How to manage both diabetes and PCOS?

Question

Hello doctor,

I am a 28-year-old woman with type 1 diabetes, and I was recently diagnosed with PCOS (polycystic ovarian syndrome). My insulin needs have become unpredictable, and I am currently using Lantus (32 units daily) and Humalog (six to twelve units per meal, depending on the time). My latest lab results show a hemoglobin A1c of 8.4%, elevated testosterone levels at 68 milligrams per deciliter, fasting glucose of 185 milligrams per deciliter, and irregular menstrual cycles. I am using a Dexcom G6 CGM (continuous glucose meter), which shows a lot of glucose variability between 65 to 290 milligrams per deciliter. My doctor recommended adding Metformin to my insulin therapy to help with insulin resistance. I have also developed acne and other skin issues. I am especially worried about how these conditions might affect my fertility and how to manage both diabetes and PCOS. What do you recommend for managing these complex health issues?

Kindly help.

Answer 1

Hello,

Welcome to icliniq.com.

I understand your concern.

PCOS and diabetes often go hand in hand, and based on your description, the symptoms you are experiencing are typical of PCOS. Regular exercise and diet changes can be very helpful. It is important to maintain a healthy weight, so working on reducing some weight could benefit both your diabetes and PCOS. PCOS is not usually a major cause of infertility and can be managed well with the right medications.

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

Thank you.