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Re: asking the experts here: IRFrom: Pat (anonymous@obgyn.net)Wed, 30 Jan 2002 18:28:47 -0600 (CST)
It is difficult to diagnose IR/PCOS without appropriate labwork, which is still evolving. PCOS diagnosis requires more than the usual tests, and testosterone is not usually drawn unless someone is looking for PCOS, and it is part of a ratio. The best test for IR might be a fasting Insulin. The research suggests that a fasting blood level above 110 and below 126 might suggest IR. The key is, for me at least, is making choices about what I eat as I just believe they are better for me. For example, I don't want my blood sugar fluxuating all over the map, so I try to keep it in line by the choices I eat. I don't want to overtax my pancreas, in other words. It is a mindset, and once I understood the implications of a higher than average blood sugar, I am doing what I can in my power to keep my blood sugar low. You also didn't mention your age. If you are younger and physically active, you might not be IR yet, but heading there. Remember also, this is a new field. I eat this way because I feel better when I eat this way. Once you think health, it really changes your perspective. My husband, Mr high metabolism, can eat anything, and eats way too much sugar. I worry about the affect on his health, but he's not fat (and never will be), and not diabetic. So, the USDA food pyramid works for him, but not for me. Lucky for me I like vegetables.... Testing: http://home.attbi.com/~creationsunltd/appendixa.htm#LabScreen and http://home.attbi.com/~creationsunltd/appendixa.htm#ResearchMeth Yes, IMHO, you can slow the progression of IR by the food choices you make. As long as you aren't sacrificing nutrition with your food choices, you should be okay. No one can argue with a healthy diet, with lots of healthy greens. If you are really serious about fertility, this is a way to go. I feel it is the complex carbohydrates that hurt us, and I just make careful choices about them. It is concerning your provider won't even order a Fasting Blood Sugar. That is important, if only for a baseline. And, with a family history of such. It doesn't matter whether or not you are IR or diabetic, knowing your FBS is helpful I also had my HGA1C drawn this year, and it was 6, which is borderline high normal. My FBS was okay, but slightly higher than last year. This was right after Christmas, but at least now I have this information. Another way to test is to have a fasting complete cholesterol panel. This means cholesterol, Triglycerides, HDL and LDL. If these are all normal, and a FBS are normal, then you are wise to be doing what you are doing. Also, do lots of reading. Another good book is Blood Sugar Blues: http://home.attbi.com/~cnmpat/baleatdiab.html#BloodSugarBlues One of the first books written about IR. Did you have gestational diabetes during your pregnancy ? That is another sign, as in the third trimester of pregnancy, blood sugars are elevated. If you've had three pregnancies already, you don't have PCOS now...but you are at future risk for IR and Diabetes, with your family history. Forgive me if I am too much a preacher. I am just so very interested in this topic. High fiber carbs are good for you, as they move through your system. Its the low fiber starchy carbs that are the culprits that seem to make things worse for some folks Pat Sonnenstuhl, ARNP, CNM, MS Balanced Eating Support http://home.attbi.com/~cnmpat/favlowcarbsites.htm http://home.attbi.com/~cnmpat/siteindex.htm PCOS Support http://www.midwivesofwa.org/pcos.htm http://www.midwivesofwa.org//pcosarticles.htm
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