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Does PCOD lead to insulin resistance?

Q: I am 18 years old and was diagnosed with PCOD last month. I have had irregular periods for about 2 years now. My doctor has put me on novelon and metformin-250. I have a slight moustache and heavy hair growth on my limbs. Will the medication help reduce the hair growth? Also, my fasting insulin levels are about 12.5. Does this indicate insulin resistance? Will it soon lead to diabetes? As my body weight is normal; what kind of diet should I follow? I weigh 58 Kgs and my height is 5 feet 8 inches.

A:Among the signs and symptoms of PCOS, hirsutism (excessive hair) is very common. This will be controlled by the usual medication. Metformin and Novelon are both indicated as prescribed. Your insulin level is within normal range. In PCOS insulin resistance is part of the disorder, hence Metformin - which increases the utilisation of insulin - is given. It is primarily given to retain and even increase fertility, not to control and/or prevent diabetes. Your height is good and weight normal. You should certainly avoid junk food since it may lead to increase in weight. In PCOS, most women are obese that complicates the disorder.


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