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Hack My Labs- Female, 30, PCOS

Answered on August 19, 2014
Created July 25, 2012 at 2:52 PM

Female, 30 years old, 208lbs, 5'5'' Disease: PCOS

Fasting Glucose: 101 H Insulin: 5 uIU/mL Hemoglobin A1c: 5.3 % total of Hgb AST: 32 H Cortisol, AM: <0.5 L Testosterone, Total, LC/MS/MS: 53 H Free Testosterone: 6.3 pg/mL

Waiting for doc to analyze but was curious of your thoughts!

06bf7b92d77f1ac1d8e3dc9d539d8254

(1649)

on October 04, 2012
at 06:30 PM

Also, at a weight of 208 lbs, your calorie intake is in the deadzone... So low! I think that might be contributing greatly to your issues. Your body needs fuel in order to adequately pump out the goods.

06bf7b92d77f1ac1d8e3dc9d539d8254

(1649)

on October 04, 2012
at 06:28 PM

And, yah, as others said, the fasting Glucose is high, but no cause for concern as it is a side effect of low carbing.

Ecb90bbbd5a15868b2592d517a4a5e82

(280)

on August 08, 2012
at 10:22 PM

Yes - if you are overeating protein, esp. at night, that can cause the high FBG number.

4ef079c57d2140bba4dbf4e30240a645

(4413)

on July 25, 2012
at 03:59 PM

Ok. So this was a 12 hour fasting draw. Prior to that, did you eat many carbs? I recommend you investigate further why your Fbg is that high.

0e64a75f530ba3c9e3244adc914df882

(45)

on July 25, 2012
at 03:16 PM

I've been all over the place with eating... tried going low carb Paleo and became depressed. Now I'm eating 1-2 servings of white rice or sweet potato per day, along with meat 1-2 per day and tons of veggies. Calories are between 1300-1500.

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4 Answers

1
4ef079c57d2140bba4dbf4e30240a645

on July 25, 2012
at 03:17 PM

Your fasting Bg is high but that can be from a lc/vlc diet. This happened to me. You might want to monitor it, at home, post-meal: 1 hour post, 2 hours post. On the other hand your A1C is below 5.4 so that is great.

Your Free Testosterone is OK/Good!
Your AM Cortisol is very VERY LOW for what is optimal. I personally would be taking 2 Isocort immediately upon waking. You may need more than two. With AM that low you are likely low at 12/noon as well. If this was me, I would do a saliva Adrenal test (four samples throughout the day).

This one is good and affordable (relatively): http://www.diagnostechs.com/Pages/AdrenalStressIndex.aspx

Also, have you had your Thyroid checked? Might want to do that since you are more at risk for low thyroid. Check FREE T3 and T4, not just TSH.

Good luck

0
D33a8d5f095a8532ddf7a0d6c27bfe63

(578)

on November 17, 2012
at 06:22 PM

Your FBG of 101 is negated by 5.3 A1c and fasting insulin of 5. Ideally, you want A1c to be closer to 5 and insulin to be <5 but nothing to worry. Your glucose metabolism is normal, though probably not idea. But your AST is a bit high at 32. How's your ALT? I'd focus on that and your other liver enzymes. But that's understandable if you are coming off of fatty liver and/or are in the process of losing some weight since going Paleo.

0
06bf7b92d77f1ac1d8e3dc9d539d8254

on October 04, 2012
at 06:27 PM

Free Testosterone is super high. I think the top of normal range is 2.2. There are tons of studies linking obesity, PCOS, acne, etc to high free testosterone. Here some examples:

http://aje.oxfordjournals.org/content/153/3/256.full

http://www.ncbi.nlm.nih.gov/pubmed/8557155

So, absolutely do not let your doc not address the Testosterone issue. I would ask to be referred to an Endo if you're not already.. I think they might be better equipped to connect the dots.

06bf7b92d77f1ac1d8e3dc9d539d8254

(1649)

on October 04, 2012
at 06:28 PM

And, yah, as others said, the fasting Glucose is high, but no cause for concern as it is a side effect of low carbing.

06bf7b92d77f1ac1d8e3dc9d539d8254

(1649)

on October 04, 2012
at 06:30 PM

Also, at a weight of 208 lbs, your calorie intake is in the deadzone... So low! I think that might be contributing greatly to your issues. Your body needs fuel in order to adequately pump out the goods.

0
C471216c9fb4fcf886b7ac84a4046b49

on July 25, 2012
at 03:01 PM

how much protein are you eating?

Ecb90bbbd5a15868b2592d517a4a5e82

(280)

on August 08, 2012
at 10:22 PM

Yes - if you are overeating protein, esp. at night, that can cause the high FBG number.

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