Polycystic Ovary Syndrome (PCOS)

Questions about Insuline Resistance.

Question:

I have had the fasting Insuline/Glucose test. That showed that it was where it is supposed to be. So, Dr. says that he cannot put me on Met. I have read an Article from a Dr. online that I can be put on it b/c it will not affect my blood sugars at all. That Dr.’s are putting heavy non-diabetic patients on this to just lose weight. If this is safe enough for them then why is it not safe for me? I am just about at wits end with this Dr. He did not even know about Metformin until February when I TOLD HIM ABOUT IT!!! I took in all my print-outs from here and showed him. He wants to put me on bcp’s. I say NO. I have been on them since I was 15 (now 29) at different times in my life and they just screw up cycles even  worse. I have just heard about pco in December on Dateline. Now I cannot find a Dr. (rural area) that even knows any off the up to date tests or treatments. Here it is either bcp’s or hysterectomy (these are their solutions for me). But since i have no isuline resistance he says that I cannot be put on Met. I have to disagree with him b/c I have read differently. Has anybody else ran into this with their Dr.? I really need answers. I know that Met will do nothing to my sugars. So, why not? He has no answer for that and says that it will make me Diabetic. Can somebody answer for me? Thanks…Tracy… Oh, by the way he did put me on Provera for 10 days to start my cycle (over a month ago) and nothing yet. It has been well over 2 years since last cycle…Told me to diet and excersize and all will be fine… –== Sent via Deja.com http://www.deja.com/ ==– —Share what you know. Learn what you don’t.—

Response:

I believe being on Met does affect blood sugar level or else they would not prescribe it to diabetics.  It’s true that it will not help if your insulin levels are normal.

Response:

>I believe being on Met does affect blood sugar level or else they would not >prescribe it to diabetics.  

Metformin helps diabetics in 2 ways 1) It interferes with the absorption of carbs therefore the blood sugar will not spike up as it might do in a diabetic without medication.  For some diabetics this is enough help.  Other diabetics may be severly IR and need to watch their diet (which they should do anyhow), add another medication or even combine insulin with Metformin. 2)It inhibits the release of glucogan from the liver.  Many diabetics suffer from the "dawn phenomenon" in which thier liver releases too much glucogan during the night causing morning highs. >It’s true that it will not help if your insulin >levels are normal.

I have known several "Cysters" who were not deemed IR by their RE’s who took Metformin and had restored ovulation.  Metformin seems to have other benefits that could help a sufferer of PCO-it will lower blood pressure, blood lipid levels and help some Cysters lose weight. Also, I have known Cysters who had "normal" levels when tested the first time and then when tested later had elevated levels. Hormones can flucuate. Was there not someone who posted to this ng said they had normal levels until given a clamp GTT? Dr. Charles Glueck has performed various studies with metformin. Dr. Glueck said this on his website: "Do all PCOS patients have hyperinsulinemia and/or insulin resistance? No! Many (most) do, but some do not. Metformin and Rezulin are known to be effective when insulin resistance is present, and may be effective even in the absence of insulin resistance.   Metformin and Rezulin are drugs for mature onset diabetes. Won’t there be problems with low blood sugar levels if they are given to PCOS patients who do not have diabetes? No! Both drugs, when given to persons with normal blood glucose, and without diabetes, do not lower blood sugar." IOW, it will ONLY affect your glucose levels if you ARE diabetic.   http://blues.fd1.uc.edu/~gartsips/polycyst.htm  ^–^ { ‘.’}cathy-to send e-mail, delete edyclub    `   <A HREF="http://www.geocities.com/Heartland/Cottage/8060/index.html">My~WEB!</A><BR><A HREF="http://www.geocities.com/Heartland/Cottage/8060/PCOS.html">PCO-HOPE FOR CYSTERS</A></HTML>

Response:

Filed under: PCOS Diet

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