 pcos, insulin resistance and metabolic syndrome
Many women with PCOS may also have insulin resistance and or metabolic syndrome. Insulin resistance is a condition in which one's insulin levels are much higher than normal, although glucose levels will be normal. Insulin helps us to store nutrients. If your insulin levels are too high, it will be difficult to lose weight. Acanthosis nigricans, or dark leathery patches of skin on the neck folds, under the breast or arms or vulvar area can be a sign of insulin resistance. Metabolic syndrome is diagnosed by elevated blood pressure, high triglycerides and high BMI, waste circumferance, or waist hip ratio. Many ob gyns ignore insulin resistance and metabolic syndrome. Thorough evalulation of someone with PCOS requires ruling out these other syndromes. Treatment involves not only medical therapy, but nutritional counseling and exercise. |