### The Connection Between PCOS and Type 2 Diabetes Polycystic ovary syndrome (PCOS) is a hormonal disorder that affects many women worldwide. One of the significant concerns with PCOS is its impact on insulin production, which can increase the risk of developing type 2 diabetes. Women with PCOS often have higher levels of insulin, especially after eating, which can lead to the body storing more fat and causing inflammation. Over time, this can impair pancreatic function and lead to type 2 diabetes. ### Michelle Elkins' Story Michelle Elkins was diagnosed with PCOS in her late teens, experiencing symptoms like irregular periods and excess body hair. In her early thirties, she was diagnosed with type 2 diabetes. Despite taking medication and weekly injections, managing her blood sugar remains challenging. Her story highlights the importance of early detection and awareness of the connection between PCOS and diabetes. ### Preventing Type 2 Diabetes with PCOS 1. **Watch for Symptoms**: Be aware of potential signs of type 2 diabetes, such as skin discoloration, frequent urination, increased thirst, and foot pain or numbness. 2. **Maintain a Healthy Weight**: Staying lean and active can help prevent insulin resistance. Losing just 5-7% of body weight can significantly reduce the risk of developing type 2 diabetes. 3. **Healthy Diet**: An anti-inflammatory diet rich in lean proteins, healthy fats, and vegetables can help stabilize blood sugar levels. Avoid sugars and processed foods. 4. **Balanced Meals**: Follow a plate rule where half of your plate is non-starchy veggies, a quarter is starchy veggies or gluten-free grains, and the other quarter is protein, with a healthy fat on top. 5. **Exercise**: Strength training and high-intensity interval training (HIIT) can help build muscle and improve insulin sensitivity. 6. **Manage Stress and Sleep**: Reducing stress and getting 7-8 hours of sleep per night can aid in weight management and overall health. 7. **Consider Supplements**: Consult with a healthcare provider about supplements like berberine, which may improve insulin resistance. ### Importance of Screening Regular screening for diabetes is crucial for women with PCOS. Tests like fasting glucose, A1C, or oral glucose tolerance tests (OGTT) can help detect diabetes early, allowing for timely intervention and prevention of complications.