Gynaecologist Shares 6 Tips to Manage PCOS and Diabetes Together: ‘Two Sides of the Same Metabolic Coin’
Polycystic ovary syndrome (PCOS) is one of the most common metabolic concerns among women of reproductive age, affecting an estimated 6–13% globally, according to the World Health Organization. Up to 70% of cases often remain undiagnosed due to varying symptoms and lack of awareness.
PCOS is not only a reproductive condition — it is also deeply connected with metabolic health. One of the strongest links observed is between PCOS and diabetes, making early screening and lifestyle management highly important.
To understand this connection better, Lifestyle spoke with Dr. Sudeshna Ray, additional director of obstetrics and gynaecology at Jaslok Hospital, who has over 25 years of clinical experience.
⭐ ‘PCOS and Diabetes Are Two Sides of the Same Metabolic Coin’
Dr Ray explains that the same hormonal pathways that influence reproductive health also play a major role in how the body processes glucose.
“PCOS and diabetes are two sides of the same metabolic coin,” she said. “The condition is rooted in hormonal imbalances, and these imbalances influence how the body manages sugar.”
She added that although PCOS is often associated with weight, body size alone does not determine risk.
⭐ PCOS Is Not Only Weight-Related
Many people assume that PCOS primarily affects individuals with excess weight. However, Dr Ray clarifies:
“Even lean women with PCOS can develop insulin resistance and are at higher risk for Type 2 diabetes.”
She explains that the core issue lies in hormonal and cellular resistance, which affects glucose absorption, regardless of body type. Because of this, women with PCOS should undergo regular blood glucose screening.
There is also evidence of overlap for women living with diabetes:
“Women with Type 1 diabetes, particularly those receiving high doses of insulin, often exhibit features of PCOS. This link shows how closely insulin and reproductive hormones are connected,” Dr Ray added.
⭐ 6 Tips to Help Manage PCOS and Diabetes Together
(Shared by Dr Sudeshna Ray — for awareness, not a substitute for medical care)
Because both conditions share insulin resistance as a common factor, Dr Ray suggests six practical areas of focus:
1. Maintain a healthy weight
Even a modest reduction (around 5–10%) may support insulin sensitivity and balance certain hormones.
2. Choose balanced meals
Prioritise whole foods — fruits, vegetables, whole grains, lean proteins and healthy fats. Limiting refined sugars may help reduce glucose spikes.
3. Stay physically active
Regular movement supports insulin sensitivity. A mix of strength training and aerobic exercise may offer balanced benefits.
4. Monitor blood glucose regularly
Routine checks help detect early signs of elevated sugar levels or prediabetes.
5. Consult doctors about medical options
Under medical supervision, medications such as metformin may be prescribed to address insulin resistance and related symptoms.
6. Prioritise sleep and stress reduction
Poor sleep and ongoing stress can worsen insulin resistance. Techniques like meditation, yoga or deep breathing may help promote balance.
⭐ Why Early Awareness Matters
Because PCOS and diabetes share a metabolic foundation, recognising symptoms early and working closely with healthcare professionals can support long-term wellbeing. Screening, lifestyle habits and appropriate guidance can make a meaningful difference.
⚠️ Important Note to Readers
This article summarises expert viewpoints for informational purposes only.
It is not medical advice.
For diagnosis, treatment or personalised care, always consult a qualified healthcare professional.
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