Actually.. insulin resistance and type 2 diabetes go hand and hand.. PCOS is not really completely different. Type 1 diabetes is always too little insulin..and IR/high insulin is always too much..but type 2 diabetes comes in different ways. In many cases of type 2 diabetes that come from genetics and overweight..is the same insulin resistance we have..thats why certain diabetic drugs work for us. HOwever many diabetic drugs would do opposite of good in us, but help certain other type 2 diabetics.. My mom for instance, takes actos, and has type 2 diabetes..and high insulin.. actos and avandia both help type 2 by making cells more sensitive to insulin. We are at risk for developing type 2 diabetes.... because what first happens.. in our pre-diabetes..which is what IR is.. is that at first, to control glucose, our insulin gets higher to keep the glucose down..and higher and higher.. most of us are having bad effects from the high insulin, but since it's still keeping the glucose down we dont have diabetes yet or its effects.. unfortunately though, if we don't get treatment or lose weight.. and I think I'm heading down this road.. I couldn't tolerate met, and I haven't lost weight and my IR is getting worse

.. the insulin will gradually 'give up' and then the glucose will escalate.... IN fact thats probalby the most common type of type 2 diabetes..but many others just have low insulin, and many other things, and there are drugs to make insulin higher which would be very bad for us.