What is the Best Way to Reverse Insulin Resistance With PCOS?

Did you know that approximately 65-70% of women with Polycystic Ovarian Syndrome (PCOS) have insulin resistance? 

This hormonal condition affects around 1 in 10 women during their reproductive years, and insulin resistance can lead to various symptoms and health complications. 

Insulin resistance occurs when the body does not produce enough insulin or fails to respond to its signal, resulting in high blood sugar levels. 

Managing insulin resistance is crucial for women with PCOS to reduce the risk of developing prediabetes or type 2 diabetes and improve their overall health.

A woman faces away from the camera facing the sun while in a yoga pose

Key Takeaways:

  • Insulin resistance affects most of the women with PCOS, highlighting the importance of addressing this condition.

  • Insulin resistance can lead to symptoms such as irregular periods, hirsutism, reduced fertility, and acne.

  • While insulin-sensitizing drugs (ISDs) may be helpful in some cases, they are not a universal solution for all women with PCOS.

  • Diet, exercise, lifestyle changes, and medications can all play a role in managing insulin resistance with PCOS.

  • Working with a professional for an individualized plan is crucial for effectively managing insulin resistance.

The Importance of Diet in Managing Insulin Resistance with PCOS

Diet plays a surprisingly crucial role in managing insulin resistance in women with PCOS. Making certain changes to the diet can help reduce insulin resistance and improve insulin sensitivity.

Some dietary recommendations for managing insulin resistance include:


  1. Increasing fiber intake: 

Fiber-rich foods, such as whole grains, fruits, vegetables, and legumes, can help reduce carbohydrates' impact on blood sugar levels and slow down digestion.

2. Consuming lean proteins: 

Lean proteins, like plain Greek yogurt, low-fat milk, chicken breast, and lean beef, have a minimal impact on blood sugar levels and can assist with weight management.

3. Incorporating anti-inflammatory foods: 

Anti-inflammatory foods, such as turmeric, olive oil, fatty fish, blueberry, and raspberry fruits, can help reduce inflammation and improve insulin resistance.


On the other hand, it is important to limit the consumption of:

  • Refined and processed carbohydrates

  • Processed and red meats

  • Excessive alcohol


These foods can worsen insulin resistance. By making these changes, you can effectively manage your insulin resistance and improve your overall wellness.


Dietary changes can be difficult. To make meal planning easier, check out my recipe book, The PCOS Snack Bible: My Favorite PCOS Snacks, where you will find delicious and wholesome snacks your whole family can enjoy.

The Role of Exercise in Reversing Insulin Resistance with PCOS

Exercise is vital in reversing insulin resistance in women with PCOS. Regular physical activity can help regulate blood glucose levels, improve insulin sensitivity, and effectively manage weight.

Aiming for at least 30 minutes of moderate exercise daily is recommended to reap the benefits of managing PCOS. 

You can choose from various activities such as walking, jogging, cycling, swimming, or participating in fitness classes. Finding something you enjoy and can consistently incorporate into your routine is key.

Regular exercise can help improve insulin sensitivity and reduce the risk of developing prediabetes or type 2 diabetes. It enhances the body's ability to use insulin effectively and maintain stable blood sugar levels.


A well-balanced diet can complement your exercise routine and further improve insulin sensitivity.

Lifestyle Changes for Managing Insulin Resistance with PCOS

In addition to diet and exercise, there are several lifestyle changes that can help you effectively manage insulin resistance in women with PCOS. 

These changes can significantly improve your insulin sensitivity and overall health. Here are some important lifestyle recommendations to consider:

Maintain a Healthy Weight

Maintaining a healthy weight can further help to manage insulin sensitivity, especially in women with PCOS. 

Excess weight can worsen insulin resistance, so be sure to focus on a balanced and nutritious diet that supports weight management. 

These dietary adjustments, coupled with regular exercise, can help you achieve and maintain a healthy weight.

Manage Stress Levels

High-stress levels can negatively impact insulin sensitivity. 

To reduce stress and improve insulin resistance, implement stress management techniques, such as breathing exercises, nature walks, engaging in relaxing hobbies, or counseling. 

Explore different stress reduction strategies and find what works best for you personally.

Get Enough Quality Sleep

A lack of sufficient sleep has been linked to insulin resistance. Aim for a consistent and sufficient amount of quality sleep each night. Create a relaxing sleep environment to establish a regular sleep routine, and prioritize self-care practices that promote optimal sleep health.

Avoid Smoking and Excessive Alcohol Consumption

Smoking and excessive alcohol consumption can further impair insulin sensitivity. It's important to eliminate or significantly reduce these habits to manage insulin resistance effectively. 

Seek support and resources if needed to help you quit smoking or cut back on alcohol consumption.

Incorporating these recommended lifestyle changes into your daily routine can help you effectively manage insulin resistance and improve your overall health. 

The Role of Medications in Treating Insulin Resistance with PCOS

While diet, exercise, and lifestyle changes are essential for managing insulin resistance in women with PCOS, medications can also assist in the treatment. 

One commonly prescribed medication for insulin resistance in PCOS is Inositol. 


Inositol is a naturally occurring compound found in various foods and produced by the human body. It plays a crucial role in cell signaling and insulin sensitivity regulation. 


Inositol supplements, particularly Myo-inositol and D-chiro-inositol, have shown promising results in improving insulin sensitivity, ovarian function, and menstrual regularity in women with PCOS. 

This is why many professionals frequently prescribe inositol supplements as part of the treatment regimen for managing symptoms associated with PCOS.

To learn more about Inositol and its benefits, check out my blog, What is Inositol and Why is it Popular for PCOS?

Another medication that is commonly prescribed is Metformin. It is known to improve insulin sensitivity and reduce glucose production in the liver.

Other medications may also be used in certain cases. These medications help improve insulin sensitivity and reduce insulin resistance, offering additional support for managing PCOS-related insulin resistance.

The specific medication and dosage required will vary depending on individual needs, and an assessment with a professional is needed to determine the most suitable medication choices and dosages for each person's unique situation.

Conclusion

Managing insulin resistance is crucial for women with PCOS to reduce the risk of developing prediabetes or type 2 diabetes and improve their overall health. 

Women with PCOS can effectively reverse insulin resistance and improve insulin sensitivity by following a healthy diet, regular exercise, and lifestyle changes.

When it comes to diet, increasing fiber intake, consuming lean proteins, and incorporating anti-inflammatory foods can help reduce insulin resistance. 

Limiting the consumption of refined and processed carbohydrates, processed and red meats, and excessive alcohol is also important in managing insulin resistance.

Engaging in moderate physical activity for at least 30 minutes a day can regulate blood glucose levels and improve insulin sensitivity. 

Additionally, making lifestyle changes such as healthy weight management, managing stress levels, getting enough quality sleep, and avoiding smoking and excessive alcohol consumption can further enhance insulin sensitivity and overall health for women with PCOS. 

If you are ready to get help effectively managing your insulin resistance and enhancing your health and well-being, I am here to help! 

As a Registered Dietitian and Certified Fertility and Prenatal Dietitian, I am here to help! Schedule a consultation today to get started on your new wellness journey!

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