PCOS is the most common female hormonal disorder and the primary cause of infertility (Mohgah Elsheikh, 2008). It can increase the risk of developing diabetes and possible heart disease, particularly if you are overweight and obese. As per the studies 40% of women with PCOS have either an affected sister or mother, or have a close relative with diabetes. As per the doctors during 1980’s it has been seen that high insulin level is a fundamental disturbance in most overweight women with PCOS. Hence these women would thus be predicted to be at an increased risk for type 2 diabetes mellitus.
Insulin resistance is recognized as a major risk factor for the development of type 2 diabetes mellitus. As stated by Nadir R Farid (2009, Pg: 140) loss of weight by change of life style before pregnancy is capable of reversing the deleterious effects of obesity on fertility potential. The prevalence of early pregnancy loss is raised in women with PCOS, particularly in those with associated obesity and hyperinsulinemia. Avoiding obesity before pregnancy and screening women with PCOS for gestational diabetes and hypertension during the pregnancy, especially if they are obese, are recommended.
It has been seen that regular exercise is vital for keeping the body healthy. This is mainly when it comes to fighting Type- 2 diabetes and also help with symptoms associated with PCOS. It also aids the body to burn off excess blood sugar and helps in bringing down the weight to normal. Learning how to eat and be active in a way that treats the underlying insulin resistance in PCOS is the key to improving fertility and reducing the risk of diabetes. Lifestyle modification is the first-line treatment strategy for at-risk patients, followed by the addition of an insulin sensitizer, if needed, according to Dr Chang. Diet recommendations include a daily calorie reduction of 500 to 1000 kcal; increased consumption of vegetables, fruits, fiber, whole grains, and mono- and polyunsaturated fats; and reduced intake of saturated fats. There is evidence indicating that a reduced-carbohydrate diet may be especially effective for abdominal fat loss. Research shows that women who learn to eat in a different way, mange their stress levels can in fact control and in some cases eliminate their symptoms.