Re: Another question on Insulin Resistance
From: cw (anonymous@obgyn.net)
Wed, 22 May 2002 18:09:20 -0500 (CDT)
At Wed, 22 May 2002, Jess wrote:
>
>I am almost 25. My weight fluctuates like 10-15 pounds , but i really
>don't have a problem loosing it when i want to. What is your sugar and
>carb intake like on a daily basis. What is the max that you allow
>yourself? I am not sure what is a lot and what is ok. I just eat
>whatever I want most of the time, but I do limit my caleries to about
>1500-1800 every day.
I don't know what my calorie intake is or my carb gram intake. Counting
would drive me crazy LOL. I know it's different everyday. Some days
I'm more hungry, some days I'm not. I try to eat balanced meals, eat
what I crave but stay away from the "bad" carbs, and listen to my body.
>
>At what age did you start gaining weight?
I started gaining weight around age 28, and seriously after 35.
>
>why would glucose level be low when you have insulin resistance. do you
>know? would my dr just give me an insulin resistence test if i ask? i
>thought they would only do it if your glucose levels are high.
There are a couple girls here who can explain this better than me
because they are more knowledgable, but I THINK how it works is that the
increased insulin in our bodies causes the glucose level to drop
somehow. IR sometimes feels like low blood sugar. On the other hand,
when glucose is too high and insulin is low, that's diabetes. IR and
diabetes are like opposites. I think. :) Yes, ask your doctor to test
your fasting early morning glucose AND insulin. Carb load for 3 days
before the test, and don't fast for more than 8 hours before the test.
If that doesn't work and you are still not satisfied, but are
experiencing lots of pcos or IR symtpoms, you may want to consider a GTT
(3-5 hour glucose tolerance test) where both the glucose and insulin
levels are tested at the same times.
>
>At Wed, 22 May 2002, cw wrote:
>>
>>At Wed, 22 May 2002, ellen wrote:
>>>
>>>I have all the other symptoms of pcos, but do I have insulin resistence
>>>if I am really thin and have no trouble loosing weight? Do pcoser's
>>>watch their sugar and carb intake in order to maintain their weight or
>>>in order to control their pcos symptoms? I am really bad with the sugar
>>>and carb thing b/c I can't stop eating them. If I am not concerned with
>>>the weight thing, could I eat whatever I want? Would that effect my pcos
>>>symptoms like hair growth and acne? please help. I am so confused...
>>
>>Yes, you can be slightly borderline IR even if you are thin at this
>>time. I assume you are quite young right now? How old are you? Later
>>on, you MIGHT start having trouble. PCOSers watch their carb/sugar
>>intake to help control IR which helps control weight and all other PCOS
>>symtpoms. If you are having trouble adjusting your diet on your own,
>>maybe you can go see a nutritionist for some advice and tips, one who is
>>aware of IR problems. I never had acne because of my overly healthy
>>eating and skincare habits, but my hair problems got worse as I got
>>older even with all my good habits. It's almost like eventually IR is
>>determined to win no matter what you do.
>>
>>>ps: I never got an insulin resistance test, but my glucose level is
>>>really low after fasting for about 24 hours, so I guess doctors are not
>>>concerned about the diabetes and insulin resistance problem. Are they
>>>correct in making that assumption?
>>
>>IR shows up on a fasting blood test that tests both glucose AND
>>insulin...usually the glucose is a bit low (as it is in your case) and
>>the insulin is a bit high (over 10) at the same time. SOMETIMES. It
>>doesn't always show up on a blood test. Mine did not, yet I still had
>>all the symptoms of IR. My doctors from age 16-40 were not concerned
>>either..haha...what a joke. Be careful here. You need to really
>>evaluate how you feel, what all your symptoms are, and ask your doctor
>>to do what is best for you and what you want.
![[ PCOS Discussion Forums ]](../../images/pcos_at_obgyn.gif)