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Re: What Happens Next??

From: Sally (anonymous@obgyn.net)
Mon, 22 Apr 2002 19:28:47 -0500 (CDT)


Hi Jess,

actually, you can't treat the high glucose without treating the PCOS. Because it is the insulin and glucose problems that apparently cause the PCOS. Yes, metformin is probably the best starting approach and probably you should insist that you get to try it. Metformin is used to treat type 2 diabetes. With very high glucose, you would possibly be considered diabetic anyway. Metformin can treat the pcos and the high glucose. It will probably be a long term treatment. There are other treatments available to help with the hair, etc. but these are contraindicated if you are trying to conceive (so only until then).

Some people find atkins too strict - though it can be better once you get off the induction phase. Instead, try a more moderate appraoch like the Zone which focuses on a balance approach to protein, carbs and fats, while still cutting out all refined carbs. Exercise, to whatever extent you can, will also be critical in maintaining this.

Best Wishes Sally

At Mon, 22 Apr 2002, Jess wrote: >
>Hi Everyone!
>
>I am a 23 y/o female who hasn't had a regular cycle in 2 years. I have
>finally gotten health insurance to get treatment.
>Anyways, before I finally got some blood work done, I had talked to a
>few Dr's, told what was going on, and all but one said that it sounded
>like I have PCOS, so I did alot of research and based on what I found, I
>am like a textbook example! Massive weight gain, extra hair, loosing
>hair on my head, adult acne, etc...
>I had my thyroid check, normal, glucose 2 hr fasting, result was 195
>after I ate. Didn't get the result before I ate and my testoterone was
>available either. So, my OB thought it was more important to treat the
>high glucose before the PCOS... so, I called my normal dr, where my ob
>had faxed my results, and he suggested that I come in and talk about
>treatment options. I know I need and want to loose weight for obvious
>health reasons, and I want to have children in the near future (next 1-2
>yrs)... So, how does my future look? I know all people react different
>to medications, I have read about Met. and it seems to help from what
>everyone else says, so should I suggest that to my Dr? I have tried the
>Atkins diet, lost 7lbs in a week, but was sick of eggs and meat by the
>end of it too.. plus I felt like all that meat (I did eat alot of salad
>too) was not good for my heart...
>
>Thanks for all the help!!




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