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Testing for IR (was) Re: anorexic individuals with pcos
From: Jessica (anonymous@obgyn.net)
Wed, 29 May 2002 15:06:25 -0500 (CDT)
People say that sometimes when pcos patients test for IR, it doesn't
show up. If IR is what is wrong with all pcos patients, does this mean
these people will eventually develop IR? I don't think doctors will
prescribe meds to increase your insulin sensitivity if tests show that
you are not IR. Furthermore, doctors don't keep testing for IR if your
tests come out normal. What should the patient do then? Just sit and
wait?
At Wed, 29 May 2002, Renee wrote:
>
>The difference between IR and Diabetes is blood sugar levels. You convert to
>diabetes when the receptor sites on the cells don't respond to the insulin
>anymore, and your blood sugar goes up. With IR, your sugar stays down,usually.
>
>Type 1 diabetes, the kind that starts in childhood, is when you don't make
>insulin. That's why they need to take injections of insulin. Type 2,
>formerly called "adult-onset" but now unfortunately being seen in kids, not
>middle-aged people, is when you make insulin, but the cells don't let it in.
>Both result in high blood sugar, which can lead to many complications.
>
>The high insulin of IR over time can lead to the cell receptor sites wearing
>out. They can only open the door so many times before it wears out and stops
>working. That's why low-carbing and using insulin sensitizers when we're IR
>can delay, (sometimes permanently?) type 2 diabetes from developing.
>
>With type 2 diabetes, after someone has been diabetic for a long time, the
>pancreas can burn out, and stop making insulin. Then, the person may need to
>take both insulin shots AND insulin sensitizing meds. They aren't making
>insulin, and what they inject can't be utilized properly.
>
>I hope this helps.
>
>Renee
>
>Sonnet wrote:
>>
>> I think I understand what you're both saying, and I know it's true that
>> IR can lead to diabetes because of this. But isn't it true that,
>> basically, the difference between diabetes and PCOS is insulin levels?
>> With the high insulin of PCOS, eventually the pancreas wears out and
>> insulin levels are lowered to a point where blood sugar is not longer
>> controlled.
>>
>> Am I understanding right?
>>
>--
>--------------
>Renee Cordrey, MSPT, MPH, CWS
>
>---
>Dwell in Possibility.
>--Emily Dickenson
>
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