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Suggest Treatment For Insulin Resistance When Diagnosed With PCOD

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Posted on Wed, 7 Jun 2017
Question: I am having PCOD and was diagnosed with insulin resistance. My insulin PP serum was 66 in XXXXXXX 2017. Then I started Metital (500 mg - twice a day) and Diane for 3 months. After that my insulin level has increased to 101. Also my blood sugar level has increased - 116 (fasting) and -176 (PP).
I have stopped Diane now and was advised to take Metital thrice a day.
I have two queries:
1. For curing PCOS, what should be done.
2. Considering my blood glucose level, Can we plan baby?
doctor
Answered by Dr. Minal Mohit (18 hours later)
Brief Answer:
Things can be managed.

Detailed Answer:
Dear XXXXXXX Hi!
I WILL TAKE YOUR SECOND QUESTION FIRST.
yes definitely you can plan your baby at these sugar values.
we need to control them before you conceive.
Now your first query, to cure PCOS, well we don't actually cure it, we only try to bring back the hormonal imbalance.
so now something which is not your query, sugars may not bother your conception, but PCOS may interfere. So I need to know how regular are your cycles? , what were your LH, FSH , E2, 17 (OH)P LEVELS before starting Diane?


Above answer was peer-reviewed by : Dr. Remy Koshy
doctor
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Follow up: Dr. Minal Mohit (40 minutes later)
Thankyou for the reply.

I know PCOS will interfere with the conception.
My cycles are very irregular. They vary from 45days to 3-4 months

Prior to Diane, I have also taken ovacare for 6 months that didn't help. and prior to that I was on some Ayurvedic medicines. So correct cycle duration is unknown to me now.

These hormonal levels were not measured by my doctor before starting Diane.
doctor
Answered by Dr. Minal Mohit (2 hours later)
Brief Answer:
start metformin!

Detailed Answer:
Dear xxxx!
hi!
As you are aware of the complications of PCOS, let us begin with tab metformin 500 mg three times a day. please start this tab after food. this will help you in controlling sugars as well as hormonal imbalance of PCOD.
regards!

Note: For more information on hormonal imbalance symptoms or unmanaged diabetes with other comorbid conditions, get back to us & Consult with an Endocrinologist. Click here to book an appointment.

Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
Answered by
Dr.
Dr. Minal Mohit

Endocrinologist

Practicing since :1998

Answered : 836 Questions

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Suggest Treatment For Insulin Resistance When Diagnosed With PCOD

Brief Answer: Things can be managed. Detailed Answer: Dear XXXXXXX Hi! I WILL TAKE YOUR SECOND QUESTION FIRST. yes definitely you can plan your baby at these sugar values. we need to control them before you conceive. Now your first query, to cure PCOS, well we don't actually cure it, we only try to bring back the hormonal imbalance. so now something which is not your query, sugars may not bother your conception, but PCOS may interfere. So I need to know how regular are your cycles? , what were your LH, FSH , E2, 17 (OH)P LEVELS before starting Diane?