2 year endocrinologist update!

Last week I went to my endocrinologist for my 2 year check up! I was seriously excited to go because I was proud to show off all the changes I had made.

I am in no way-shape-or form a doctor. This post is based solely on what my Endocrinologist and myself discussed. If you have health related questions please contact your own doctor. 

 

I am so proud of the woman I was...she started this journey.

I am so proud of the woman I am now...because I have been changing my life for over 2 years.

I am sure I will be proud of the woman I will become...because, well, I can't imagine my life any other way!

**January 2012 - Initial Endocrinologist Results**
Weight ~ 213 lbs
BMI ~ 38%
Hemoglobin A1c ~ 5.9 {normal range according to my Endo is 4.0 - 6.0}

**January 2012 - 2 year Endocrinologist Results**
Weight: 143 lbs
BMI: 24%
Hemoglobin A1c ~ 4.6 after 22 months on Metformin

July 2011

October 2012

July 2011

November 2012

 

When I first got my results back from the endocrinologist I was considered insulin resistant, they thought I had something wrong with my adrenal glands {turns out I'd just recently had a cortisone shot and sent my levels through the roof}, my Vitamin D level was 17.6 L2 {normal range 30.0-150.0}, and I was just in overall poor health.

 

My first tipping point was a Halloween party...but my boulder that catapulted me off the seesaw was getting my lab results back! It really shocked my system. I KNEW I was overweight, I KNEW I was unhealthy & unhappy but until those numbers were on the paper I didn't realize how bad it was. Nothing to me, at that point, was as scary as hearing that if I kept on the path I was I would have diabetes in a year. My endocrinologist was very blunt with me and for that I will be forever grateful. She was the FIRST doctor to tell me I was overweight and needed to change. Looking back that fact still shocks me.

 

Over the course of the last 22 months I did go on a few different medications that I believed help me. I started 500mg extended release Metformin in February/March 2012 and stopped one week ago. I have a follow up appointment in July 2014 to see how 6 months off of Metformin goes and I am so excited to see if the hard work I put in pays off. I admit it, I am nervous to go off the Metformin because I feel like it did help me get to me a little "looser" with my carbs because of my PCOS. But I am ready for the challenge of eating what I know my pancreas can handle. My goal is to only eat carbs at 2/3 meals in my day.

 

I am still taking Vitamin D {I mean, I like in Washington State so I feel like I'd need that anyways}, Singular, and birth control. Totally normal and totally unrelated to PCOS meds!

 

Fingers crossed {that my levels stay low}!!!

{30 thoughts} the inside...

Not that there was really a question as to if this lifestyle change was worth it but it was amazing to get these results in the mail last night!!! Happy does not begin to describe it!

"all labs are normal"

 

I am proud not only what I have accomplished on the outside of my body but now there is tangible proof that it's been good for the inside of my body. The hope is to eventually get off the Metformin, which is really the only 'PCOS' medicine I am on. I was kind of off with it after surgery and didn't take it for a while and gained about three pounds back. I don't know if it was directly related to that or not but I am back on it now so we will see in a few weeks! 

I'm all about eventually trying to go natural but this lab results paperwork goes to show that the route I chose was a good one for me. I cannot wait to see my endocrinologist in January!! She is going to be amazed!!

Fingers crossed {that I can come off the meds soon}...

one year check up!!

I had my endocrinology appointment a few weeks back and got some rave reviews. My doctor was so proud of me {and I with myself}. With Metformin, my glucose and insulin levels are in the average range!!! My bad cholesterol came down into the average range!! It was just the results I'd been working for, hoping for, and waiting for!!

I've decided to, for now, stay on Metformin. Part of me is really, really nervous to take it away. While it is not a weight loss drug - it is an insulin stabilizer and I feel has to have had some result to me losing weight. Granted - I put a LOT of work into this journey...but I'm still nervous.

I am going to see a Naturopath at the end of this month and maybe then, or soon, I will change to an "all natural" insulin stabelizer. I haven't decided yet. Metformin has been shown to have some good results with ovulation...if we go down that path!

Fingers crossed {that my levels stay in the average range}...

my 6 month blood draw results...

I hate getting my blood drawn {like, I've passed out before} but through all the labs and OHSU visits this year...I'm getting used to it, I guess. When I had my 6 month blood draw labs done a week or so ago...I didn't even need to hold a little teddy bear. Big steps, I tell you!!

Myself {and my general doc} were very happy with the results. I haven't heard back from my Endo but I'm guessing she'll be pretty happy too. I saw my Endo about 6 weeks ago and she was very happy with just weight loss. Ha, just the weight loss. Like that was easy ;-)

I have spent the last 8+ months eating right, exercising, and trying my best to head off any disease or illness {diabetes, heart disease}. While there is still a chance I could get them based off the past years of my lifestyle ~ 80% of the time doing everything in my power to help myself. Because I am not a doctor I am not going to go too much in to the "numbers" of all the tests {but I will post mine and what my doc considers "normal"}...but there was one test of concern but all the rest of the main ones we've been watching are within the "normal" range. And for that I am grateful.

Thyroid - Normal Range.
Vitamin D - Now in Normal Range. Went from 17.6ng/mL --> 63ng/mL. The range is 30 - 100 ng/mL. This is GREAT improvement!
Glucose - Low lower within the Normal Range. Went from 96 mg/dL DOWN to 85 mg/dL!!! The range is 65 - 99 mg/dL.
Cholesterol - This is the ones we are focusing on for the next 6 months!!
Total Cholesterol- 180 mg/dL {range 15- 200 mg/dL}
HDL {Good Cholesterol} - 53 mg/dL {range >50 mg/dL in Women}
LDL {Bad Cholesterol} - 99 mg/dL {range for women with Insulin Resistance/Endocrine Syndromes (PCOS) according to my doc is 70 - 80 mg/dL.

The LDL is the one that we are going to be focusing on for the next 6 months. It is known that women with PCOS have a higher risk for heart disease and having high levels of LDL {bad cholesterol} can also lead to heart disease. Those two things together are a cause of concern for me and my health and my doctors. I am going to be going on a very, very low dose of a HMG-CoA reductase inhibitors (statins). This medicine can be used many ways. For me it will hopefully lower my LDL count which will likely decrease my likely hood of getting any type of heart disease. I will be monitored monthly for the first 2 months and then I'm not sure after that. They monitor me at first to make sure that my body is reacting well {quickly} and that my liver is doing okay. It just requires a few fasting blood draws and a quick 10 minute appointment in 2 months.

When talking to my doctor about options she did say that I could continue with the diet & exercise but since it is a personal goal of mine to have all this *ISH* figured by the time I'm 30 {on 3/16}and I'm obviously not opposed to medications - we decided to go for it. It's such a low does that the side affects should be very minimal.

I've been on Metformin for the past 6 months to help control the insulin resistance that I have. We are going to stay on it for another 6 months. I have my 1 year appointment with my Endo scheduled for January 2013!! Wow. Hard to think that I'll have been {knowingly} battling this for a year in just 5 months.

The only part of me that is really worried about all of this is that hopefully there is going to be a time when I will be off all the " weight/helpful" meds {Metformin, Pravastatin} and what will happen to my body then? I supposed when it is time to go off all the meds hopefully my body will be in the normal range and ready to rock-and-roll medicine-less?!? Will the weight loss continue or maintain depending on what stage I am in when I go off the meds?? Will I gain weight back?? Will I be on some kind of medication forever? I know I will be monitored by an Endocrinologist yearly for the rest of forever. I get physicals AND annuals {did you know there was a difference?!?!?}? I have no doubt that it will all be examined and a thoughtful process and I look forward {hopefully} to a day where I am medince free and managing my PCOS and Insulin Resistance on my own accord.

Fingers crossed.