Re: Link between Type II diabetes and pcos
From: Jill (anonymous@obgyn.net)
Tue, 4 Jun 2002 21:51:55 -0500
ok, you got the right idea, but backwards. IR is not the underlying cause of
PCOS. PCOS creates elevated hormone levels, LH, FSH, and testosterone.
from these elevated hormones comes the IR. that's why people with type II
diabetes don't have these same symptoms as with women with PCOS. that's the
difference. It's the same as you were thinking, only backwards. our
hormones cause the IR, and the adrenal gland problems ect ect. ok?
--
Jill Erlendson
Nurse
6 wks pregnant!!!!! :-)
>----- Original Message -----
From: "JeanetteR." <anonymous@obgyn.net>
To: "Multiple recipients of list PCOS" <anonymous@obgyn.net>
Sent: Monday, June 03, 2002 11:34 AM
Subject: Re: Link between Type II diabetes and pcos
> I was reading the IR discussions from below and it's interesting, but
> nobody really answered why, for example: if our IR is causing our
> ovaries and adrenal to produce elevated testosterone levels, why isn't
> the regular type II diabetes female patient with IR doing the same
> thing? I know that PCOS and diabetes are 2 different diseases, but I
> keep hearing that the underlying cause of PCOS is insulin resistence...
>
> The bottom line is that if 2 people have something in common, in this
> case, IR, what's the differentiating thing in PCOS that causes the
> elevated testosterone levels which doesn't manifest itself in type II
> diabetes female patients??????
>
> At Sun, 02 Jun 2002, Renee wrote:
> >
> >There are two types of diabetes. Type 1 is usually diagnosed in
childhood,
> >adolescence, or early adulthood. In this type, the cells in the pancreas
that
> >make insulin don't work right, and don't make sufficient (or any)
insulin.
> >Therefore, they have to inject insulin their whole lives to kep their
blood
> >sugar down, and survive. Insulin carries the sugar into the cells.
> >
> >Type 2 diabetes is a separate beast. In it the pancreas still works (at
least
> >for a number of years), and insulin floats around the bloodstream, but
the
> >cells' receptor sites don't recognize it anymore and don't let it in.
It's
> >like the key not fitting the lock anymore. So, blood sugar is high, and
> >insulin isn't doing anything. In fact, insulin resistance is a
pre-diabetic
> >condition. Over time, with the pancreas working extra hard to produce
more
> >insulin, since the cells are putting out signals that they aren't getting
> >enough, the pancreas can wear out and stop making enough insulin. In that
> >case, the person needs to take insulin shots and an insulin sensitizing
> >medication. However, most type 2 diabetics only need the medication,
diet, and
> >exercise, and not insulin.
> >
> >The key to diabetes is to much sugar in the blood stream, not being able
to
> >get into the cells. However, there are 2 different reasons for that
occuring.
> >I hope that helps clear it up.
> >
> >Renee
> >
> >Sally wrote:
> >>
> >> Hi Jan,
> >>
> >> this does not make sense to me. High insulin is opposite to diabetes
> >> where you don't have enough insulin to maintain your blood sugar
stable.
> >> On the other hand, if you have some problem with your insulin (ie. it
> >> doesn't connect properly with cells and so can't work to reduce your
> >> blood sugar) - I guess then that both insulin and sugar could be high.
> >> But that is apparently what happens in PCOS. We have insulin
> >> resistance, resulting in higher than normal insulin and poor control of
> >> blood sugars.
> >> Sally
> >>
> >--
> >--------------
> >Renee Cordrey, MSPT, MPH, CWS
> >
> >---
> >Dwell in Possibility.
> >--Emily Dickenson
> >
>
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