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Re: Help please...was I properly tested for IR?

From: CW (anonymous@obgyn.net)
Thu, 27 Jun 2002 21:34:18 -0500 (CDT)


At Thu, 27 Jun 2002, Lisa wrote: >
>I've been to several doctors and have been told that I am not IR by each
>based on the following:
>
>One Dr. gave me a fasting glucose test (blood drawn after fasting) of
>85.

Only glucose was tested, no insulin testing was done. Wrong test for IR. >
>Another Dr. gave me a glucose tolerance test (blood drawn after
>fasting) followed by the consumption of the "glucola" and then took
>blood 1 hour later. I was 92 from the first draw and 134 after 60
>minutes.

Only glucose was tested, no insulin testing was done. This is a GTT. Wrong test for IR. Also, this test seems awfully short. Can't tell much in only 1 hour. IR shows up in 1-3 hours in most cases.

>
>Another Dr. gave me a fasting glucose test and insulin test...both of
>which were determined from the same blood draw after a fast. The
>results: insulin was 9.7 uIU/ml and fasting glucose was 84 MG/DL.

This is ONE of the tests for IR. When glucose and insulin are tested at the fasting level. It is said that when insulin is 10 or higher, IR is present. You are 9.7 which is real close. I would definitely be concerned. >
>I am not sure this is what you are referring to as IGTT...I have doubts
>whether or not I was sufficiently tested.

An IGTT is similar to the GTT you got above, only it lasts 3-5 hours (5 hours is more accurate) and both glucose and insulin are tested at the same time during intervals. A friend of mine recently got a 5 hour IGTT....finally. IR showed up in her 4th hour.

I come from a family of Type >II Diabetes and do not want to develop it. An endo told me I was
>showing signs of IR because I have dark patches and spots on my arms,
>knuckles, neck, etc...they are not very noticable...they look dirty!

Yes, this can be a warning sign of IR. There are MANY warning signs. >
>ANY thoughts? I'm not sure if I need to finds yet another Dr.
>
>THANKS!!!
>
>--
>Lisa
>




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