Diabetes in PCOS
If you have been diagnosed with PCOS and are obese, please keep an eye on your sugar level. As you may be suffering from deranged glucose metabolism or frank diabetes. Polycystic Ovarian Syndrome, also named as PCOS as associated with many other diseases as well. Among all those diseases, diabetes is one. However, type 2 diabetes is more common in patients. People know it, as when there is an increase in blood glucose levels and is more often in adult individuals who are overweight. Type 2 diabetes is 2-4 times more common in PCOS women in terms of women without PCOS. Around 10–20 percent of women with PCOS will go on to develop Type 2 diabetes at some time.
Impaired glucose tolerance or prediabetes, wherein the blood glucose level are higher than the normal. Also, it is not as high as in those with diabetes, yet more common in PCOS women. Around 10-30% of women with PCOS will develop impaired Glucose Tolerance at some stage in life.
Gestational Diabetes (GD)
Gestational diabetes (GD), is a medical condition when there is an increase in blood glucose level. Females know it for the first time during pregnancy is also more common in individuals with PCOS. Prediabetes, Gestational Diabetes, and type 2 diabetes are more often in PCOS individuals if they are overweight.
PCOS along with type 2 diabetes are both obesity conditions that share common factors. We can define insulin resistance as the inability of tissues in the body to use insulin effectively. A key factor whereby obesity influences both PCOS and diabetes.
It is very common to a PCOS woman to be overweight. 40 to 80% of women with PCOS have increased weight or are obese. According to one study although PCOS can manifest in lean women. PCOS has an association with other features of metabolic syndrome other than type 2 diabetes mellitus, such as elevated blood pressure, dyslipidemia, and insulin resistance.
PCOS, Insulin Resistance, Prediabetes along with diabetes.
Let us have further detail on PCOS, insulin resistance, prediabetes including diabetes. You can also associate PCOS with the increased levels of insulin in the blood. Beta cells produce a hormone, insulin within the pancreas. Insulin helps in regulating the glucose level in the blood. If the glucose levels do not respond to a normal level of insulin, the body tissues become resistant to insulin and the pancreas produces more insulin. When there is an excess amount of insulin production. It is hyperinsulinemia and is a common phenomenon in PCOS as well as type 2 diabetes. In such a state when increased levels of insulin are required to maintain normal glucose levels. It is also well known by the name of insulin resistance. Moreover, it is a common feature in both PCOS and type 2 diabetes.
When the blood glucose levels in the body get elevated, due to any of the reason including insulin resistance, it leads to a condition called impaired glucose tolerance, otherwise called prediabetes and if this worsens, leads to further increase in blood glucose levels and then it is known as diabetes.
By the age of 40 PCOS obese women develop Impaired Glucose Tolerance (“prediabetes”); while up to 10 percent of obese women develop type 2 diabetes according to one scientific trial. However, the chances of receiving this condition are much higher in women without PCOS. If you have a family history of diabetes, overweight and obesity along with the race and ethnicity can increase the chances of developing diabetes among women with PCOS.
Hence, during PCOS evaluation, there is a permanent eye on blood glucose levels along with other parameters which include cholesterol and triglycerides.
PCOS and Gestational Diabetes (GDM)
According to some studies, there is a greater risk of gastrointestinal diabetes (GDM) in PCOS women when compared to non-PCOS women. In a woman, gestational diabetes generally occurs when a woman’s ability to process glucose is impaired. When there is a high blood glucose level in a mother it can give rise to a large baby, immature lungs along with problem for the mother along with the child. Within northern California, at a healthcare center, women with diagnosed PCOS has a 2.5 fold increase odds of GDM. It is even independent of all the three age, race/ethnicity along with multiple gestations. GDM in its own is a risk factor for diabetes type 2 in the future.
However, up till now, you must be aware that there are more than the twofold increased chance of GDM in terms of other women. However, further research is mandatory to clarify the role of obesity, infertility treatment, glucose regulating medication, and other factors during pre-pregnancy care that may impact the risk of GDM. Studies should be there to know whether PCOS women are getting some benefit from the management of reducing GDM risk and such measures taken are showing some effect on pregnancy or not.
Once you become pregnant it is very important to screen you for Gestational Diabetes during your pregnancy to protect you and your baby from deleterious effects of gestational diabetes. Ayurvedic treatment at Vedas Cure is beneficial to control blood glucose levels, along with dietary measures.
Weight Loss in Management of PCOS
Weight loss remains the main treatment for the management of various problems associated with PCOS, including Glucose Intolerance and Diabetes. For example, many PCOS women who are overweight lose around 6 to 12 percent of their body weight and in turn notice that their periods become more regular and on time. When you lose weight it even helps to decrease insulin resistance.
A strict diet control program and exercise regimen can help in losing the excess weight. Ayurvedic medications help in weight loss in obese PCOS women although you can discontinue it if you are going to plan pregnancy.
Don’t go with Bariatric surgery to treat morbid obesity in appropriate PCOS women. As this weight reducing surgery promise to restore normal menstrual cycles, reduce high testosterone levels, improve the excess body hair, reduce the risk of type 2 diabetes in selected women with PCOS. It is accompanied by various side effects along with the various medical condition.
If you are planning a pregnancy make sure to bring your sugar under control, if not, then take those measures to normalize it with the help of your doctor. Lifestyle measures and active life are the keys.
Once you are pregnant, please take care of your diet and medications so that you and your baby are safe.