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Writer's pictureMarleen ter Heide

PCOS and Insulin Resistance: The Hidden Connection

Disclaimer: At Lume, we're passionate about providing research-backed information to help you make informed decisions about your health. However, we're not doctors, and this article is based on our research. Always consult with a qualified healthcare professional for personalized medical advice.


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Hey there, PCOS warriors! Today, we're diving into a topic that's crucial for understanding your PCOS journey: insulin resistance. If you've been wondering why managing PCOS feels like solving a complex puzzle, insulin resistance might be the missing piece. Let's unravel this mystery together!

What is Insulin Resistance? The Basics

Imagine insulin as a key that unlocks your cells, allowing glucose (sugar) to enter and provide energy. With insulin resistance, it's like the locks on your cells have changed. The key (insulin) doesn't work as well, leaving glucose knocking at the door, unable to get in. Your body, thinking there's not enough insulin, produces more and more. The result? High insulin levels in your blood, which can wreak havoc on your body.

The PCOS and Insulin Resistance Connection: Two Peas in a Pod

Now, you might be wondering, "What does this have to do with my PCOS?" Great question! Research shows that about 65-70% of women with PCOS have insulin resistance. That's a lot! But why are these two conditions so closely linked?


  1. Chicken or Egg?: Scientists aren't sure which comes first - PCOS or insulin resistance. They seem to fuel each other in a vicious cycle.

  2. Hormone Havoc: High insulin levels can cause your ovaries to produce more androgens (male hormones like testosterone). This can lead to classic PCOS symptoms like irregular periods and excess hair growth.

  3. Weight Woes: Insulin resistance can make it harder to lose weight, and excess weight can worsen insulin resistance. It's like a frustrating merry-go-round!


How Insulin Resistance Impacts Your PCOS

Understanding the impact of insulin resistance on PCOS is like solving a complex puzzle. Here's how the pieces fit together:


  • Irregular Periods: High insulin levels can disrupt your normal hormonal balance, leading to irregular or missed periods.

  • Fertility Struggles: Insulin resistance can interfere with ovulation, making it harder to conceive.

  • Unwanted Hair Growth: Excess insulin can boost androgen production, leading to hirsutism (excess hair growth in typically male pattern areas).

  • Acne Breakouts: Higher androgen levels can increase oil production in your skin, potentially leading to more acne.

  • Weight Gain: Insulin resistance can make it easier to gain weight and harder to lose it, especially around your midsection.

  • Increased Health Risks: Over time, insulin resistance can increase your risk of type 2 diabetes, heart disease, and other health issues.


Managing PCOS and Insulin Resistance: Your Action Plan

Now for the good news - there are ways to manage insulin resistance and improve your PCOS symptoms! Here's your action plan:


  • Move That Body: Regular exercise can help your cells become more sensitive to insulin. Aim for at least 150 minutes of moderate-intensity exercise per week.

  • Nourish Yourself: Focus on a balanced diet rich in fiber, lean proteins, and healthy fats. Limit refined carbs and sugary foods that can spike your blood sugar.

  • Sleep Well: Poor sleep can worsen insulin resistance. Aim for 7-9 hours of quality sleep each night.

  • Stress Less: Chronic stress can increase insulin resistance. Try stress-reduction techniques like meditation or yoga.

  • Consider Supplements: Some supplements like inositol and berberine may help improve insulin sensitivity. Always talk to your doctor before starting any new supplement.

  • Medications: In some cases, your doctor might recommend medications like Metformin to help manage insulin resistance.

Happy women in sunflower field

Insulin Resistance Checklist: Could This Be You?

Wondering if you might be insulin resistant? While only a healthcare provider can diagnose insulin resistance, here are some signs to watch for:


□ You have difficulty losing weight, especially around your midsection

□ You experience intense sugar cravings

□ You feel tired, especially after meals

□ You have dark, velvety patches of skin (acanthosis nigricans) on your neck, armpits, or groin

□ Your blood tests show high triglycerides or low HDL ("good") cholesterol

□ You have a family history of type 2 diabetes

□ You've been diagnosed with prediabetes or high blood sugar

If you checked several of these boxes, it might be worth discussing insulin resistance with your healthcare provider.


Key Takeaways:


  • Insulin resistance and PCOS are closely connected, with up to 70% of women with PCOS experiencing insulin resistance.

  • Insulin resistance can worsen PCOS symptoms and increase health risks.

  • Managing insulin resistance through lifestyle changes can significantly improve PCOS symptoms.

  • Regular exercise, a balanced diet, good sleep, and stress management are key strategies for tackling insulin resistance.

  • If you suspect you might be insulin resistant, talk to your healthcare provider about getting tested.


Remember, PCOS warriors, understanding the link between PCOS and insulin resistance is a powerful step in taking control of your health. By addressing insulin resistance, you're not just managing symptoms - you're tackling a root cause of PCOS.

Ready to take on insulin resistance? Start with one small change today, whether it's going for a walk after dinner or swapping out a sugary snack for a protein-rich alternative. Your future self will thank you!


Have questions about PCOS and insulin resistance? Drop them in the comments below.

We're all in this together, and your questions might help another PCOS sister on her journey!

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