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Re: BelleFrom: Belle (anonymous@obgyn.net)Sat, 18 Mar 2000 16:54:12 -0600 (CST)
Many of us have had difficulties getting diagnosed properly. I was told it was stress causing my symptoms. Later, I was on a different HMO and I was told it was my 15 lbs of extra weight causing the problems and then I was told it was a tumor in my brain, without any tests to back this up. My husband had chosen this dr out of the HMO list and felt responsible for having gotten me to see this quack. (I know we are not supposed to name names but this is too funny, I will not mention the state or country, the dr was listed as H. Bear. When we got to the office, we found out that his name was Harry -- Bear. This was the last time my hubby tried to find a dr for me!) It is getting easier but there are still drs out there who are not aware of the problems associated with PCOS. Hang in there! The insulin needs to be tested with the glucose. Your insulin levels can be fine by themselves but may be inappropriate in relation to the glucose level. Unless you are substantially impaired, your glucose levels may be within normal limits. Example: your insulin may high enough to counteract the glucose by the time of the testing. It is the insulin that assist the glucose into the cell to be used for energy. For people who are seriously insulin resistant, the GTT may indicate an increase in glucose. This would be because no matter how much insulin is being released into the bloodstream, the cells will not let the insulin/glucose in effeciently. Based on the recent (repeated) research about the effects of insulin on us and also the benefits of insulin sensitizing drugs (such as metformin/Glucophage), it may be best for you to have an insulin test. Better yet, find someone who is very knowledgeable about PCOS. This may be difficult I know, but it is worth it. Perhaps you could let your dr have some information on PCOS. There are some excellent articles listed on the PCOSupport home page. http://www.pcosupport.org Look under journal articles. There is also an excellent article by the New England Journal of Medicine that Lori found. She tried to post it earlier but it didn't work. She is going to try to post it again so keep an eye out for it. She was posting under "Information to send Dr. before consultation". The name of the article she sent me was Polycystic Ovarian Syndrome. I do not know how it is listed for the URL but here is the bibliography: The New England Journal of Medicine 1999;340:1314-1320.
-- Hope this helps,
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