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Re: What should I be doing?
From: anonymous (anonymous@obgyn.net)
Tue, 19 Feb 2002 21:58:03 -0600 (CST)
Thanks for that Belle, I think I need to find a better Endo- He told me
nothing about this! If you have the time could you please give me a
basic outline of how to alter my diet or do you know a good site with
this information?
At Mon, 18 Feb 2002, Belle wrote:
>
>Since you have PCOS, you likely have insulin resistance even if you do
>not test as having an insulin problem. This is because there is no
>really good test for insulin resistance available to most of us. The
>test that we do take is not terribly sensitive enough. Some doctors
>only take fasting levels which are not as informative as the 2 hour
>glucose tolerance test with insulin levels.
>
>The thing about PCOS is that you can continue to have worsening problems
>throughout your life, even after menapause, when many women think that
>PCOS should be gone. The fact that you are not currently having
>problems does not mean that you will continue with your good fortune. I
>would watch my carb levels so that I did not make the insulin problem
>worse. I
>
>Women who do not have an obvious insulin problem but do have PCOS have
>seen improvement with Glucophage/metformin or other insulin sensitizing
>drugs. Diane is one of the better BCPs out there for us but still the
>pill is not a good *treatment* for PCOS. It is good for preventing
>birth.
>
>If PCOS is left untreated, it can lead to heart disease and diabetes. If
>we do not have regular periods, it can lead to endometrial cancer. The
>diabetes risk is really huge. We have a 40% risk of having diabetes by
>age 40 and a 60% of us will have it by age 50. This is compared to
>approx. 5.8% of the American public in general.
>
>At Mon, 18 Feb 2002, anonymous wrote:
>>
>>Hi.I`m 25 and Ihave PCOS.I have irregular periods,bad mood swings ,a
>>little trouble with acne and excess hair and some trouble falling
>>pregnant (but not as bad as many).I don`t have a lot of the distressing
>>problems associated with this condition and I have been told that my
>>insulin is within acceptable levels.My question is - how much should I
>>be doing to control my condition? I am taking Diane 35ED and vitamin B6
>>but doing nothing else concerning diet and lifestyle. Is there further
>>risk of illness if I don`t make changes?
>
>--
>Hope this helps,
>
>Belle
>
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