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no subject received Thu, 30 May 2002 23:41:27 -0500

From: =?iso-8859-2?q?Zalányi Sámuel ?= (anonymous@obgyn.net)
Wed, 29 May 2002 22:59:01 +0200


<anonymous@medispecialty.com (Aslihan)> 2002.05.29. 11:40:53 -5h-kor írta: > >
> >Hi everybody,
> >This question regards to my mom.
> >I have been diagnosed with PCOS 10 years ago. I have been on Glucophage
> >for 2 years. Recently my mom went to check up and they told her she has
> >insulin resistance and gave her 850*2 mg. Glucophage right away. I
> >told her to start slowly but appereantly in there is only 850mg.
> >available in Turkey. Now she freaked out and refuses to use it. I am
> >so upset and don't know what to do. Since she is far away from me( I
> >live in US) I am worried.
> >I am going to write down her test results. Can you tell me if she needs
> >treatment for IR. and what the dosage should be.
> >I hope you can understand the test results since I guess they are in
> >Turkish.
> >Maybe some of them universal names...(hopefully)
> >Thank you all.. I am glad you are there..
> >ASLIHAN
> >Referral numbers
> >
> >Glukoz(random)...........................117.00mg/dl.......(70.00-125.00)
> >SI...6.44 mmol/L.......(3.85-6.87)
> >hemoglobin A1(DCA)............*.....6.30%..................(4.30-5.70)
> >urine tests
> >
> >dansite............................................1020....................
> >.(1010-1020)
> >
> >reaksiyon(pH).................................5.00......................(5.
> >0-8.5)
> >protein..............................................none
> >gr/l...............(.14)
> >glukoz...............................................none
> >mmol/L.......(none)
> >keton................................................none
> >mmol/L.......(0.5)
> >
> >bilirubin...........................................none...................
> >....(none)
> >blood(with hidroperoksidaz).......none.......................(none)
> >lokosit esteraz
> >akt.........................none.......................(none)
> >
> >nitrit..................................................none...............
> >.........(none)
> >urine microscopy
> >eritrosit.............................................1-2
> >lokosit...............................................4-5
> >squamoz epitel................................4-5
> >
> >Age:60
> >has hypertension
>

Hi Aslihan,

>From these lab values nothing can be extrapolated toward insulin resistance. Her glucose metabolism maybe a little out of balance based on the Hb A1 value.
A frank glucose test should be performed, if abnormal diet introduced before any medicatiion prescribed for her

Sam




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