Can you have PCOS without insulin resistance?

Weight loss with pcos, hysterectomy and insulin resistance?

• I know someone who has had a difficult time losing weight due to PCOS, Hysterectomy and Insulin resistance. She has been on Metifast Diet and just recently joined the gym. She is in her mid 40s. She has sometimes 2 meals at a time due to waking up later. She also just had elbow surgery so she is on this crazy schedule, unfortunately, that makes her wake up every 4 hours with energy and she can't go back to sleep. So if you were to have some suggestions...what would you suggest?

• Answer:

  Tell her to get tested for diabetes. She's a prime candidate for type 2. She should ask for an HbA1c test and it should be under 5.5% The South Beach diet might help. Phase two is a good place to start, its not too severe and you can stick with it longer. Walking helps too, up to an hour per day. Until she has healed from the surgery, she shouldn't be worrying about losing weight. You can't lose weight when you are under all that stress, because it makes your cortisol go up, which makes your body pack on fat. Two meals at one time is a BIG mistake. It loads your body with carbs, and since she already has insulin resistance, she's just making things worse. She needs to get on a normal schedule, eat better, get some exercise and GET TESTED for diabetes. I cannot stress that enough! Good luck!