jumping the gun. Allan
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