Re: Getting doctors to give IGTT
From: anonymous@obgyn.net
Wed, 12 Jun 2002 15:39:06 -0500 (CDT)
My personal advice to you is that if you feel you have IR due to how you
feel after eating, but your fasting levels come out looking "normal",
either DEMAND to your doctor that he give you the IGTT or find a new
doctor that will.
I also had those wierd blood sugar feelings after eating for almost 30
years which got worse with age, and my fasting IR levels were still
normal. But my IR finally showed up on another type of test. Once I
began treatment for the IR with glucophage, I felt so much better and
never get those wierd feelings after eating anymore.
Good luck and I hope you find a way to resolve this.
At Wed, 12 Jun 2002, J.W.J. wrote:
>
>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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