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Getting doctors to give IGTT

From: J.W.J. (anonymous@obgyn.net)
Wed, 12 Jun 2002 00:54:09 -0500 (CDT)


At Tue, 11 Jun 2002, Renee wrote: >
>But because your fasting level is 5 doesn't mean it doesn't spike up after
>carbs before dropping to a normal level. An IGTT would show that.
>
>Renee
>
>"J.W.J." wrote:
>> Hi,
>> Just for the record I am another PCOS-er (according to my OB) who
>> doesn't have IR. I did have the problems with what felt like low-blood
>> sugar about two hours after eating, and had it for years, but my 8-12
>> hour fasting insulin level was only 5.

I agree with you, and have also asked this very question of my doctor, who proceeded to give me a lengthy explanation of why the IGTT is only used to explore further the abnormal fasting levels (can't remember his logic to recount here). If it seems like such a simple concept to us "laypeople", why don't the doctors dare to explore slightly beyond what they learned in medical school?

An odd thing to me, too, is that it doesn't really seem to matter how well I eat; I still seem to get the low blood sugar symptoms here and there. Such as, a breakfast of shredded wheat n' bran (with splenda and cinnamon), 1/2 grapefruit and 2 eggs, or, a lunch of tuna on multi-grain crispbread (very low in carbs), a pile of sliced cucumbers and half an apple. High fiber is supposed to be better on your blood sugar levels. And even with taking glucophage and eating this way I'm still getting the symptoms. When I asked one endocrinologist about this, he replied, "Oh, 25% of the population gets those symptoms after they eat." And that was it. So, I guess, I'm just supposed to forget about it, according to him <shrug>.

Jessica

--
J.W.J.



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