Insulin Resistance
3 Replies
Brenda - May 27

Hi
How do you evaluate if a patient is insulin resistant?
thanks
Brenda

 

Barry Jacobs, M. D. - May 27

Before the local labs started cutting corners on the insulin assays, and the reports became unreliable, I would measure insulin levels on each blood sample of a 3 hour glucose tolerance test. Today, I make a clinical judgement from data derived from the medical history and physical exam.

 

Brenda - May 28

thank you Dr. jacobs, for your reply. My current RE says that PCOS is determined by the cholesterol readings to glucose levels, that ratio determines insulin resistance.

I had my endrocronologist run the gtt, and she did a 2 hour test, my levels were elevated but the range might be at the border, right at the cut off. I am planning on returning to my endrocronologist.

I live in Richmond, VA and we have a DR. Nestler who has done extensive research on PCOS.

What types of tests do you run to determine if a patient has PCOS ?

 

Barry Jacobs, M. D. - May 28

Probably the most reliable test is the ultrasound appearance of the ovaries - theso calle "string of pearls" appearance of small follicles at the periphery of the ovaries.
Good luck.

 

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