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Suggest Treatment For High Blood Sugar Levels While Having PCOS
Question: Hi doctor
M 29 year old and am a practising pediatrician in XXXXXXX
My menstrual cycles have been irregular almost from the time of menarche,I get periods almost always only on taking progesterone,otherwise once in three to four months
Weight on the higher side
Fasting sugars higher side 93 and 99ng/dl on 2occasions
Diagnosed with pcod previously,now confirmed with scan
Have been married for 1and half years and keen to conceive
Now my gynaec has started me on metformin 500bd and caberlin for prolactin levels being on higher side 31.how long will I have to take this treatment and how long will it take for me to conceive..pls help me with ur valuable answer
M 29 year old and am a practising pediatrician in XXXXXXX
My menstrual cycles have been irregular almost from the time of menarche,I get periods almost always only on taking progesterone,otherwise once in three to four months
Weight on the higher side
Fasting sugars higher side 93 and 99ng/dl on 2occasions
Diagnosed with pcod previously,now confirmed with scan
Have been married for 1and half years and keen to conceive
Now my gynaec has started me on metformin 500bd and caberlin for prolactin levels being on higher side 31.how long will I have to take this treatment and how long will it take for me to conceive..pls help me with ur valuable answer
Brief Answer:
At least 3 months
Detailed Answer:
Hi dear,
I have gone through your question and understand your concerns.
You are having polycystic ovarian syndrome as you are having irregular periods, and increased blood sugars are the common manifestation in PCOS due to the underlying insulin resistance, which is the main causative factor of all the symptoms in this syndrome.
Metformin improves the insulin resistance, lowers the sugar levels, and improves the hormonal profile in PCOS.
This definitely helps in regular ovulation and periods, and hence increase the chances of conception.
The effect of the metformin is enhanced if you loose weight by regular exercise and work out.
Loss of even 5%weight greatly increase the chances of conception.
You should continue these medications for at least 3 months.
Moreover, you should also take folic acid tablet daily as taking it in preconceptional period reduces the risk of congenital anomalies in the fetus.
Hope you found the answer helpful. Please do get back for further queries.
Wishing you good health.
Regards
Dr Deepti Verma
OBGYN
Maternal and fetal medicine specialist
At least 3 months
Detailed Answer:
Hi dear,
I have gone through your question and understand your concerns.
You are having polycystic ovarian syndrome as you are having irregular periods, and increased blood sugars are the common manifestation in PCOS due to the underlying insulin resistance, which is the main causative factor of all the symptoms in this syndrome.
Metformin improves the insulin resistance, lowers the sugar levels, and improves the hormonal profile in PCOS.
This definitely helps in regular ovulation and periods, and hence increase the chances of conception.
The effect of the metformin is enhanced if you loose weight by regular exercise and work out.
Loss of even 5%weight greatly increase the chances of conception.
You should continue these medications for at least 3 months.
Moreover, you should also take folic acid tablet daily as taking it in preconceptional period reduces the risk of congenital anomalies in the fetus.
Hope you found the answer helpful. Please do get back for further queries.
Wishing you good health.
Regards
Dr Deepti Verma
OBGYN
Maternal and fetal medicine specialist
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
Thank you doctor,really appreciate ur timely reply to my concern
Yes my doc also tld me to do daily 30-40min of brisk walk or sum form of exercise for metformin to work better,il definitely work on it..
Jus one more doubt,regarding cabergolin for high prolactin,is it OK,I have been prescribed one tab 0.25mg once a week for 6weeks...
And my last periods was only in September doc,so she has also added meprate tid for 3days for withdrawal bleed as I also have bloated feeling..
One last doubt
From last one month I have nt been using be kind of contraception as I am eager to conceive, so for the next three months that I am being on these medications,is it OK to continue trying!!!wil progesterone have ne effect??
And how long approximately does it take for metformin to work ma'am..I wish to conceive within an year,wud it b possible..
Waiting for ur valuable answer doctor
Thank u...
Yes my doc also tld me to do daily 30-40min of brisk walk or sum form of exercise for metformin to work better,il definitely work on it..
Jus one more doubt,regarding cabergolin for high prolactin,is it OK,I have been prescribed one tab 0.25mg once a week for 6weeks...
And my last periods was only in September doc,so she has also added meprate tid for 3days for withdrawal bleed as I also have bloated feeling..
One last doubt
From last one month I have nt been using be kind of contraception as I am eager to conceive, so for the next three months that I am being on these medications,is it OK to continue trying!!!wil progesterone have ne effect??
And how long approximately does it take for metformin to work ma'am..I wish to conceive within an year,wud it b possible..
Waiting for ur valuable answer doctor
Thank u...
Brief Answer:
Should continue the medications
Detailed Answer:
Hi dear,
Cabergoline should be taken in the dose you have prescribed for increased prolactin levels in patients with infertility.
The effect of metformin comes in 2-3 months.
You can conceive while on this medications, but cabergoline should be stopped once you are pregnant.
You will conceive once your hormonal profile is normal.
Hope you found the answer helpful.
Regards
Dr Deepti Verma
Should continue the medications
Detailed Answer:
Hi dear,
Cabergoline should be taken in the dose you have prescribed for increased prolactin levels in patients with infertility.
The effect of metformin comes in 2-3 months.
You can conceive while on this medications, but cabergoline should be stopped once you are pregnant.
You will conceive once your hormonal profile is normal.
Hope you found the answer helpful.
Regards
Dr Deepti Verma
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thank you very much ma'am..
My doubts have been cleared
Thanks a lot..
Ur words really meant a lot..
Is there a way I can contact u in future sos doc..if yes pls let me know and thanks agan for ur help
Regards
My doubts have been cleared
Thanks a lot..
Ur words really meant a lot..
Is there a way I can contact u in future sos doc..if yes pls let me know and thanks agan for ur help
Regards
Brief Answer:
You can contact me anytime by posting a direct query
Detailed Answer:
Hi dear,
I am happy to have helped you.
For contacting me SOS anytime in future, you can post a " Direct query" in my name on the health care magic portal.
I will be always available to help you :)
Wish you all the best.
Regards
Dr Deepti Verma
OBGYN
Maternal and fetal medicine specialist
You can contact me anytime by posting a direct query
Detailed Answer:
Hi dear,
I am happy to have helped you.
For contacting me SOS anytime in future, you can post a " Direct query" in my name on the health care magic portal.
I will be always available to help you :)
Wish you all the best.
Regards
Dr Deepti Verma
OBGYN
Maternal and fetal medicine specialist
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thank you very much doctor,so kind f u..
One last doubt..
Doc wot side effects can I expect from metformin and cabergolin most commonly
Wil metformin help in weight loss as well if I combine with exercise..
Thanks n Regards
One last doubt..
Doc wot side effects can I expect from metformin and cabergolin most commonly
Wil metformin help in weight loss as well if I combine with exercise..
Thanks n Regards
Brief Answer:
Very minor side effects
Detailed Answer:
Hi dear, metformin causes gastritis and B complex deficiency.
So you should take B complex supplementation with it.
Cabergoline ar such low doses have almost no side effects.
Metformin will help you to loose weight if you are doing regular exercise and work out.
Regards
Dr Deepti Verma
Very minor side effects
Detailed Answer:
Hi dear, metformin causes gastritis and B complex deficiency.
So you should take B complex supplementation with it.
Cabergoline ar such low doses have almost no side effects.
Metformin will help you to loose weight if you are doing regular exercise and work out.
Regards
Dr Deepti Verma
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
Dr. Deepti Verma
OBGYN, Maternal and Fetal Medicine
Practicing since :2009
Answered : 5064 Questions
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