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Re: (to Paula/Belle) Starting glucophage with normal fasting insulin

From: anonymous@obgyn.net
Thu, 20 Jun 2002 12:23:57 EDT

Hi Paula -

My initial fasting insulin bloodwork over 2 years ago was 52. I was put on Gluc...worked my way up from 500 to 1500...then went to 1700..About 4 months ago, I switched to the XR. I never had the IGTT done...I'm assuming it's b/c my fasting insulin was already "bad", so why go through the test for no reason...it's not like they came back normal and THEN did the test o see what happens later...we already knew that it was bad. My numbers have gone down and up again over the last couple of years...although, like I mentioned, I still haven't gotten the carb thing under control. :(( I have noticed that my fasting glucose numbers have been rising in the last couple of tests...still not really out of the "normal range <125" but very very close to it...i always used to average somewhere between 85-105. Here's a stupid question...why does it matter what an IGTT says if I am already on the meds? This always confused me. I do understand why someone should have it done if their insulin comes back normal, b/c it may not show up until later, but in my case, it seems like it's unnecessary. I've never understood this.

Anonymous

In a message dated 6/20/2002 12:06:51 PM Eastern Daylight Time, anonymous@medispecialty.com writes:

> Subj:Re: (to Belle) Starting glucophage with normal fasting insulin
> Date:6/20/2002 12:06:51 PM Eastern Daylight Time
> From:<A HREF="mailto:anonymous@medispecialty.com">anonymous@medispecialty.com</A>
> Reply-to:<A HREF="mailto:pcos@obgyn.net">pcos@obgyn.net</A>
> To:<A HREF="mailto:pcos@mail.medispecialty.com">pcos@mail.medispecialty.com</A>
> Sent from the Internet
>
> Anonymous,
>
> there is some reason to have the IGTT after a fasting insulin, just to
> see how the glucose and insulin react to each other, but in my
> experience it isn't necessary. i always tell people to have the IGTT to
> begin with, but only because doctors are reluctant to order it after a
> normal fasting result. i was also placed on medication based on my
> fasting insulin level (around 50). it was only AFTER i combined the
> glucophage with diet/exercise though that my numbers began to fall. i
> was told by my RE at the time that for a woman my age (i was 24 at the
> time), who is otherwise healthy i should have a fasting insulin level of
> >6.
>
> hope this helps =)
> love, paula
>
> At Thu, 20 Jun 2002, anonymous@obgyn.net wrote:
> >
> >Belle -
> >
> >I understand that you shouldn't just look at fasting insulin since it may
> >show that you are in a normal range, however, when I originally had mine
> >down, it was out of range already. Why would there be a need to do an
> IGTT
> >if I am already being treated with meds?
> >Also, why do you say that my fasting insulin level of 48 is "doing well"?
> >This number is going up, not down from previous bloodwork . Don't we like
> to
> >see a level <10?? I have been on Gluc XR and Spiro and some other meds
> for
> >a while... I just haven't gotten myself to ease up on the carbs...:((.
> >
> >Anonymous
>
> --
> please feel free to email me at paulam@communicomm.com
>

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