Guest guest Posted December 30, 2004 Report Share Posted December 30, 2004 Dana, Have you been to my PCOS page? You may want to use the questions there to evaluate whether or not she may be developing insulin resistance that technically is not on the radar. I have found that a very small percentage of my clients with PCOS actually get blood tests that support the diagnosis until way into the disease. You don't want to wait that long because it is more challenging to reverse if you wait till you can see it the way we currently define it. You can ask these simple questions to see if that might be where your client is headed. Defensiveness is very common in these situations because as dietitians we tend to need to see lab values to validate our patients and when we don't have that--our body language, tone of voice, everything shifts in ways that suggest that the patient must be lying/cheating/not being honest. When they are frustrated and asking us for help that hurts. I am learning some fascinating things by taking the approach that yes, I am missing something, but no, it doesn't alway have to mean the client is cheating. Just be a detective and see what pops out at you--even if it doesn't make sense, see what gets you curious. Here is the link: http://www.afterthediet.com/polycyst2.htm Hope that helps, Monika M. Woolsey, MS, RD http://www.afterthediet.com Polycystic Ovary Syndrome: The Perfect Endocrine Storm Tucson, Arizona, March 11-13, 2005 Quote Link to comment Share on other sites More sharing options...
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