PCOS Messages for December, 2001: To Sonnet: PCOS and no IR?

To Sonnet: PCOS and no IR?

From: Missy (anonymous@obgyn.net)
Sun, 30 Dec 2001 13:00:28 -0600 (CST)

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At Sun, 30 Dec 2001, Sonnet wrote: >
>Your glucose level is great, normal for a fasting test. This means that
>you don't have diabetes, so you're a step ahead!! It doesn't tell you
>anything about IR though.

Thanks. That is interesting that it doesn't tell you about IR. I actually do glucose testing on mice strains and always thought from what I read on PCOS that one could detect IR, but that is clearly not the case. I tried to find this sheet that I got this info from yesterday but I couldn't. It had a lot of infomation about test results.

>
>I've never heard that a majority of non-obese PCOS'ers were also non-IR.
>I haven't heard anything to contradict it, mind you, but that still
>would surprise me. Only about 50% of us are obese, and IR is still
>considered by most medical professionals to be the cause of PCOS - so I
>assume it must be common in women of all weights!

I am very well aware that only half of PCOSers are obese, but have wondered about IR. I know I read it somewhere that only 10% of nonoverweight PCOSers are IR but that may not mean much and may be incorrect according to what you guys are telling me.

>
>Have you had an IGTT to test for insulin resistance?

No, but I wrote that down. Thanks.

>The most common theories that I have heard about women with PCOS who
>don't test positive for IR is that their IR is so slight as to not show
>up on standard lab value tests. (Their ranges really are quite wide
>spread.) It's possible that the IR might just be slight. Also possible
>that certain women are more sensitive to IR - a very slight case of it
>might cause definite symptoms for some.

Do you think that if I am only slightly IR that it could be regulated by diet? I am trying to get whole grain carbs rather than refined carbs and trying to limit my intake to 50% of calories from carbs. I know some eat far fewer calories from carbs than 50% but that seemed like a safe number for me.

>
>I'd also want to be sure that other syndromes etc were ruled out -
>thyroid disorders, Cushing's, etc.

I don't have thyroid problems, but I don't know about other things. I did have my 17-hydroxyprogesterone tested, which I thought checked for something but I don't know what since I haven't been able to find info on this. It was normal.

Thank you Everyone! So sorry I bombarded each of you with questions again! You really are clearing this all up for me. Thanks again, Missy

>
>At Sat, 29 Dec 2001, Missy wrote:
>>
>>Hi Again! Yet another question. 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
>
>--
>Sonnet Fitzgerald, PCOS Association, Online Community Liaison. Email: sonnet@pcosupport.org
>

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