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To Belle: PCOS and no IR?
From: Missy (anonymous@obgyn.net)
Sun, 30 Dec 2001 12:43:56 -0600 (CST)
Thanks! Did your daughter have to go on insulin senitizing drugs then?
I've been trying to watch my carb and the type of carbs I intake. Is
that enough especially since my fasting glucose levels is in the ideal
range? Missy
At Sat, 29 Dec 2001, Belle wrote:
>
>You can be thin and have PCOS. You can be thin and have IR. Fasting
>glucose means nothing. 199mg/dl is not normal. 200mg/dl is diabetic.
>Between 140 and 199 mg/dl is considered Glucose Intolerant. Fasting
>levels should be less than 120 mg/dl but ideally between 60 - 80mg/dl
>for a 8 - 12 hour fast. None-the-less, this does not have anything to
>do with insulin. A fasting insulin may help detect if you are IR but
>more likely, it will take a 2 hour Glucose Tolerance test with insulin
>levels (IGTT)to help make that determination.
>
>The truth of the matter is that doctors who are involved in PCOS
>research seem to feel that all women with PCOS would have IR if the
>tests were sensitive enough to detect it. The IGTT can only help
>diagnose IR because it is really only test for hyperinsulinemia. The
>actual test for insulin resistance is not done on women because of the
>costs. These are only done on research projects.
>
>Only about 1/2 of the women with PCOS are overweight according to some
>reports. IR can have nothing to do with weight. My daughter was always
>considered thin by her pediatricians to the point that this was
>commented on several times. When she started her period and did not
>regulate after a year, I took her in to the endo who did a a 2-hour IGTT
>on her and guess what? Extremely thin, hard to put on weight and ...
>diagnosed IR.
>
>At Sat, 29 Dec 2001, Missy wrote:
>>
>>I am not overweight nor do I have a
>>problem controlling my weight but I still wonder if I have PCOS, but how
>>could I if I am probably not IR?
>>
>>I read that only 10% of non-overweight women with PCOS have IR so how
>>does one explain PCOS in them? What caused it?
>>
>>My fasting glucose level was 77 with 65-199mg/dl being the normal range.
>>Does that mean anything? thanks, missy
>
>--
>Hope this helps,
>
>Belle
>
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