Does type 1 diabetes and PCOS affect Fertility?

Question

Hello doctor,

My 25-year-old wife has had Type 1 diabetes since she was 18. She uses an insulin pump and wears a continuous glucose monitor (CGM). Her latest Hemoglobin A1c is 6.9 percent. However, she also has PCOS (polycystic ovary syndrome) and takes Metformin for it, in addition to her insulin. We have been trying to conceive for a year without success, and she is worried that her diabetes or PCOS could be affecting our chances. Should we see an endocrinologist or a fertility specialist? She also sometimes experiences severe lows at night, and her CGM alarms wake her up. Is there a way to adjust her pump settings to prevent these low blood sugar episodes? Are there any dietary or lifestyle changes she should consider while managing both conditions?

Kindly help.

Answer 1

Hello,

Welcome to icliniq.com.

I understand your concern.

Both Type 1 diabetes and PCOS can affect fertility by impacting ovulation and egg quality, with PCOS often causing irregular cycles. To improve her chances of conception, she should focus on managing her hormones and diabetes. To reduce night time lows, she could try adjusting the settings on her insulin pump, like lowering basal rates at night or using a temporary basal reduction. A balanced, low-glycemic diet and regular exercise can also help keep blood sugar levels in check. Working with a diabetes educator and a fertility expert can help her fine-tune her approach to getting pregnant.

I hope you are satisfied with my answer. For further queries, you can consult me at iCliniq.

Thank you.