Re: won't prescribe Met...
From: A (anonymous@obgyn.net)
Fri, 08 Sep 2000 15:21:12 -0400
Quick comment...
My RE has refused over and over again to perform the IGTT. FIrst fasting insulin
level was 13.9 (after being off bcp for 3 mos) second was 16 (after being off for
6 mos). I have now been off bcp for almost 8 mos and she will be testing fasting
insulin again at the end of september. She said that if it is 18+ she will
prescribe Met for me. I've lost 30 lbs low carbing alone but think the Met may
help as well.
:-) Alexis
Kim wrote:
> At Wed, 6 Sep 2000, Monica wrote:
> >Patti,
> I just had my fasting insulin and glucose levels checked and they too
> were very normal(probably the only thing normal about me!)0 My doctor
> will not prescribe Met b/c of that. I am not overweight, but my
> testosterone levels are elevated. When I meet with my RE next I will
> ask again, but he was pretty sure that Met will not help someone with
> normal insulin and glucose levels ovulate if that is your main goal.
>
> Good luck, we are trying too!!!
> Kim
> >Hi Patti,
> >When you say your insulin levels were normal was that for a fasting
> >insulin blood draw or did you have the IGTT done (the fasting glucose
> >blood draws with insulin levels- usually a two hour ordeal). I know
> >from other posts here that one can be IR and still have a normal fasting
> >insulin reading. So, to be really sure if you are IR is the IGTT. I
> >had a normal fasting insulin level and did not have the IGTT, but my dr.
> >prescribed MET anyway due to high testosterone and DHEAS. So I could
> >very well be IR and not even know it. I guess I was happy to get the
> >MET and didn't push the issue. I knew from other readings that PCOS
> >women who are not IR still benefit from MET in terms of weight loss, and
> >normalizing testosterone and DHEAS levels. Ask you dr. about the IGTT.
> >A fasting insulin blood draw may not be enough to determine if you are
> >IR - it can come back in the normal range. I hope I helped some.
> >:)Monica
> >
> >At Wed, 6 Sep 2000, Patti wrote:
> >>
> >>I had an ultrasound yesterday to follow up my Clomid therapy. I had two
> >>good eggs, so I had my Profasi injection. This is my second round in a
> >>row of Clomid-I hope I can get pregnant this time. Anyway, I asked the
> >>nurse during the ultrasound if the doc prescribes Met even if insulin
> >>levels are normal (mine were). She said no because if your insulin
> >>levels are normal, Met won't help you ovulate. I would love to get
> >>pregnat, but I am also concerned about the other symptoms, especially my
> >>weight. I still have 50 pounds to lose and I seem to be stuck. Are any
> >>of you taking Met who had normal insulin? Has it helped, especially with
> >>weight loss? I would like to know so I can approach my regular gyn about
> >>it. Thanks!
> >>
> >>--
> >>Patti
> >>
>
![[ PCOS Discussion Forums ]](../../images/pcos_at_obgyn.gif)