Hi,
I know exactly what you are describing regarding the blood sugar. I can feel it my veins! I had always had some problems with hypoglycemia, too. Since going low-carb-ish (actually, no-grains, to be precise -- I don't regulate the carbs in my beans/legumes/veggies/diary/fruit), my energy has shot through the roof. I am even more sensitive to sugar, but I do not suffer from the fatigue that I used to. I eliminated flour (even whole wheat), sugar, potatoes, corn and rice (except for the occasional wild rice), and I am much happier and healthier for it.
Even with all of that: sensitivity to sugar, huge energy boost after eliminating most carbs... my 2hr insulin/glucose tolerance test came back 100% normal. No IR and no hyperinsulimia.
So, I do not think your sensitivity to sugar means that you have IR. My interpretation of all of this is that even if I do not have IR, my body is, for some reason, oversly sensitive to sugar. I assume my ovaries must get stimulated by a tiny amount of insulin, even when that same amount of insulin would not stim another woman's ovaries.
You should press your Dr. for a glucose test, at the very least. Explain that this is about your health -- not just ttc -- and show her one of the articles that describes how even thin PCOS-ers without IR have sugar metabolism problems. Tell her it is your priority to know whether you need to cut sugar out of your diet. Be insistent. I know how easy it is to fear leaving a bad impression -- but figure, this is about your health, whether your Dr. is annoyed or not!
And then, regardless of how the test goes, make your decision about met. My Dr. does not want to put me on it, and I'm going to go with that for now. Given my already extremely low dietary carb intake, I do not think met would do much for me. |