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jmzz1
Posts: 670 Member
Hey, today got my blood test report in which test like FSH , TSH , CHOLESTEROL , haemoglobin ,fasting blood sugar and fasting blood insulin were done
In the above test all the result were in normal range , even fasting blood sugar was in normal range except for fasting blood insulin which is in the higher range I.e. 42.3
Is my insulin level too high?
Am I diabetic ?
In the above test all the result were in normal range , even fasting blood sugar was in normal range except for fasting blood insulin which is in the higher range I.e. 42.3
Is my insulin level too high?
Am I diabetic ?
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Replies
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That insulin is way high, which is known as hyperinsulinemia. It's not uncommon for women with PCOS. It can throw off your other hormones and hinder your weight loss.
What was your fasting blood sugar? Did they test your A1C? If so, what was it? Those two, combined with the insulin will indicate where you're at on the diabetes spectrum, though if your doctor didn't say anything about it, it's fairly likely that you're not at immediate risk of diabetes quite yet. It would definitely be good to start taking action to support your pancreas and liver (which help control insulin and blood sugar) now, though, so that you can prevent becoming diabetic in the future.0 -
Fasting blood sugar is in normal range I.e. 80 mg/dl
corresponding urine sugar is NIL
What is A1C ? I have not been tested for that.
Doc gave me inositol sachets and 250 gm metformin ER and asked me to come after 3 months.
Now I am scared to know that I am at initial stage of type 2 diabetes0 -
My doctor has advised me to eat low fat food.. how much is it effective?
He asked me to eat good amount of legumes and whole grains and low fat dairy0 -
Low fat is the very opposite of what you want to do with a high insulin level. With insulin resistance, to fight mine without medication - and my level wasn't half as high as yours - I had to go on a low carb high fat diet to see a change. I'd get a copy of all your labs and do your own research. Also, if that wasn't a specialist, I would request a referral ASAP to an endocrinologist. After my own experiences, I would never allow my "regular doctor" to treat anything this specialized in my body. But that's just me.0
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My doctor has advised me to eat low fat food.. how much is it effective?
He asked me to eat good amount of legumes and whole grains and low fat dairy
Egads...
While legumes and whole grains would be better than refined foods, the idea that whole grains help with insulin resistance disorders is largely a myth. The evidence is weak, at best.
The evidence it quite a bit stronger in favor of reducing carbohydrates and increasing fat than it is of reducing fat (even in favor of high fiber).
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2677685/ <- even when compared to a "high fat, Western" diet, low fat/high fiber fares equally or worse on just about all fronts
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1334192/ <- pilot study showing a ketogenic (very low carb, very high fat, moderate protein) is promising on all fronts for PCOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4111472/ <- larger study showing that lower carb (doesn't even need to be very low carb, necessarily, this one had the "lower carb" set up at 40c/20p/40f) is beneficial independent of weight loss
http://www.ncbi.nlm.nih.gov/pubmed/16500338 <- shows that "low carb" (again, 40% from carbs) fared better than both the standard and a monounsaturated fat-enriched diet for insulin sensitivity improvements
http://www.ncbi.nlm.nih.gov/pubmed/25125349 <- better insulin sensitivity, higher proportion of weight lost as fat (less lean mass lost) on "low" (40%) carb. Also, weight loss on low carb was preferentially abdominal fat
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4085920/ <- some evidence that low fat dairy is counterproductive to PCOS (this one isn't as solid as the ones above, since it's only correlative evidence, but enough to look deeper into this issue), the author's claim is that full-fat dairy does not have the same level of effect as low fat or fat free dairy (the fat blunts the insulin and IGF-1 reactions) and the fats in full fat dairy may even be beneficial to ovary function. This is pretty consistent with other things I've seen regarding dairy.What is A1C ? I have not been tested for that.
The A1C test (or hbA1C) is a test that allows doctors to see your average blood sugar levels for the past three months. This, combined with your fasting number, helps see if it bounces a lot (ie - spikes way up after meals, then drops way down in between).Doc gave me inositol sachets and 250 gm metformin ER and asked me to come after 3 months.
Now I am scared to know that I am at initial stage of type 2 diabetes
Only insofar as the fact that you have PCOS, which itself puts you at increased risk for it. The Inositol will help your PCOS in general and can help bring your insulin levels down in the process. The Metformin can more directly bring down your insulin levels, though I'm not keen on the fact that he seems a little too hands off for finding the right dose of Metformin (it's highly individual).
Also, despite common belief, Diabetes is reversible, so even if you were official diagnosed with pre-diabetes, or even with full-blown diabetes, it's not the end of the world if you find and listen to the doctors who have successfully reversed it in their patients.
Jason Fung is one such doctor. I highly recommend watching his talks on Diabetes.0 -
Thanks for so much of links ... have gone through that but my endocrinologist says that I might get fatty liver if I eat more fat... since people with IR are bound to be easily suffering from that, but I guess after listening to the video will love to try LCHF diet
I just wanted to ask whether I can have plain yogurt and cheese on this diet? If yes what is the max limit of consuming them in a day?
My inositol is sugar free. It contains
Myo inositol 2gm
Folic acid 500mcg
Vitamin D 500 I U
Is this dosage fine for inositol?
Have been taking this past 2 years but my insulin level is still high. I.e. 42.3
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Thanks for so much of links ... have gone through that but my endocrinologist says that I might get fatty liver if I eat more fat... since people with IR are bound to be easily suffering from that, but I guess after listening to the video will love to try LCHF diet
I just wanted to ask whether I can have plain yogurt and cheese on this diet? If yes what is the max limit of consuming them in a day?
My inositol is sugar free. It contains
Myo inositol 2gm
Folic acid 500mcg
Vitamin D 500 I U
Is this dosage fine for inositol?
Have been taking this past 2 years but my insulin level is still high. I.e. 42.3
That will depend on you. Me personally, I had to get below 50 grams of carbs a day to see progress. I eat cheese every single day. Some people can't, but others can. I don't do yogurt because I'm down to 25 grams of carbs a day, and it's just not worth it to me. I make a fatty substitute somethings, but it uses artificial sweeteners, so if you want that recipe, let me know.
The limits are going to be based on how you end up setting up your macros. There's some great info for how to get started on another group we're part of here on MFP... http://community.myfitnesspal.com/en/group/394-low-carber-daily-forum-the-lcd-group
I don't know why you would end up with a fatty liver eating fat. The LCHF process burns visceral fat first and quickly, which is the type of fat in a fatty liver. I would consider switching to another doctor if your specialist is that outdated with his knowledge of dietary processes.0 -
my endocrinologist says that I might get fatty liver if I eat more fat...
What? No.
:noway:
Get a new endocrinologist. The one you have is a quack.
You don't get fatty liver from fat (well, okay, that's not entirely true, you can get fatty liver from trans fats, but you should be avoiding them like the plague anyway), you get fatty liver from sugar (specifically, fructose).
http://www.health.harvard.edu/heart-health/abundance-of-fructose-not-good-for-the-liver-heart
http://www.ncbi.nlm.nih.gov/pubmed/23390127My inositol is sugar free. It contains
Myo inositol 2gm
Folic acid 500mcg
Vitamin D 500 I U
Is this dosage fine for inositol?
Have been taking this past 2 years but my insulin level is still high. I.e. 42.3
You can easily double that if you want (Inositol has no known upper limit, so you'd basically have to eat the entire bottle to get any kind of toxicity, and even then, you'll probably get it from the vitamin D or folic acid, first), if you don't feel it's helping at the dose you're taking.
Inositol has had limited effect on my own insulin levels, but it has affected other processes in my body that aren't measured by blood tests. Namely, it gave me my periods back. Prior to taking it, I had gone nearly a year since my last period. Since starting it, it's come every 26-32 days. So make sure you're aware of other changes besides your insulin levels that can be attributed to the Inositol.0 -
Do you gals take chromium n magnesium supplements as well? Any other supplements required?
@KnitOrMiss can I have tht recipe plz0 -
I was doing an online search about reversing of diabetes type 2 and I am confused to the core as to which doctor to follow.
Dr neil barnard encourages vegetarian diet
Dr Jason Fung encourage ketogenic diet
Dr Mcdougal encourage starch rich food diet I.e. having rice , potatoes etc
Dr Caldwell encourage raw food diet ( no oil)
Each and every person are giving analysis, facts and success stories about their research . Whom to follow
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I personally have seen success in the ketogenic diet, but I'm insulin resistant, and that's where the major benefits are for me. I have been debating pushing this to more Paleo/Primal Keto, as I've been considering dropping dairy due to the hormonal stuff, but I've also now been told and need to do more research on the fact that hormonal birth control (which I depend on for NOT having more kids) is geared to work on people who consume dairy...
www.healthfulpursuit.com has some great videos that explain why certain things affect women's hormonal balances, but her hormones are on the opposite end from most of us (she had super low estrogen, and most PCOS ladies I know are estrogen dominant), but her research for me is intriguing. I continue my knowledge hunt! For now, I'm staying Keto!
Here's that recipe.
RECIPE: Jello Fat Bombs (Edit Post)
Posted on 2/23/2015 by KnitOrMiss
UPDATED TO INCLUDE METRIC CONVERSIONS to be best of my abilities, with google at my ready.
I know most people aren't fans of the artificial sweeteners, but I found my new favorite fat bomb, tweaked my way. It is a creamy, custardy, dense mousse like pudding that just makes me SUPER happy.
Jello Fat Bombs
Ingredients
1 package of sugar free gelatin, your flavor choice (peach is my current fave) - (0.30 oz/8.5 g)
1/2 packet (approximately 1.5 tsp) of unflavored gelatin (I used Knox out of habit) (each packet is 0.25 oz/7 g - so this is 0.125 oz/3.5 g)
2 cups boiling water (per gelatin instructions, instead of one part boiling, one part cold, I use both boiling to dissolve the extra gelatin. Apparently, this is 470 ml (rounded), I'm sure UK packages are set up to be a better calculation for y'all)
1 cup full fat sour cream (240 ml)
1 cup heavy whipping cream (240 ml)
1 packet stevia sweetener (to taste, optional - this took off the sour cream edge for me) (each US packet is 1 g)
Directions
Boil water. Dissolve both gelatins completely. Stir at least 2 minutes.
Stir in and fully in corporate sour cream. (I use a whisk, but this could be done in a mixer, by hand, whatever.) Mix at least 2 minutes. (Btw, all the mixing keeps it from separating later)
Whip in heavy cream. You could just stir it in, but I like the little bit of mousse like texture it adds. Again, stir at least two minutes.
Pour into 4 portions, approximately 1 cup each (240 ml / slightly larger if whipped). Refrigerate until firmly set.
Recipe in MFP Shows as:
331 calories, 32 grams fat, 4 grams carbs/net carbs (no fiber), 4 grams protein
FULL DISCLOSURE - the original recipe does not have the added unflavored gelatin, but it set too soft for me. Also, it did not add the sweetener over the jello sweetening, but the sour cream "bite" was off-putting for me (I'm not a fan of it straight at all), so adding that little bit of sweetness took the edge off, and it is still far less sweet than my old sweets!
And this works fabulously for those who can't afford other fats sources - or who just need an awesome satisfying snack with staying power that kills the sweet tooth, but without all the sugar! 0 -
I was doing an online search about reversing of diabetes type 2 and I am confused to the core as to which doctor to follow.
Dr neil barnard encourages vegetarian diet
Dr Jason Fung encourage ketogenic diet
Dr Mcdougal encourage starch rich food diet I.e. having rice , potatoes etc
Dr Caldwell encourage raw food diet ( no oil)
Each and every person are giving analysis, facts and success stories about their research . Whom to follow
I go by what the research supports, and the research on all fronts supports lower carb over the low fat/vegan that Barnard, McDougall, and Caldwell espouse. The links I shared above are cross-over and double-blind trials (which are the holy grail of this kind of research), not cohort and epidemiological studies (which can only provide correlation, at best).
Additionally, Barnard kind of borderlines on conspiracy theorist (the dude seriously had it out for Dr. Atkins). McDougall's and Caldwell's association with Forks Over Knives also warrants suspicion of both their recommendations and motives (Denise Minger and Dr. Eades both address, in great detail, the issues with Forks Over Knives and The China Study book). Additionally, searches for the McDougall diet and PCOS turns up no academic research at all.
Likewise, a search for "pubmed vegan diet pcos" turns up very little, as well, with the few things showing little evidence of any of the claims made by such people as Barnard and McDougall.
Furthermore, low fat vegan diets have proven to not be nutritionally sound. They lack zinc, B12 (which women who take Metformin are already susceptible to deficiency of), long-chain Omega-3 fats (the kind found in fish oil), and fat in general (which is needed for proper nutrient absorption, nutrient and cell synthesis and repair, and many other essential processes). (Chris Kresser provides a good explanation as to why these are issues on a vegan diet.)0 -
If I follow dr jason diet then I will have to skip my vegetables all together , so that means paleo diet is not good according to doc only ketogenic one is good
how to follow fasting procedure of dr jason?0 -
@KnitOrMiss - thanks for the recipe:)0
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I do a variation on ketogenic diet. I didn't read on Dr. Jason. I eat high fiber veggies (broccoli, asparagus, green beans, etc.). I just ditch the starchy ones. I have done intermittent fasting with some success. My advice would be to do a bunch of research before leaping in.0
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I am sorry on asking this question but this information seriously boggles my mind .
insulin resistant is caused due to pancrease producing lot of insulun to normalise blood sugar I.e. in other words pancrease not working properly.
Pancrease are not working properly means there is fats deposited and if we take diet rich in fat will it not spoil the pancreas more?
Note - Do correct me if I am wrong0 -
I am sorry on asking this question but this information seriously boggles my mind .
insulin resistant is caused due to pancrease producing lot of insulun to normalise blood sugar I.e. in other words pancrease not working properly.
Pancrease are not working properly means there is fats deposited and if we take diet rich in fat will it not spoil the pancreas more?
Note - Do correct me if I am wrong
No. The pancreas does not respond to fat. The pancreas produce and release insulin to process CARBS....If you aren't eating carbs, your body isn't producing or using as much insulin.0 -
Thanks for your valuable info @KnitOrMiss and @ dragonwolf ... will try to follow ur suggestion0
