one of the criteria of PCOS is diabetic resistance. It has similar qualities as a diabetic and has to be monitored with diabetic medication, but doesn't show up in standard blood tests for diabetes so a lot of the time is not diagnosed.
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I'm officially diagnosed as insulin resistant, or pre-diabetes.... saw there were a few comments about it, so thought I'd give my understanding. I may have already said this in an earlier post, but worth repeating anyway, given the number of comments around it.
In a general fasting blood test that I did, it showed up some discrepancies with insulin levels. I then did a 2 or 3 hour Glucose Tolerance test, which is the same test that you would do to diagnose diabetes...take a fasting blood test, then give big shot of sugar, then take blood tests over the next few hours...
This showed up that I had insulin levels around 2x the normal level. Insulin will block the cells from receiving glucose if high blood sugar is detected, and the excess sugar is stored as fat. BUT, because my insulin was overactive, the cells weren't actually getting the glucose that they needed, so they were sending out messages that I needed more sugar.... so I was having extreme sugar cravings, eating lots of chocolate and drinking lots of alcohol and getting on a very nasty cycle and putting on weight rapidly (like 2kg a week!). Apparently, it can then get to the stage where the pancreas is overworked and shuts down, which is when you get Type 2 Diabetes.
While diet can have an impact, I had yo-yo dieted for years, and decided that I was unlikely to be successful unless I treated this underlying issue.... so I started on medication. The change was immediate.. no sugar cravings.
It makes a proper diet much easier to manage when you are not climbing the walls wanting chocolate!
So, I'd recommend getting tested if you have concerns about insulin or sugar levels, and considering medication in conjunction with diet.
Pen