PCOS/Insulin Resistance Support - Insulin Resistance "Just a matter of time"?

04-11-2013, 01:45 AM
Hi everyone!

I got a new gyno recently and we were going over my symptoms and I mentioned to him that I wasn't insulin resistant. He said that with PCOS it was only a matter of time until I became insulin resistant.

That is very scary to me and something I've never heard before. Is he right?

04-11-2013, 09:37 AM
PCOS is still a mystery in many ways. Because it is a syndrome, rather than a specific disease, it has different ways that it presents in different women. One study (http://www.wdxcyber.com/dxinf001.htm) breaks these down into five categories:

traditional PCOS -- anovulatory, increased androgens, no insulin resistance
endocrine syndrome X -- anovulatory, increased androgens, insulin resistance or type 2 diabetes
non-traditional PCOS --anovulatory, normal androgens, obese, insulin resistant or type 2 diabetes
non-traditional PCOS -- ovulatory, increased androgens, mild insulin resistance
idiopathic hirsutism -- ovulatory, increased androgens, no insulin resistance

You'll notice that two of these five do not include IR. So perhaps IR is not inevitable.

That being said, your gyno may see your particular symptoms and he may put them in one of the IR categories even though at this time you are not IR.

This study (http://rphr.endojournals.org/cgi/reprint/56/1/295.pdf), on the other hand, focuses a great deal on the issue of IR and PCOS, and puts them firmly hand-in-glove.

Another site says it's only a percentage... "It has been estimated that 20 percent of women with PCOS who are obese have either impaired glucose tolerance or non-insulin-dependent diabetes mellitus (NIDDM) by age 40." http://www.bouldermedicalcenter.com/articles/polycystic_ovarian_syndrome.htm

That being said, you may want to talk with other non-IR cysters (women with PCOS) and see what they say. I'm very strongly IR, so I may not have experience that will help you.

SoulCysters is a great PCOS web site for info and encouragement. You should definitely post here, too! (of course!) but a more specific board may be able to give you more specific answers.

Post and let us know what you found and how you're doing!

04-11-2013, 04:57 PM
I'll second the SoulCysters website. It is full of supportive people and information.

04-14-2013, 07:21 PM
As you can see the answer maybe yes, it's definitive or no, it may not happen or no, if you take care of yourself.

I think the last option is the one that we can control and the only we can assume.

I have IR but now it's under control. It took a while to figure things out, but once you do, you will feel much better, have more energy and you'll know what triggers it or not.

04-16-2013, 06:31 AM
Thanks for the info!

I'm mainly worried about this for two reasons: One, I'm concerned about becoming diabetic, even with the diet and regular exercise I do because of this, and two, I really like my sweets. :D

For the women who are already IR, what are your experiences with being IR and diabetes?

I'm already on metformin, so I'm wondering if that will impact when/if it happens for me.