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Re: lab results indicate no insulin problem (fasting insulin 7.2), is glucophage appropriate for me?

From: cw (anonymous@obgyn.net)
Thu, 27 Jun 2002 18:23:10 -0500 (CDT)


Ohhh 7.2 not 72. LOL What a difference! Yes, actually, you may be borderline. My fasting levels were 8, 6, and 2. The fasting test is not always accurate, because after many hours, insulin and glucose levels sometimes level off. You may want to get an IGTT for a more accurate reading or just try the glucophage again in a smaller dose, cut up. Besides pcos, another warning of IR is that high cholesterol level. How do you feel? Do you get other symptoms of IR like headaches or low carb tolerance, etc.? Do you feel like you get ups and downs during the day an hour or two after eating?

At Thu, 27 Jun 2002, Lisa wrote: >
>Sorry about that. My fast insulin was 7.2, Not 72. Still think
>Glucophage is needed?
>
>At Thu, 27 Jun 2002, cw wrote:
>>
>>A fasting insulin level of 72 is very high. Unless this is a different
>>type of measurement than I am used to seeing. They say anything over 10
>>is a bit too high. Over 27 is definitely high. And indicates insulin
>>resistance.
>>
>>Also, instance resistance can cause high cholesterol and may be the
>>reason for your high cholesterol most of your life, regardless of your
>>fitness level.
>>
>>An insulin sensitizing medication like glucophage (along with a low carb
>>diet) should lower your fasting insulin rate as well as your cholesterol
>>(my cholesterol dropped from 330 to 230 in just 3 months after
>>glucophage).
>>
>>You may want to try glucophage again, maybe cutting the pill in half or
>>quarters, and see if it still bothers you. Give it some time to work
>>slowly. Otherwise, there are some other insulin sensitizers on the
>>market that you may be able to take that might not give you problems.
>>
>>Insulin resistance should not be taken lightly. Even if you are able to
>>get pregnant, later on in life (i.e. after 40) many other health
>>problems can build up such as diabetes, heart disease, and nerve
>>disorders if IR is ignored. Be careful.
>>
>>At Thu, 27 Jun 2002, lisa wrote:
>>>
>>>I'm 32 years old. MY FSH was 2.16 mcIU/ml. My glucose, plasma was 83
>>>mg/dL
>>>My Fasting Insulin was 72 mcU/Ml. Prolactin level was 6.7 ng/mL.
>>>
>>>I am 10lbs over my ideal weight. I do have high cholesterol. However,
>>>even when I was younger and in the best shape of my life, eating only
>>>low fat healthy foods, it was around the same level as it is today.
>>>
>>>We've been trying to get pregnat for about 2 years. And an ultrasound
>>>did show some PCOS-like cysts in my ovaries. I have been pregnant
>>>before, but we lost the baby at 7 weeks. I have some minor facial hair
>>>problems, that I easily take care of with wax or tweezing. I have no
>>>problems with my hair or skin whatsover.
>>>
>>>I've seen two docs about this, one (my ob/gyn) thinks I should take
>>>Glucophage, the other (fertility specialist) doesn't think my lab
>>>results warrant me taking it.
>>>
>>>I did try the glucophage. Starting off slowly with one pill a day. I
>>>never made it beyond that because it made me so sick. Now, I'm not
>>>taking it at all. I've tried Chlomid, but it kept causing me to get
>>>functional cyst. The time we got pregnant, we were actually on a break
>>>from fertility meds and charting and all that other stuff for a month
>>>(waiting for a cyst to disolve, for my next cycle to start, before
>>>starting IVF treatment).
>>>
>>>Are these lab results enough to indicate a level of PCOS that would
>>>interfere with me getting pregnant and/or maintaining a pregnancy? Is
>>>glucophage something I should really try to better tolerate and take to
>>>improve my chances?




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