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Old 12-05-2008, 04:07 PM   #1 (permalink)
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Default Not Insulin Reistant...yet

Back in September I had a Glucose Tolerance Test that showed I was not IR:

Glucose, Fasting - 78 (range 70 - 99)
Glucose, 1 Hour - 132 (range 120 - 170)
Glucose, 2 Hour - 123 (range 70 - 139)
C–Peptide – 1.70 (range 0.80 – 3.90)

But a few weeks ago, after being off of birth control and on thyroid replacement hormone for 5 weeks, my glucose shot up:

Glucose – 98 (range 70 – 99)

It wasn't fasting, but either way, my glucose levels have ALWAYS been in the upper 70's/lower 80's range. They've never been in the 90's before! Of course, my stupid endo didn't notice this. But now I'm concerned. Is it possible that the BC was controlling my underlying IR and now it's about to rear its ugly head? I've got enough to deal with already!!
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Dx: PCOS, Hashimoto's Thyroiditis
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Old 12-05-2008, 05:06 PM   #2 (permalink)
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It wasn't fasting, but either way, my glucose levels have ALWAYS been in the upper 70's/lower 80's range.
Rainbow, you're referring to your fasting glucose level here, correct? A glucose level of 98 doesn't seem high at all if that is not fasting. You should also take into account what you ate before testing, as high carb meals can affect your results.

It's hard to say for sure how bcps affect IR. I have read that some older progestins have been known to decrease insulin sensitivity, while some of the modern progestins can actually improve your body's sensitivity to insulin. I, personally, have recently discovered that bcps improve my fasting glucose levels. I believe it's because the bcps are helping to regulate the ovarian production of testosterone--the overproduction of testosterone, in my case--allowing my body to handle glucose and insulin more effectively. But, that's totally just a theory of mine.

I think I would just make sure my doctor kept an eye on it, since IR is closely associated with PCOS. It might be more helpful for you to compare results if you consistently test while fasting. My endo tells me not to eat high-carb meals the night before testing, either. Good luck, Rainbow!
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Old 12-05-2008, 05:46 PM   #3 (permalink)
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Originally Posted by BRbangle View Post
Rainbow, you're referring to your fasting glucose level here, correct? A glucose level of 98 doesn't seem high at all if that is not fasting. You should also take into account what you ate before testing, as high carb meals can affect your results.
Nope, it was non-fasting. Here are all of my glucose tests for comparison:

08.14.08 Glucose – 82 (range 70 – 99)
11.13.08 Glucose – 98 (range 70 – 99)
06.25.04 Glucose, Fasting – 82 (range 65 – 99)
03.17.08 Glucose, Fasting – 80 (range 65 – 99)
09.10.08 Glucose, Fasting – 78 (range 70 – 99)

So hopefully you're right and I just ate a bunch of carbs that day. I'll ask to have it retested next month. Thanks!
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ME = 29, DH = 25
5'6" / 128lbs
Dx: PCOS, Hashimoto's Thyroiditis
Rx: Levoxyl 75mcg


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