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Re: PCOS w/o insulin resistance? (was Re: PCO Diagnosis)

From: =?iso-8859-2?q?Zalányi Sámuel ?= (anonymous@obgyn.net)
Sun, 12 May 2002 05:49:06 +0200

Fergus Gibson <ferg@islandnet.com> 2002.05.08. 16:59:56 -5h-kor írta:

>

>> ----- Original Message -----
> From: "Mindi" <anonymous@medispecialty.com>
> To: "Multiple recipients of list PCOS-MEDICATION"
> <pcos-medication@mail.medispecialty.com>
> Sent: Wednesday, May 08, 2002 12:24 PM
> Subject: Re: PCO Diagnosis
>
> > I have just started taking Glucophage, even though I tested negative for
> > insulin resistance.
>
> Can anyone explain this to me? If, as has been said, insulin resistance is
> the underlying cause of PCOS, how can it be that a PCOS patient tests
> negative for insulin resistance? Does this suggest a problem with the
> existing theory of PCOS, insulin resistance testing, the interpretation of
> the test results, or something I haven't thought of?
>

Hi Fergus,

You have to be careful of taking statements on face value. Most people (and even their doctors) seem to think that a simple glucose tolerance or even a more complicated glucose/insulin test can testify for insulin resistance. This is not the case. To test for IR a very complicated test and instrumantation is needed, which is available in very few laboratories. It involves the continuous infusion of certains amounts of glucose and frequent measuring of glucose/insulin in your blood. I doubt if such a test was performed in any of the cases who claim to have tested for insulin resistance. Alt the other tests only give a certrain insight into the glucose/insulin balance. For your info

Sam



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