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Re: Just diagnosed, what should I make sure my doctor does?

From: Hannah (anonymous@obgyn.net)
Wed, 11 Apr 2001 14:48:39 +0100


Monica,

This is the answer that I've gotten from one of my PCOS books:-

"This is because many women with PCOS have hyperinsulinemia, a higher than normal amount of insulin in their bodies. Hyperinsulinemia results from insulin resistance.

Insulin resistance results frm the body not metabolizing sugar well. As food enters your body, it is broken down into small compontents, including glucose, an important sugar that comes from carbs. Glucose is a major source of quick energy for the body. When you eat foods high in carbs, your body detects a rise in glucose and signals the pancreas to produce more insulin.

Together, glucose and insulin enter the bloodstream. The insulin fits into special "insulin receptors" in the cells. This allows the excess glucose to enter the cells and be used right away as energy or stored for future use. In the muscles and liver, glucose can be stored short-term as glycogen. In other tissues it can also be converted into fat for longer storage.

In women with PCOS, these increased levels of glucose and insulin create an imbalance with other hormones. Subsequently, the body produces more male hormones and inhibits the ovaries from ovulating. If left untreated, insulin resistance can lead to type II diabetes. Insulin resistance is not found in every woman with PCOS but it is seen in many, more prominently in those who are overweight.

Another troublesome thing about insulin resistance is that once you eat carbs and the insulin has finished its job of storing them, the body doesn't sit dormant waiting for more. Instead, it rushes a signal to the brain, giving out false hunger pains. Naturally, you eat more to satisfy your hunger and the vicious cycle continues.

Because the connection between PCOS and insulin resistance is so strong, many women have successfully lost weight by watching their carb intake, especially when other types of diets have failed. With fewer carbs coming in, your insulin and glucose levels drop and your body can actually burn fat for energy. This is what causes you to lose weight."

Monica, the book goes on about different carb diets (1) cutting carbs to below 30g a day until at goal weight then introducing carbs back gradually or (2) eating 3 meals a day 2 of which must be extremely low carb and 1 can have a moderate amount of carb.

I watched a cookery programme just this weekend that actually commented on pasta. The Chef actually said "what use could your body possibly have for a mixture of flour and water" which I think is quite true.

Hope this helps. I adore pasta but don't miss it because all your cravings go.

Let me know what you think.

Hannah

> -----Original Message-----
> From: monica.clark@butterworths.com [SMTP:monica.clark@butterworths.com]
> Sent: Wednesday, April 11, 2001 2:29 PM
> To: Multiple recipients of list PCOS
> Subject: Re: Just diagnosed, what should I make sure my doctor does?
>
> WHy does a lo carb diet help.....I don't know if i could live without
> pasta...what could i use as a supplelent?
>
> monica
> At Tue, 10 Apr 2001, Christine DeZarn wrote:
> >
> >Hi Cindy,
> >
> >I would recommend a reduced carbohydrate diet. You may feel much better
> if
> >you reduce/minimize the amount of sweets, bread, flour products, cereal,
> >pasta, potatoes and other starches from your diet. Most doctors know
> little
> >about the nutritional aspect of care for PCOS, though some are well
> aware.
> >Don't be surprised if he looks at you like you have three eyes if you
> >mention this. But your best bet is to try it and se4e how you feel.
> Many
> >women have success with this approach.
> >
> >You may also want to ask your doctor about the insulin-sensitizing drug
> >metformin (Glucophage) which is commonly used with a fairly good success
> >rate in treating PCOS. There is research available here at obgyn.net, at
> >http://www.pcosupport.org, and at the INCIID web site that you can use to
> support
> >this, if you choose to pursue a drug therapy.
> >
> >Please don't feel alone - there are many women who have had similar
> >experiences to share with you.
> >
> >Christine
> >
> >-----Original Message-----
> >From: pcos@obgyn.net [mailto:pcos@obgyn.net]On Behalf Of anonymous
> >Sent: Tuesday, April 10, 2001 9:06 PM
> >To: Multiple recipients of list PCOS
> >Subject: Just diagnosed, what should I make sure my doctor does?
> >
> >I am 21 years old and have just been diagnosed with PCOS after years of
> >absent periods, weight gain, hair growth and acne. My doctor has
> >ordered blood tests and put me on tricyclen(birth control). Is there
> >anything else I should make sure my doctor does? Any questions I should
> >ask? I am concerned about diabetes and heart disease because these both
> >run in my family. I have gained 45lbs in the last year since I stopped
> >using birth control(also had more hair growth). I would also like any
> >suggestions for hair removal, I have been using a depilatory (Nair) for
> >the last month but I am experiencing ingrown hairs on my face I
> >think...... Thank You
> >CindyJ
>

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