WOMENS-HEALTH Messages for January, 2000: Re: PCOS, Insulin & Pregnancy--risks?

Re: PCOS, Insulin & Pregnancy--risks?

From: Harvey S. Marchbein, M.D. (anonymous@obgyn.net)
Mon, 31 Jan 2000 17:03:29 -0600 (CST)

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In reply to: Dianne: "PCOS, Insulin & Pregnancy--risks?"

At Mon, 31 Jan 2000, Dianne wrote: >
>With all the new info about PCOS being related to Insulin resistance,
>does that make a preganant PCOS woman at more risk for anything?

Not from what we are aware thus far because the placental hormones seem to override the system. There has been no publication thus far implicating PCO for gestational diabetes or anything else. And I repeat, thus far.

>I
>understand that pregnancy tends to be a condition on insulin resistance,
>with PCOS on top of that, is it much more likely for us to have
>excessively large babies? My situation-- I've known I've had PCOS prior
>to becoming pregnant, and have had 2 term pregnancies so far-- I've had
>"abnormal glucose tolerence", but not Gestational Diabetes.

An abnormal 1 hour with a normal 3 hour GTT means nothing. If you have an abnormal 3 hour GTT, that's gestational diabetes.

>Both babies
>were macrosomic (One suffered a birth injury because of that). I'm
>pregnant again. Is there anything else I should be watching for and/or
>warning my doc about?

Nothing comes to mind.

--
Harvey S. Marchbein, M.D. FACOG, FACS
Great Neck, New York

**Note:  Opinions expressed here are for educational purposes only
and, as such, do not constitute a physician-patient relationship.
This information is not intended to supplant the need for you to
consult with your physician prior to choosing therapeutic options
and/or interventions.

**Private emails cannot be entertained due to time constraints,
consequently no private emails will receive a response.

**Thank you for your understanding ;-)

Next message: Rebecca: "Blood interactions between mother and baby"
Previous message: Tammy: "Pos preg test no sac"
In reply to: Dianne: "PCOS, Insulin & Pregnancy--risks?"

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