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Kerry, re: Insulin Resistance

From: Joan (anonymous@obgyn.net)
Thu, 14 Dec 2000 16:16:37 -0600 (CST)


Kerry,

The 2hr IGTT is a much more sensitive test that the fasting insulin glucose test. My fasting tests were pretty much normal but the IR showed up on the 2 hr test, though glucose was still normal. One theory about this is that even women who don't meet the IR criteria may still have ovaries that are extra sensitive to insulin-Since some women who are not 'officially' IR seem to have benefits from Met. that seems like a plausible explanation.

I had my first ultrasound 15 years ago when I was initially diagnosed by a reputable RE. I have had other ones for various reasons, including to understand why I was having pain. Frankly, I think they are pretty standard practice diagnostically and I'm suprised your Dr. hasn't suggested one. It doesn't suprise me when Dr.s aren't on the ball relative to IR-but I think that most REs are up on this information. Good luck with your January appointment-I'm sure the care will be better. Keep us posted.

--
Joan

At Thu, 14 Dec 2000, Kerry wrote: > >Dear Joan, > >I really appreciate your comment. It seems like your doctor is much >more willing to monitor and help you. Please clarify something for me. >If your fasting glucose was fine then was your 2hr. IGTT test abnormal? >My doctor does not seem to think that it is necessary to test my insulin >resistance. That is why I don't even know if I am resistant. Up until >now, the low dosage of Glucophage (500mg then 1000mg per day)that I am >taking seems to increase my carb and sugar craving. My doctor just >wants to see me and have my cholestrol tested again after 4 months. No >glucose/insulin testing or anything else. I just find that disturbing. >I am glad to know that there are doctors out there that will give you >more tests :-> > >If it is not too personal, can you tell me what your ultrasounds were >for? I have an appointment with an endocrinologist but it is not until >Jan 23rd! Hopefully, I can get better care then. > >Thanks again > >-- >Kerry >




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