I would also suggest a endocrinologist. It is true that many people with PCOS are insulin resistant. However, to a Dr. That means a high fasting glucose or high fasting insulin ( which is why your dr. Probably told you that you are not) Most people with PCOS are like me and have developed insensitivity to insulin ( basically pre- insulin resistance clinically). It takes a two hour glucose test to determine if your body is using insulin appropriately. They will take a fasting glucose and insulin. Then have you take a glucose substance or eat and retest your glucose and insulin levels. They do this because most often you will see an inappropriately high insulin level and a slight drop in your glucose level. This happens because your cells are resisting the insulin so your pancreas keeps pumping out more insulin. ( IR happens when your pancreas is starting to wear down and can't keep up, but you haven't reached classic diabetes yet). Unfortunately, it often pumps out too much and drops your post meal glucose level. This is why you feel like your constantly on a roller coaster. You eat, your glucose drops and you feel shaky because of the above process, so your body signals you to be hungry again to raise your glucose level. Metformin helps your cells sensitivity to insulin to stop this roller coaster. Also, avoiding processed and high sugar foods is a huge key. Hope this information helps. If you cannot see an endo, I suggest researching on the net and taking the information too the Dr. That is what I had to do;)
Pounds lost: 15.8
Fitness Minutes: (74,355) Posts: 11,268 6/8/12 1:53 P
If you have insurance where you do not need a referral, I highly recommend getting a endocrinologist. They will do all the hormone monitoring, etc. I see mine every 90 days for follow ups and checks. They also will put you on metformin to help with the weight loss because people with PCOS tend to have insulin resistance, which makes it difficult to lose weight. The usually do keep you on a bc, if you do not like the one you are on, you can ask for another to help with the hormones.
I appreciate the advice. I have had two different doctors. The first literally did nothing except diagnose and didn't want to do anything else. The second confirmed the diagnosis but didn't want any meds. I am currently looking for a new doctor, so I hope they are more willing to work with me.
Do you find a difference in being on metformin?
October Minutes: 0
Fitness Minutes: (61,313) Posts: 817 6/8/12 11:51 A
I've seen three doctors about my PCOS and only one was willing to work a little harder with me. I've had to explicitly ask to be put on Metformin, and that was the only way they would prescribe it. They just want to put me on BC, which I don't like either. The last doctor I saw put me on 500 mg of Metformin a day, which did nothing for me. From what I've read from other people posting here, the dosage should be a lot higher to really make a difference.
This issue is important to you, and I think you should talk to your doctor and tell them what you need and want. If they don't listen, see another doctor!
"Pursue the things that make you feel alive." - SP
Pounds lost: 0.0
Fitness Minutes: (2,302) Posts: 82 6/8/12 11:07 A
I have had PCOS for about a year and I still have a lot of questions.
First of all, I have been doing a lot of reading on this and this group has definitely helped me a lot! The more I read the more I feel like my doctors aren't doing anything! :( I have heard that the doctors should be monitoring my hormones and such but the only thing they have prescribed to me is basic BC (which I hate), I don't notice anything different from being on it and not being on it. Also, I have read that when you have PCOS that means that you're body is insuln resistent. However, I am not on metformin or anything insulin monitoring med, and when I asked my doctor they said I didn't need it because I wasn't insulin resistent. (Which has totally confused me!) I feel like my doctors aren't doing anything for me.
I had a labrascopy procedure done last summer, and things seem to be fine.
I have been working out, eating healthy, eating very low carbs and tracking everything! I have barely lost any weight, which is discouraging, but I don't plan on giving up this time!
So basically, my question is, Should I be my own advocate and push for the metformin? or Leave it alone. I really have no one else to ask, so anything would be suggestions would be much appreciated!
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