High blood sugar & cholesterol
Mini_Rif
Posts: 15 Member
Good morning! Rookie here...
I had my blood sugar and cholesterol blood work this week and was shocked that both are very high. (Blood sugar - 151 and cholesterol - 259). I'm shocked because just 5 months ago my blood sugar was 91 and cholesterol 154. My fertility specialist now wants me to see my primary care physician for treatment and will not move forward with fertility treatment. I'm just scared. I have a family history of diabetes and I'm significantly overweight. I've been fighting my family genes and was hoping to avoid a sure diabetes diagnosis for at least another 10 years (I'm 34). Does anyone have experience with high blood sugar and cholesterol? Did it eventually lead to a diabetes diagnosis or could I work to lower my numbers with diet/exercise (which I am doing - hence why I'm here). Any tips?
I guess I'm just looking for other experiences to help ease my mind before seeing my physician.
Thanks.
I had my blood sugar and cholesterol blood work this week and was shocked that both are very high. (Blood sugar - 151 and cholesterol - 259). I'm shocked because just 5 months ago my blood sugar was 91 and cholesterol 154. My fertility specialist now wants me to see my primary care physician for treatment and will not move forward with fertility treatment. I'm just scared. I have a family history of diabetes and I'm significantly overweight. I've been fighting my family genes and was hoping to avoid a sure diabetes diagnosis for at least another 10 years (I'm 34). Does anyone have experience with high blood sugar and cholesterol? Did it eventually lead to a diabetes diagnosis or could I work to lower my numbers with diet/exercise (which I am doing - hence why I'm here). Any tips?
I guess I'm just looking for other experiences to help ease my mind before seeing my physician.
Thanks.
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Replies
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Hi:
I have a brother with Type 2 diabetes.
Adopting a healthy lifestyle, definitely helps with all of your health metrics.
You are here at MFP and you have already decided for a healthier life. Congratulations. Keep up the faith.
It will be a slow process. You did not become overweight overnight. Losing the weight will take time. Manage your expectations.
Good luck in your healthy journey0 -
You have an elevated fasting blood glucose and are seeing a fertility specialist. Have you been diagnosed with PCOS? Those issues are characteristic of that endocrine disorder. There is a PCOS group on MFP. There might be some useful information there.0
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You're at the right place, good luck.0
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One fasting blood test is not enough information to make a diagnosis. Have the test again. Ask the doc for an A1C for blood sugar.0
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pollypocket1021 wrote: »You have an elevated fasting blood glucose and are seeing a fertility specialist. Have you been diagnosed with PCOS? Those issues are characteristic of that endocrine disorder. There is a PCOS group on MFP. There might be some useful information there.
Yes, we've been TTC for 2+ years so I'm seeing a Reproductive Endocrinologist. I'm not diagnosed with PCOS now because I don't have cystic ovaries and have previously had blood sugars in normal range (until now).
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pollypocket1021 wrote: »You have an elevated fasting blood glucose and are seeing a fertility specialist. Have you been diagnosed with PCOS? Those issues are characteristic of that endocrine disorder. There is a PCOS group on MFP. There might be some useful information there.
Yes, we've been TTC for 2+ years so I'm seeing a Reproductive Endocrinologist. I'm not diagnosed with PCOS now because I don't have cystic ovaries and have previously had blood sugars in normal range (until now).
Only 50% of women with PCOS have cysts. The primary defect is not in the ovary. The LH/FSH ratio in and of itself is diagnostic. I assume an RE has looked at LH and FSH.0 -
Good morning! Rookie here...
I had my blood sugar and cholesterol blood work this week and was shocked that both are very high. (Blood sugar - 151 and cholesterol - 259). I'm shocked because just 5 months ago my blood sugar was 91 and cholesterol 154. My fertility specialist now wants me to see my primary care physician for treatment and will not move forward with fertility treatment. I'm just scared. I have a family history of diabetes and I'm significantly overweight. I've been fighting my family genes and was hoping to avoid a sure diabetes diagnosis for at least another 10 years (I'm 34). Does anyone have experience with high blood sugar and cholesterol? Did it eventually lead to a diabetes diagnosis or could I work to lower my numbers with diet/exercise (which I am doing - hence why I'm here). Any tips?
I guess I'm just looking for other experiences to help ease my mind before seeing my physician.
Thanks.
Unless this was an error or you are on meds increasing blood sugar, like steroids, fasting blood sugar of 150 means you already have diabetes. Diabetes is managed with weight loss, diet and exercise, but managing an illness and curing the illness is not the same thing. You need lifestyle changes, it is not something that will go away if e.g. you go on a diet, lose weight and then go back to where you are now.
I think whether you have PCOS or not is pretty much irrelevant right now. Unmanaged diabetes can cause serious damage to both you, and a baby if you get pregnant. You need to take a break, manage your weight and blood sugar and then figure out if you are still facing fertility problems. Chances are that with significant weight loss and exercise, even if you have PCOS, fertility will return.
And absolutely do not panic, this is something manageable. I twill take some effort to adjust, but it will get better.0 -
Where I live, the standard is 3 seperate fasting blood sugar values over 120 to be diagnosed with diabetes, so you may already have it. Sometimes a pre-diabetic person can have a fluke reading. Before starting weight loss I was consistently at around 115-118 fasting blood sugar and I had a cholesterol reading over 200. I was emotionally prepared that I may get diabetes regardless, and my sugar numbers only improved down to an average of 105 for the first 60 pounds. I was still considered pre-diabetic. Then something magical happened! Once my BMI reached 36 my blood sugar readings magically dropped to 75-80! so I decided to check my cholesterol and turns out it hovers around 165 now. My HDL went up from 34 to 45, not ideal but still a world of improvement! All this happened by weight loss alone. No special diets or medications. I do have PCOS by the way.
Now even though I was lucky not everyone is. Some people get diabetes regardless of their weight, others get diabetes and reduce their medications or go into remission after losing weight. Your job is to do all you can to make it less likely, but don't get discouraged if you win the unlucky lottery. Even if you end up diabetic for life, lifestyle changes can mean a whole world of difference in your quality of life.
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pollypocket1021 wrote: »pollypocket1021 wrote: »You have an elevated fasting blood glucose and are seeing a fertility specialist. Have you been diagnosed with PCOS? Those issues are characteristic of that endocrine disorder. There is a PCOS group on MFP. There might be some useful information there.
Yes, we've been TTC for 2+ years so I'm seeing a Reproductive Endocrinologist. I'm not diagnosed with PCOS now because I don't have cystic ovaries and have previously had blood sugars in normal range (until now).
Only 50% of women with PCOS have cysts. The primary defect is not in the ovary. The LH/FSH ratio in and of itself is diagnostic. I assume an RE has looked at LH and FSH.
Yes-all labs are in normal range. Ive had HSG and ultrasounds with saline. Everything is normal. We have unexplained infertility.0 -
amusedmonkey wrote: »Where I live, the standard is 3 seperate fasting blood sugar values over 120 to be diagnosed with diabetes, so you may already have it. Sometimes a pre-diabetic person can have a fluke reading. Before starting weight loss I was consistently at around 115-118 fasting blood sugar and I had a cholesterol reading over 200. I was emotionally prepared that I may get diabetes regardless, and my sugar numbers only improved down to an average of 105 for the first 60 pounds. I was still considered pre-diabetic. Then something magical happened! Once my BMI reached 36 my blood sugar readings magically dropped to 75-80! so I decided to check my cholesterol and turns out it hovers around 165 now. My HDL went up from 34 to 45, not ideal but still a world of improvement! All this happened by weight loss alone. No special diets or medications. I do have PCOS by the way.
Now even though I was lucky not everyone is. Some people get diabetes regardless of their weight, others get diabetes and reduce their medications or go into remission after losing weight. Your job is to do all you can to make it less likely, but don't get discouraged if you win the unlucky lottery. Even if you end up diabetic for life, lifestyle changes can mean a whole world of difference in your quality of life.
Thank you! I know with my family history that I'm facing a future diagnosis, but I was just so shocked my number was so high this time since it hovers around 90 and nothing has drastically changed. I just really was hoping to combat it sooner. I guess I didn't get serious enough until it (may be) too late.0 -
Are you seeing an endocrinologist? I would not recommend seeing a generalist for diabetes/pre-diabetes issues--a specialist is a much better choice.
Increasing your veggie intake and lowering your carb intake are two simple things that you can do on your own to start working on this. I did go from borderline diabetes to low-normal numbers (FBS=70, A1C=5) with diet and exercise.0 -
I am no expert on fertility, however I do know something about Diabetes. On January 19, this year, my doctor ran a slew of tests and the results scared me. My average blood sugar for the past 3 months was 333; my triglycerides were 331 (150 is the max it should be); and my cholesterol was 200 (which is not bad). My A1C was 10.1
I went home and drastically overhauled my food choices and activity level. On March 12 he reran all tests and my glucose was averaging under 200; my triglycerides were 165; my cholesterol 184 and A1C 7.4 As of now my glucose ranges from 85 to 150, still could bring it down but it's a great improvement from over 300!
I was so sick when the year started but I am a new person now, and if this sick old bat can do it, a young girl like you sure can!
The biggest change was to limit carbs, and eliminate anything overly processed. I was a true carb junkie, lived on bread, chips, bagels, and milk. Can't quite recall the last time I had any of those now! Those carbs turn to glucose so fast and they were my downfall as I was not a big sugar user. Now I have maybe 1 gram of sugar a day and around 30 carbs!
aggelikik gives great advice, I wouldn't hesitate to follow it if I were in your shoes. Take care of you first! You will be is such a better place to enjoy a child when you feel healthy!0 -
pollypocket1021 wrote: »You have an elevated fasting blood glucose and are seeing a fertility specialist. Have you been diagnosed with PCOS? Those issues are characteristic of that endocrine disorder. There is a PCOS group on MFP. There might be some useful information there.
Yes, we've been TTC for 2+ years so I'm seeing a Reproductive Endocrinologist. I'm not diagnosed with PCOS now because I don't have cystic ovaries and have previously had blood sugars in normal range (until now).
@Mini_Rif You don't need to have cysts to have PCOS. I have PCOS and have never had ovarian cysts.0 -
pollypocket1021 wrote: »pollypocket1021 wrote: »You have an elevated fasting blood glucose and are seeing a fertility specialist. Have you been diagnosed with PCOS? Those issues are characteristic of that endocrine disorder. There is a PCOS group on MFP. There might be some useful information there.
Yes, we've been TTC for 2+ years so I'm seeing a Reproductive Endocrinologist. I'm not diagnosed with PCOS now because I don't have cystic ovaries and have previously had blood sugars in normal range (until now).
Only 50% of women with PCOS have cysts. The primary defect is not in the ovary. The LH/FSH ratio in and of itself is diagnostic. I assume an RE has looked at LH and FSH.
Yes-all labs are in normal range. Ive had HSG and ultrasounds with saline. Everything is normal. We have unexplained infertility.
@Mini_Rif Obesity can be the cause of infertility.
Also, can you please open your diary so we can see what you are currently eating?0 -
Good morning! Rookie here...
I had my blood sugar and cholesterol blood work this week and was shocked that both are very high. (Blood sugar - 151 and cholesterol - 259). I'm shocked because just 5 months ago my blood sugar was 91 and cholesterol 154. My fertility specialist now wants me to see my primary care physician for treatment and will not move forward with fertility treatment. I'm just scared. I have a family history of diabetes and I'm significantly overweight. I've been fighting my family genes and was hoping to avoid a sure diabetes diagnosis for at least another 10 years (I'm 34). Does anyone have experience with high blood sugar and cholesterol? Did it eventually lead to a diabetes diagnosis or could I work to lower my numbers with diet/exercise (which I am doing - hence why I'm here). Any tips?
I guess I'm just looking for other experiences to help ease my mind before seeing my physician.
Thanks.
Unless this was an error or you are on meds increasing blood sugar, like steroids, fasting blood sugar of 150 means you already have diabetes. Diabetes is managed with weight loss, diet and exercise, but managing an illness and curing the illness is not the same thing. You need lifestyle changes, it is not something that will go away if e.g. you go on a diet, lose weight and then go back to where you are now.
I think whether you have PCOS or not is pretty much irrelevant right now. Unmanaged diabetes can cause serious damage to both you, and a baby if you get pregnant. You need to take a break, manage your weight and blood sugar and then figure out if you are still facing fertility problems. Chances are that with significant weight loss and exercise, even if you have PCOS, fertility will return.
And absolutely do not panic, this is something manageable. I twill take some effort to adjust, but it will get better.
@aggelikik One fasting blood glucose reading of 150 does not mean diabetes. She needs to have her A1c tested. That will be the true indicator of whether or not she has diabetes.0 -
pollypocket1021 wrote: »pollypocket1021 wrote: »You have an elevated fasting blood glucose and are seeing a fertility specialist. Have you been diagnosed with PCOS? Those issues are characteristic of that endocrine disorder. There is a PCOS group on MFP. There might be some useful information there.
Yes, we've been TTC for 2+ years so I'm seeing a Reproductive Endocrinologist. I'm not diagnosed with PCOS now because I don't have cystic ovaries and have previously had blood sugars in normal range (until now).
Only 50% of women with PCOS have cysts. The primary defect is not in the ovary. The LH/FSH ratio in and of itself is diagnostic. I assume an RE has looked at LH and FSH.
Yes-all labs are in normal range. Ive had HSG and ultrasounds with saline. Everything is normal. We have unexplained infertility.
LH and FSH can both be within normal and the ratio can still be off (indicative of PCOS).
Knowledge is power. It is great that you are getting tested and doing everything you can to learn about the numbers and what they mean for you.0 -
My suggestion is to really watch how much sitting you do. Prolonged sitting (sitting disease) is a major risk factor for diabetes, heart disease, and even some cancers. The more you sit the higher your risks. Even if you have a desk job, as most of us do, there are strategies to reduce your office sitting.
This website was inspired by a group of MFP friends who have decided to sit less and move more and are seeing huge benefits (less weight, less pain, less fatique) since becoming more active. The website has lots of ideas for sitting less. We hope you will join us!
http://quittingthesitting.com
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YES! What she said!! I've been a slug for years and my body paid the price! I make sure to get up and walk or do some gardening, anything to get me on my feet, at least every hour or so. I need to join your group themedalist!0
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FatFreeFrolicking wrote: »pollypocket1021 wrote: »You have an elevated fasting blood glucose and are seeing a fertility specialist. Have you been diagnosed with PCOS? Those issues are characteristic of that endocrine disorder. There is a PCOS group on MFP. There might be some useful information there.
Yes, we've been TTC for 2+ years so I'm seeing a Reproductive Endocrinologist. I'm not diagnosed with PCOS now because I don't have cystic ovaries and have previously had blood sugars in normal range (until now).
@Mini_Rif You don't need to have cysts to have PCOS. I have PCOS and have never had ovarian cysts.
I know, but I'm not diagnosed PCOS by my Reproductive Endocrinologist or OB/GYN.0 -
I am no expert on fertility, however I do know something about Diabetes. On January 19, this year, my doctor ran a slew of tests and the results scared me. My average blood sugar for the past 3 months was 333; my triglycerides were 331 (150 is the max it should be); and my cholesterol was 200 (which is not bad). My A1C was 10.1
I went home and drastically overhauled my food choices and activity level. On March 12 he reran all tests and my glucose was averaging under 200; my triglycerides were 165; my cholesterol 184 and A1C 7.4 As of now my glucose ranges from 85 to 150, still could bring it down but it's a great improvement from over 300!
I was so sick when the year started but I am a new person now, and if this sick old bat can do it, a young girl like you sure can!
The biggest change was to limit carbs, and eliminate anything overly processed. I was a true carb junkie, lived on bread, chips, bagels, and milk. Can't quite recall the last time I had any of those now! Those carbs turn to glucose so fast and they were my downfall as I was not a big sugar user. Now I have maybe 1 gram of sugar a day and around 30 carbs!
aggelikik gives great advice, I wouldn't hesitate to follow it if I were in your shoes. Take care of you first! You will be is such a better place to enjoy a child when you feel healthy!
Thank you! And great work! This is what I was looking for...someone's positive experience to share. Thank you for being kind and for the helpful information. I'm working with a nutritionist and a trainer and have adjusted my macros and have a plan so hoping for improvement.0 -
FatFreeFrolicking wrote: »pollypocket1021 wrote: »You have an elevated fasting blood glucose and are seeing a fertility specialist. Have you been diagnosed with PCOS? Those issues are characteristic of that endocrine disorder. There is a PCOS group on MFP. There might be some useful information there.
Yes, we've been TTC for 2+ years so I'm seeing a Reproductive Endocrinologist. I'm not diagnosed with PCOS now because I don't have cystic ovaries and have previously had blood sugars in normal range (until now).
@Mini_Rif You don't need to have cysts to have PCOS. I have PCOS and have never had ovarian cysts.
I know, but I'm not diagnosed PCOS by my Reproductive Endocrinologist or OB/GYN.
I think the reason this was stated is some of us believe this diagnosis is not made when it ought to be or not made soon enough, which makes life unnecessarily hard for women who do not get the right treatment.0 -
pollypocket1021 wrote: »FatFreeFrolicking wrote: »pollypocket1021 wrote: »You have an elevated fasting blood glucose and are seeing a fertility specialist. Have you been diagnosed with PCOS? Those issues are characteristic of that endocrine disorder. There is a PCOS group on MFP. There might be some useful information there.
Yes, we've been TTC for 2+ years so I'm seeing a Reproductive Endocrinologist. I'm not diagnosed with PCOS now because I don't have cystic ovaries and have previously had blood sugars in normal range (until now).
@Mini_Rif You don't need to have cysts to have PCOS. I have PCOS and have never had ovarian cysts.
I know, but I'm not diagnosed PCOS by my Reproductive Endocrinologist or OB/GYN.
I think the reason this was stated is some of us believe this diagnosis is not made when it ought to be or not made soon enough, which makes life unnecessarily hard for women who do not get the right treatment.
What would this right treatment be? If she had PCOS, the advice would be to exercise and lose weight. Which she needs to do for her health anyway. And if she also was also insuline resistant, then she should be treating this, which is basically a "mild" diabetes treatment. So, what difference does it make to her? PCOS is mainly managed through lifestyle changes, possibly with diabetes meds too if there is an insuline resistance diagnosis, and lifestyle changes do nto control it. A fasting glucose level that high is more reason to do these changes, and more "aggressively", so if she had PCOS, the side effect would be that the symptoms would also imprive.
However, obesity alone is a huge risk factor for infertilty, so why look for some additional factor if her tests come back as normal? If she has more than 100 lbs to lose, she is most probably in the morbidly obese category, which reduces her chances of conceiving to about half.
http://www.webmd.com/infertility-and-reproduction/news/20071211/obesity-linked-to-infertility-in-women
http://www.ncbi.nlm.nih.gov/pubmed/17982356
Notice in the second link, how insuline resitance is a sumptom caused by obesity, not causign obesity as many (not drs) seem to believe.0 -
I was insulin resistant for ten years, then type 2 for ten years, successfully controlled with diet and Metformin. Twenty months ago I undertook a weight loss enterprise including Bariatric surgery and my diabetes is now in remission. My blood sugars are now completely normal. You can make changes now which will improve your health and vitality and even lose some weight. These changes will help you feel better. The first bits of advice that helped me most was eating a balanced plate at every meal and eating on a schedule. Breakfast at the same time every day, a snack a few hours after that and so on. The diabetics life is one of balance.0
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pollypocket1021 wrote: »FatFreeFrolicking wrote: »pollypocket1021 wrote: »You have an elevated fasting blood glucose and are seeing a fertility specialist. Have you been diagnosed with PCOS? Those issues are characteristic of that endocrine disorder. There is a PCOS group on MFP. There might be some useful information there.
Yes, we've been TTC for 2+ years so I'm seeing a Reproductive Endocrinologist. I'm not diagnosed with PCOS now because I don't have cystic ovaries and have previously had blood sugars in normal range (until now).
@Mini_Rif You don't need to have cysts to have PCOS. I have PCOS and have never had ovarian cysts.
I know, but I'm not diagnosed PCOS by my Reproductive Endocrinologist or OB/GYN.
I think the reason this was stated is some of us believe this diagnosis is not made when it ought to be or not made soon enough, which makes life unnecessarily hard for women who do not get the right treatment.
What would this right treatment be? If she had PCOS, the advice would be to exercise and lose weight. Which she needs to do for her health anyway. And if she also was also insuline resistant, then she should be treating this, which is basically a "mild" diabetes treatment. So, what difference does it make to her? PCOS is mainly managed through lifestyle changes, possibly with diabetes meds too if there is an insuline resistance diagnosis, and lifestyle changes do nto control it. A fasting glucose level that high is more reason to do these changes, and more "aggressively", so if she had PCOS, the side effect would be that the symptoms would also imprive.
However, obesity alone is a huge risk factor for infertilty, so why look for some additional factor if her tests come back as normal? If she has more than 100 lbs to lose, she is most probably in the morbidly obese category, which reduces her chances of conceiving to about half.
http://www.webmd.com/infertility-and-reproduction/news/20071211/obesity-linked-to-infertility-in-women
http://www.ncbi.nlm.nih.gov/pubmed/17982356
Notice in the second link, how insuline resitance is a sumptom caused by obesity, not causign obesity as many (not drs) seem to believe.
The primary defect in PCOS is hyperinsulinemia. 10% of women with PCOS have a reversed LH to FSH ratio and insulin resistance and are not overweight.
Insulin resistance shuts down production of sex hormone binding globulin in the liver, and elevated LH both thereby lead to hyperandrogenism.
Another major issue is the very high miscarriage rate in PCOS because the ovaries fail to produce progesterone.
So the treatment I was referring to not only includes correction of insulin resistance, but replacement of SHBG and progesterone.0 -
pollypocket1021 wrote: »FatFreeFrolicking wrote: »pollypocket1021 wrote: »You have an elevated fasting blood glucose and are seeing a fertility specialist. Have you been diagnosed with PCOS? Those issues are characteristic of that endocrine disorder. There is a PCOS group on MFP. There might be some useful information there.
Yes, we've been TTC for 2+ years so I'm seeing a Reproductive Endocrinologist. I'm not diagnosed with PCOS now because I don't have cystic ovaries and have previously had blood sugars in normal range (until now).
@Mini_Rif You don't need to have cysts to have PCOS. I have PCOS and have never had ovarian cysts.
I know, but I'm not diagnosed PCOS by my Reproductive Endocrinologist or OB/GYN.
I think the reason this was stated is some of us believe this diagnosis is not made when it ought to be or not made soon enough, which makes life unnecessarily hard for women who do not get the right treatment.
I understand! But I also have the best RE in the Midwest so I'm trusting her opinion (for now) and doing my own research as well. I'm not ruling it out, just getting as much information as I can. I typically over-educate myself on everything (type A personality).0 -
pollypocket1021 wrote: »pollypocket1021 wrote: »FatFreeFrolicking wrote: »pollypocket1021 wrote: »You have an elevated fasting blood glucose and are seeing a fertility specialist. Have you been diagnosed with PCOS? Those issues are characteristic of that endocrine disorder. There is a PCOS group on MFP. There might be some useful information there.
Yes, we've been TTC for 2+ years so I'm seeing a Reproductive Endocrinologist. I'm not diagnosed with PCOS now because I don't have cystic ovaries and have previously had blood sugars in normal range (until now).
@Mini_Rif You don't need to have cysts to have PCOS. I have PCOS and have never had ovarian cysts.
I know, but I'm not diagnosed PCOS by my Reproductive Endocrinologist or OB/GYN.
I think the reason this was stated is some of us believe this diagnosis is not made when it ought to be or not made soon enough, which makes life unnecessarily hard for women who do not get the right treatment.
What would this right treatment be? If she had PCOS, the advice would be to exercise and lose weight. Which she needs to do for her health anyway. And if she also was also insuline resistant, then she should be treating this, which is basically a "mild" diabetes treatment. So, what difference does it make to her? PCOS is mainly managed through lifestyle changes, possibly with diabetes meds too if there is an insuline resistance diagnosis, and lifestyle changes do nto control it. A fasting glucose level that high is more reason to do these changes, and more "aggressively", so if she had PCOS, the side effect would be that the symptoms would also imprive.
However, obesity alone is a huge risk factor for infertilty, so why look for some additional factor if her tests come back as normal? If she has more than 100 lbs to lose, she is most probably in the morbidly obese category, which reduces her chances of conceiving to about half.
http://www.webmd.com/infertility-and-reproduction/news/20071211/obesity-linked-to-infertility-in-women
http://www.ncbi.nlm.nih.gov/pubmed/17982356
Notice in the second link, how insuline resitance is a sumptom caused by obesity, not causign obesity as many (not drs) seem to believe.
The primary defect in PCOS is hyperinsulinemia. 10% of women with PCOS have a reversed LH to FSH ratio and insulin resistance and are not overweight.
Insulin resistance shuts down production of sex hormone binding globulin in the liver, and elevated LH both thereby lead to hyperandrogenism.
Another major issue is the very high miscarriage rate in PCOS because the ovaries fail to produce progesterone.
So the treatment I was referring to not only includes correction of insulin resistance, but replacement of SHBG and progesterone.
My LH to FSH ratipollypocket1021 wrote: »FatFreeFrolicking wrote: »pollypocket1021 wrote: »You have an elevated fasting blood glucose and are seeing a fertility specialist. Have you been diagnosed with PCOS? Those issues are characteristic of that endocrine disorder. There is a PCOS group on MFP. There might be some useful information there.
Yes, we've been TTC for 2+ years so I'm seeing a Reproductive Endocrinologist. I'm not diagnosed with PCOS now because I don't have cystic ovaries and have previously had blood sugars in normal range (until now).
@Mini_Rif You don't need to have cysts to have PCOS. I have PCOS and have never had ovarian cysts.
I know, but I'm not diagnosed PCOS by my Reproductive Endocrinologist or OB/GYN.
I think the reason this was stated is some of us believe this diagnosis is not made when it ought to be or not made soon enough, which makes life unnecessarily hard for women who do not get the right treatment.
What would this right treatment be? If she had PCOS, the advice would be to exercise and lose weight. Which she needs to do for her health anyway. And if she also was also insuline resistant, then she should be treating this, which is basically a "mild" diabetes treatment. So, what difference does it make to her? PCOS is mainly managed through lifestyle changes, possibly with diabetes meds too if there is an insuline resistance diagnosis, and lifestyle changes do nto control it. A fasting glucose level that high is more reason to do these changes, and more "aggressively", so if she had PCOS, the side effect would be that the symptoms would also imprive.
However, obesity alone is a huge risk factor for infertilty, so why look for some additional factor if her tests come back as normal? If she has more than 100 lbs to lose, she is most probably in the morbidly obese category, which reduces her chances of conceiving to about half.
http://www.webmd.com/infertility-and-reproduction/news/20071211/obesity-linked-to-infertility-in-women
http://www.ncbi.nlm.nih.gov/pubmed/17982356
Notice in the second link, how insuline resitance is a sumptom caused by obesity, not causign obesity as many (not drs) seem to believe.
I've read this research. Yes, I'm obese. But I'm monitored monthly by my RE for ovulation and get blood work on CD 3 and 7 DPO. I ovulate regularly, my progesterone is normal and my husband's SA is normal. I have normal cycles. My doctor has not said obesity is a factor (yet), until 6 days ago when, for the first time in almost 12 months of monitoring, my FBS was high. Hence why I'm asking questions and doing research. I've hired a nutritionist and personal trainer so I can make changes.0 -
pollypocket1021 wrote: »pollypocket1021 wrote: »FatFreeFrolicking wrote: »pollypocket1021 wrote: »You have an elevated fasting blood glucose and are seeing a fertility specialist. Have you been diagnosed with PCOS? Those issues are characteristic of that endocrine disorder. There is a PCOS group on MFP. There might be some useful information there.
Yes, we've been TTC for 2+ years so I'm seeing a Reproductive Endocrinologist. I'm not diagnosed with PCOS now because I don't have cystic ovaries and have previously had blood sugars in normal range (until now).
@Mini_Rif You don't need to have cysts to have PCOS. I have PCOS and have never had ovarian cysts.
I know, but I'm not diagnosed PCOS by my Reproductive Endocrinologist or OB/GYN.
I think the reason this was stated is some of us believe this diagnosis is not made when it ought to be or not made soon enough, which makes life unnecessarily hard for women who do not get the right treatment.
What would this right treatment be? If she had PCOS, the advice would be to exercise and lose weight. Which she needs to do for her health anyway. And if she also was also insuline resistant, then she should be treating this, which is basically a "mild" diabetes treatment. So, what difference does it make to her? PCOS is mainly managed through lifestyle changes, possibly with diabetes meds too if there is an insuline resistance diagnosis, and lifestyle changes do nto control it. A fasting glucose level that high is more reason to do these changes, and more "aggressively", so if she had PCOS, the side effect would be that the symptoms would also imprive.
However, obesity alone is a huge risk factor for infertilty, so why look for some additional factor if her tests come back as normal? If she has more than 100 lbs to lose, she is most probably in the morbidly obese category, which reduces her chances of conceiving to about half.
http://www.webmd.com/infertility-and-reproduction/news/20071211/obesity-linked-to-infertility-in-women
http://www.ncbi.nlm.nih.gov/pubmed/17982356
Notice in the second link, how insuline resitance is a sumptom caused by obesity, not causign obesity as many (not drs) seem to believe.
The primary defect in PCOS is hyperinsulinemia. 10% of women with PCOS have a reversed LH to FSH ratio and insulin resistance and are not overweight.
Insulin resistance shuts down production of sex hormone binding globulin in the liver, and elevated LH both thereby lead to hyperandrogenism.
Another major issue is the very high miscarriage rate in PCOS because the ovaries fail to produce progesterone.
So the treatment I was referring to not only includes correction of insulin resistance, but replacement of SHBG and progesterone.
Not disagreeing with you, but again, it all starts with weight loss, and exercise playing a more important role than anything else in treatement of PCOS, plus medication if needed, same as for diabetes:
http://clinical.diabetesjournals.org/content/21/4/154.full
The rest comes after the lifestyle changes are made.
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about 4 years ago I had my regular yearly blood test and my fasting blood sugar came back as 126 and I had some student scare me half to death about diabetes. My primary doctor told me to make some changes add some exercise and he would retest in 3 months when I retested it wasn't great but it wasn't high either like before it was 105.
When I was pregnant 3 years ago I had gestational diabetes didn't have it with my first but I did with the second that increases my risk of developing type 2. I had my A1C checked during my pregnancy and it came out normal even thought my blood sugar readings were high so I was not considered diabetic and of course the blood sugar dropped after I gave birth.
Really you need the A1C checked they are not going to diagnose you without it and they really shouldn't. Just keep moving and drop your carb intake. I always take my dinner plate and half is all veggies and a quarter is my protein and another quarter is a carb if I even choose to add one most of the time I do not.
I am sorry to hear about your conceiving issues I had a hard time becoming pregnant with my second child. Never saw a specialist but we had to stop obsessing over it for it to happen. I know that since I was obese it would be harder to become pregnant (yes weight does influence pregnancy) I really wished I had lost more weight before becoming pregnant I probably would have had an easier pregnancy.0 -
about 4 years ago I had my regular yearly blood test and my fasting blood sugar came back as 126 and I had some student scare me half to death about diabetes. My primary doctor told me to make some changes add some exercise and he would retest in 3 months when I retested it wasn't great but it wasn't high either like before it was 105.
When I was pregnant 3 years ago I had gestational diabetes didn't have it with my first but I did with the second that increases my risk of developing type 2. I had my A1C checked during my pregnancy and it came out normal even thought my blood sugar readings were high so I was not considered diabetic and of course the blood sugar dropped after I gave birth.
Really you need the A1C checked they are not going to diagnose you without it and they really shouldn't. Just keep moving and drop your carb intake. I always take my dinner plate and half is all veggies and a quarter is my protein and another quarter is a carb if I even choose to add one most of the time I do not.
I am sorry to hear about your conceiving issues I had a hard time becoming pregnant with my second child. Never saw a specialist but we had to stop obsessing over it for it to happen. I know that since I was obese it would be harder to become pregnant (yes weight does influence pregnancy) I really wished I had lost more weight before becoming pregnant I probably would have had an easier pregnancy.
Thank you for sharing! This is what I'm *hoping* will be the case. I've been advised by my doctor to give it three months with some major lifestyle changes (that I need to make - this is just my jump start) and then retest to see where I'm at with the A1C. We'll go from there....0
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