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asking the experts here

From: anonymous (anonymous@obgyn.net)
Tue, 29 Jan 2002 19:45:48 -0600 (CST)


Bear with me here ladies: I'm pretty sure I don't have PCOS, however I'm concerned that I may have mild insulin resistance. I'm wondering if I can treat it via diet effectively to succeed ttc.

The reasons I'm concerned are: 1) my brother has type II diabetes, 2) I have some hair on my big toe 3)cyclical acne breakouts(not severe, but 1-4 pimples each month) and 4) two incidences of boils 2 months in a row (maybe this is normal! but the point is I just don't know!)

The reasons my doctor doesn't think I have PCOS or IR are: I am not overweight; I have an hourglass shape vs. apple shape, I ovulate every month with normal cycles, and I have no cysts on my ovaries or other symtpoms of PCOS; and my hormones are all fine (I'm assuming the hormone profile included testosterone..)

But to be on the safe side I want to make sure I'm not exacerbating even a borderline IR problem given my brother's situation, so I've been trying to eat the low carb/high protein diet.

So what I'm wondering is this: for women who control insulin resistance via diet, is that alone adequate to promote fertiliy if one is at a regular weight, ovulating normally and excercices regularly, or for someone who is already eating right, exercising, etc., then is there nothing that can be done with diet/lifestyle to really "control" insulin resistance, and medical treatment is necessary?

Also, is there any way to test one's blood sugar at home without the dr ordering the test? My doctor simply does not think this is an issue, so keeps brushing off my concern, so i'm wondering if there is anyway to test myself to find out.

At my next appt, I'm going to show the RE the little tuft of hair on my big toe, but I have a feeling he's going to give me that kind of smirking look, pat me on the head and say there is nothing wrong, keep trying. (We've been ttc 9 months after a loss, but I already have 3 kids, so the drs don't really care that before I got pregnant fast and now it's not working. I'm wondering if the prengnacy last spring kicked in some insulin resistance, given that these symtpoms appeared then I know weird hairs and acne in pregnancy are common, but the problem is that they haven't really gone away since then. I did gain 15 lbs with the pregnancy (it was a 5-month loss), so maybe that triggered an IR problem?

Last question: Are complex, high fiber carbohydrates broken down more slowly, or are those just as bad as refined carbs?

Thanks for wading through this meandering mess!




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