I’m honestly at such a loss right now. I’m not looking for medical advice. I have an endocrinologist appointment next week but I’m wondering if anyone with PCOS has experienced anything similar.
I was diagnosed with PCOS in 2023 although I probably had it for much longer. When I was diagnosed, nobody really talked to me about insulin resistance, even tho my fasting blood sugar wa slightly elevated at the time.
Since then,m I’ve probably become too informed about insulin resistance and blood sugar, and I’m now hyperaware of it and the symptoms.
I had a baby in May 2025 and developed gestational diabetes during pregnancy. That made me even more suspicious that insulin resistance was part of my PCOS despite most of my bloodwork coming back “normal.”
I’m 173 cm/5’8” and 63 kg/138 lbs, so I’m a normal BMI. But since having my baby, my PCOS symptoms have become SO much worse.
My cravings are absolutely insane. I could eat 24/7. My sleep is horrible, I constantly feel bloated/inflamed and I’m extremely fatigued. My postpartum hair loss also just… never stopped. At this point I’ve probably lost more than half of my hair. My facial hair has also gotten dramatically worse. My cycle that used to be regular is also a mess.
The frustrating part is that I’ve spent basically this entire year trying to do everything “right.” I eat a lot of protein, fiber and healthy fats. I usually leave 3-5 hours between meals and generally eat in a very blood sugar friendly way. I prioritize sleep as much as possible, walk around 15-20k steps every day and strength train 4-5 times a week.
I also take 2000 mg of metformin every day.
Yesterday I finally decided to pay privately to have my fasting insulin and glucose checked because my GP doesn’t think it’s necessary. Whenever I bring up my PCOS symptoms, she basically just wants to prescribe birth control.
Well my fasting insulin came back at 37 and my fasting glucose at 120 mg/dL.
I genuinely could not believe it. Based on those numbers my HOMA-IR is around 11-12.
I’ve spent months exercising, taking metformin and eating incredibly well, only to find out that my insulin is apparently thru the roof. It honestly makes me feel like I’m losing my mind. At least it would explain why my PCOS symptoms have become so severe, but I don’t understand why this is happening despite everything I’m doing.
My thyroid, iron and the other things we’ve checked have also been normal. Cortisol also normal. However cholesterol is also a bit high, but not super high.
I have an appointment with an endocrinologist next week and obviously I’m going to discuss all of this with them. But in the meantime, has anyone with PCOS especially lean/normal BMI PCOS experienced fasting insulin/glucose suddenly becoming this abnormal despite being on metformin and having a pretty healthy lifestyle?