High blood sugar & cholesterol
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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.
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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