Re: Thank you! for Olivia
From: Olivia (anonymous@obgyn.net)
Tue, 16 Sep 2003 13:41:10 -0500 (CDT)
Thanks Janet!
I talked to my gyno today on the phone. He said I had slightly elevated
male hormone levels. Luckily he was open to talk about taking an
insulin resistance test. I agreed with him that I would make another
appointment after the insulin test was done to discuss this further.
Thanks for the tip, I will remember to eat many carbs before doing the
test.
Another question: can they see insulin levels in your urine?
--
Olivia
At Mon, 15 Sep 2003, Janet wrote:
>
>Glad to see that you are pressing him on these issuess. I see that you
>wrote the being a gyno he should have know that insulin should have been
>checked. That I wouldnt be so hard on him for. As I wrote, pcos is not
>a reproductive problem. What I am more bother about is that if he
>doesnt even know what tests to run, how is he going to interpert them??
>It is a really tricky thing to determine insulin resistance, mainly
>because there isnt a test for it. What they use is a diabetic test and
>look for numbers that may still be in the normal range but on the high
>end of it. Because this is such a "iffy" thing, endocrinologists rely
>on the outward physical symptoms and hormonal levels just as strongly as
>the insulin levels. If you are stuck with this gyno, (many of us have
>probs getting an endo becasue of insurance issues), question him on
>anything that you dont feel is what is right for you. The biggest favor
>you can do for yourself is get educated on PCOS. To bad that you might
>be paying a doctor that you might have to train, but belive me it wont
>be the first time.
>
>Good Luck
>Janet Heller
>
>PS: 2-3 days before you get your blood work done, eat lots of refined
>carbs(sugar, pasta, potatoes, ect..). If you are insulin resistant, it
>should show up in the numbers. If you are not it wont have any effect.
>Plus, fasting for 8 hours means nothing for 8 hours. No toothpaste, no
>coffee, no gum.
>
>At Mon, 15 Sep 2003, Olivia wrote:
>>
>>Thank you for your answers!
>>
>>I will ask my doctor to do an insulin resistance test. I am quite
>>annoyed as I asked the nurse at the lab if they were going to take an
>>insulin test and she said it wasn't necessary. Glucose levels were
>>enough. But she only took the test the doctor ordered, it isn't her
>>fault. The doctor should have known. He is actually a gyn so he should
>>definitely know better.
>>
>>I don't feel for going onto BCPs again. But I will see what my hormone
>>levels are like before I decide what to do. If I have too little
>>estrogen it might be a good idea after all.
>>
>>--
>>Olivia
>>
>>(Kirsty, I am not the same Olivia that you know from the net.)
>>
>--
>Email always welcome
>Janet at JanetHeller@msn.com
>