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Re: FASTING Test isn't enough treatment of PCOS without insulin resistance
From: aon (anonymous@obgyn.net)
Sat, 24 Jun 2000 21:31:57 -0500 (CDT)
Many pco'ers have normal fasting glucose and insulin. You need a
glucose tolerance test. First get fasting glucose and insulin tested,
drink glucose drink, then an hour or two later get tested again. I have
normal fasting levels and dramatically high tests following glucose.
Tell your doctor , although he/she should know. Fasting is not enough.
just read the board.
At Sat, 24 Jun 2000, Michele wrote:
>
>Andrea, are you sure you meant fasting glucose was normal, not fasting
>insulin? The fasting glucose test does not tell you if you are insulin
>resistant. It tells you what your blood sugar levels are. Which
>determines whether you have diabetes if high or hypoglycemia if its low.
>In order to determine "insulin resistance" or hyperinsulinemia (the
>medical term for this) you must have a fasting insulin test or an a
>glucose tolerance test with insulin done. If these come back normal
>then you don't have insulin resistance yet.
>If she put you bcp because your irregular and aldactone for the hair and
>acne, it is because this had been the way most people were treated,
>because it was not yet understood that the underlying cause of pcos is
>mostly likely the failure of the insulin mechanism. These drugs help
>symptoms, which is fine, but they do not get to the root cause of pcos
>which is a failure of the body to use it's insulin properly.
>
>It is important that you find out through the tests I mentioned above if
>you do have hyperinsulinemia (use this term, it is more doctoreze then
>insulin resistance), because this condition can lead to hypertension,
>high cholesterol, diabetes, heart disease and infertility. If it isn't
>treated you will continue to get sicker inspite of the bcp and
>aldactone.
>Just so you know my fasting glucose was normal also, but my fasting
>insulin was 56. Glucophage treats the hyperinsulinemia the other meds
>don't. Hope this helps! If you read the forum there are several good
>web sites that can give you more info.
>
>At Sat, 24 Jun 2000, Andrea wrote:
>>
>>Hi everyone. Even though I have PCOS and my dad has type II diabetes,
>>my fasting glucose level is normal, so I don't have insulin resistance.
>>When I was diagnosed with PCOS, my endocrinologist barely told me
>>anything about it, so I'm wondering why she prescribed me the Pill and
>>Aldactone. From what I've read here on the internet, Glucophage
>>(metformin) seems to be a promising treatment of PCOS. But in the case
>>of PCOS, is it only prescribed to those with insulin resistance?? I'd
>>much rather work at the root of the problem than just the symptoms. I'm
>>wary of giving suggestions to my doctor especially if I don't know what
>>I'm talking about. I just have this feeling that she is outdated. For
>>one thing, she prescribed the Pill in which she said to start on the 5th
>>day of my cycle (rather than the standard 1st day or following Sunday).
>>When I asked the pharmacist, she said that starting on the 5th day used
>>to be thought as a more effective way, but that belief no longer holds
>>true. Then what's up with my endocrinologist?
>>
>>--
>>Andrea
>>
>--
>michele
>
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