Re: Medication Questions
From: =?iso-8859-2?q?Zalányi Sámuel?= (anonymous@obgyn.net)
Wed, 11 Apr 2001 21:03:35 +0100 (MET DST)
Hi Becca,
I am not very fond of taking BCP while having an endocrinologic work-up, because it falsifies all the reproductive hormones, but if they could not find any other solution to stop your bleeding OK. What I do not understand, you state your fasting glucos was borderline, the glucose tolerance test normal. So what are they waiting for to come down?
Sam
> On the topic of Metformin and glucophage...
>
> The drs have determined that I have PCOS, but they haven't figured out
> if I am IR yet (so that they can put me on Met if necessary). So far I
> had a fasting glucose at 100 (borderline) and then I had a 2 hour
> glucose tolerance test where the fasting level was 81 (normal) and then
> the 2 hour level was 101 (normal). The endo suspects that if I'm IR,
> he'll be able to catch it if the insulin level is high, so I had another
> fasting glucose test today, with a fasting insulin test and a couple of
> other bloodtest appended on to that.
>
> The "100" test was on Sun. a.m. after I had eaten typically rich food
> over the previous day (Which was the Sabbath...I'm Jewish), and the "81"
> test was late last week, when I had eaten almost no starches the
> previous day. I had been cleaning my house for Passover and couldn't
> eat bread products in my house, and that meant my diet contrasted
> greatly between the two testing days. Should I points this out to my
> endo. when we discuss today's test results? Are there any other tests
> that might help diagnose the IR? What should I ask the dr if he decides
> to put me on Met?
>
> Becca
>
> PS: To Sam...as the problem that I had been having with 2-week cycles
> (as discussed 2 weeks ago) was intolerable, and the provera situation
> was out of control, I just went back on the pill for a couple months
> until my IR workup, etc. is done. Besides seeing the endo last week, I
> went to see the OB/GYN. I brought up the questions you raised with the
> OB/GYN and another nurse practitioner, and they didn't really respond.
> The docs at the fertility clinic want me to wait to lower my blood sugar
> before getting pregnant anyway, so my husband and I opted for the BCPs
> they offered.
>
> At Tue, 10 Apr 2001, Heather wrote:
> >
> >I am pretty sure that for Metformin 2000mg qd is the max they will give
> >anyone so you should try and find out what to do next. Maybe Prednisone
> >as mentioned earlier. Good luck! Heather
> >
> >At Tue, 10 Apr 2001, Emily wrote:
> >>
> >>I have been taking gluophage for about 10 months working my way up to
> >>1000mg 2x a day for the last 6 months. So far I have been doing well
> >>and seen a decrease in symptoms...slower hair growth, less hair loss,
> >>steady weight loss and more energy. However my last labs, a little less
> >>than 3 months ago, still showed my that my testosterone was high and my
> >>cholesterol continues to climb. (Testosterone level was 60 which was
> >>lower than the last test but my cholesterol level was 242....I'm only 25
> >>I would hate for this to keep going up!) I see my endo in a couple of
> >>weeks and I am wondering if I should ask to up the dose of glucophage or
> >>if there is another medication to add to what I am already taking that
> >>will help. I would like to see these hormone levels closer to normal. I
> >>also take BCP (Desogen) and synthryoid. I'm not trying to concieve (I'm
> >>not married...yet) but would not want to take anything that would be
> >>dangerous to a baby if I were to become pregnant unexpectedly. Any
> >>suggestions would be greatly appreciated.
> >>
> >>--
> >>Emily
> >>
>
> --
> Been to Kaiser Permanente 8 times in 3 weeks!
>
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