Hi Guys,

I have butted heads with my OB and wanted a few opinions.

I have PCOS and am on Metformin. In my last pregnancy, my Endocrinologist expressly told me to stay on it as it prevents GD - which it did with my first pregnancy I tested my BSL daily and it was always perfect.

This pregnancy I refused an OGTT because Metformin will mask the result. My OB told me to come off it for 48 hours and then to take the test and not restart it again until I saw her for the results.

I am not comfortable with this because her plan is if I "fail" the test, she will put me on insulin and I can't for the life of me see how coming off a drug designed to prevent me going on insulin in the first place is a great plan.

PLUS I trust my Endrocrinologist (Warren Kidson) who has done so much ground breaking research when it comes to PCOS and Metformin use.

I still do my BSL's daily - so can't see why she wants this OGTT - to me it almost seems that she is uncomfortable with the drug I am on because she hasn't seen many women take it and she'd rather manage the issue with something she is familiar with but not necessarily the best option

My question is if I refuse the test and flatly refuse the management my OB is suggesting, can she stop providing me with care? Or does she just note it as "against medical advice"?

Anyone had experience with this or anything similar and how did you approach it? I have about 5 recent medical studies that support the use of Metformin in pregnancy - but she is as head strong as I am and her stance is insulin has been around for 60 years whereas Metformin is only very new still.