|Follow up to your advice to have a glucose tolearnce or insulin resistance test
Jan 29, 2004
Hello, Dr. Moyle,
I wonder if you can clarify something for me: I asked my doctor for an insulin resistance test and glucose tolerance test recommended by you to help determine the cause of my new found truncal obesity and addition of 7 inches to my waistline (despite reasonable diet and lots of walking).
He said that, if my glucose level was within normal (it is, high normal), there is no need to do the other tests. That doesn't make complete sense to me. Can you please clarify whether the insulin resistance and glucose tolerance tests are still warranted?
Also, assume either of these tests is positive, does that mean one takes a pill each day and the stomach starts shrinking (assuming good diet and continuing to walk a lot?). Will my stomach and waistline improve on meds for insulin or glucose problems?
Response from Dr. Moyle
Several studies (your Doctor may be familiar with one by Carr et al, another by Hadigan et al, there are also AACTG recommendations by Dube et al) have shown that for people with HIV a random or fasting glucose only pick ups up a minority of people with glucose inolerance and even diabetes on glucose tolerance testing. Benefits of metformin on reducing abdominal fat have only been reported in those with abnormal GTT or raised fasting insulin ( Hadigan et al Metformin in the treatment of HIV lipodystrophy syndrome: A randomized controlled trial.JAMA. 2000 Jul 26; 284(4): 472-7.) I hope this helps regards Graeme Moyle
- Is Vomiting A Symptom Of Acute HIV Infection?
- Sex With A Prostitute Should I Get Test For AIDS
- Anal Warts After Deep Kissing Worried I Have HIV
- Swollen Glands After Anal Sex Without Condom Does It Mean I Have HIV
- Can The Receiver Of Oral Sex Catch A Std?
- Is The Herpes Virus In A Male's Semen?
This forum is designed for educational purposes only, and experts are not rendering medical, mental health, legal or other professional advice or services. If you have or suspect you may have a medical, mental health, legal or other problem that requires advice, consult your own caregiver, attorney or other qualified professional.
Experts appearing on this page are independent and are solely responsible for editing and fact-checking their material. Neither TheBody.com nor any advertiser is the publisher or speaker of posted visitors' questions or the experts' material.