· What does this diagnosis mean?
this diagnosis does not mean that you are diabetic, Insulin is not a sugar. Insulin is actually a hormone released by the
pancreas in response to the level of Glucose (sugar) in the blood, which is
determined by the food we eat. Starches and sugars will require the pancreas to
release more insulin than certain vegetables and proteins do.
raised insulin level thus reflects on your diet and informs us that you are
eating too many starchy and sugary foods. This diet has a very big influence on
the quality of eggs your ovaries are able to produce. Similarly raised insulin
levels also affect the ability of the testes to produce good quality sperm.
· How can I reduce a raised Insulin level?
doctor will prescribe medication which will help the ovaries / testes to
produce better quality eggs / sperm.
this medication alone will not reduce your insulin level – you need to adjust
your diet to a low GI diet.
we are all so uniquely made food affects our bodies differently and the most
effective way to reduce this level is to see a dietician – you can ask your
doctor for a recommendation. Attached
you can find a sample of a low GI diet that was kindly given to us from a
dietician who works in the building next to us (Medpark).
medication together with the low GI diet and moderate exercise three times per
week is the most effective way to get good results quickly.
· How long will it take before my Insulin level will be
will depend how raised your level was when first diagnosed and the discipline
you apply in making the necessary changes to your diet and exercise program.
prefer the Insulin level to be less than 9 before starting with fertility
· Will this medication interact with any other medication I
am currently taking?
do not expect any problems but is important to discuss all current medication
with your doctor to make sure all is good.
· What side effects can I expect from this medication?
/ Metformin can cause nausea, diarrhoea, hot flushes and sometimes even
symptoms are worsened when your diet includes rich, starchy and sugary foods.
Please inform the doctor’s rooms if you are experiencing any side effects – it
may be necessary to reduce the amount of tablets prescribed for a little while
until your body has adjusted. The side effects can be minimized if the
medication is taken with food.
· How long will I need to continue with this medication?
treatment have two main components – it is primarily prescribed to achieve
better quality eggs and sperm. The
female partner will need to continue until she is at least 3 months pregnant. Secondly the treatment aims to improve and
aid in a better lifestyle, which will ultimately lead to optimizing your
general health. It is your choice to continue beyond the above parameters as
you will probably feel the positive changes in your body. Should you decide to
continue with treatment for longer you will need to ask your local GP for
further prescriptions after your treatment at Medfem have stopped.
fertility specialist will require you to please repeat the Fasting Insulin
blood test after 1 month on treatment to evaluate if your medication strength
is correct, please contact the receptionist for a blood request form a day
before the blood test is to be repeated.
Courtesy of Medfem Fertility Clinic