First of all, I think it's really great that you're so concerned about your wife and putting effort into helping her.
Second... sigh. Fighting PCOS can be a daunting task, especially if you don't have any medical or peer support. My first suggestions (like many others have said) would be to see if she would be willing to join this site. It was a huge help for me just to see how many women are dealing with the same issues - I no longer feel alone.
I can see that you have limited medical resources, but a lot of people treat their PCOS without meds.
First and foremost is exercise. You don't have to get her to join a gym or anything - you said that you have beautiful weathr and scenery - I think that setting up an evening walk for the family every night would be hugely beneficial to everyone invoved - especially your wife.
As for food, eating as much whole food as possible cuts out lots of those simple carbs that make PCOS worse. Try to eat lots of meats, veggies, fruits, etc. The less that comes out of a box, the better!
Many people take a cinnamon supplement instead of metformin. Even taking a teaspoon a day in coffee or tea will be very helpful. I took metformin for about a year when I decided to go without it.
All of these things would be good for you to do with her - so you don't have to say "Hey, you have problems, so you should do this." If you guys decide to eat healthier and become more active as a family, you'll all benefit!
Good luck to you and your wife!
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