Insulin Resistance is one of the main triggers/causes of PCOS, and if left untreated/undetected it often leads into Type 2 Diabetes. There IS a form of Type 1 Diabetes that occurs in adulthood, that can't be prevented (the body slowly attacks and destroys the insulin-producing cells in the pancreas - it sounds like this could be what you had Nxswolfwalker...), but for most of us it CAN be treated and controlled.
IR is also directly responsible for high levels of triglycerides (a form of cholesterol), too. I've heard that you can have IR for about 10 - 15 years before your blood sugar levels start to climb, so really, there's a lot of damage that has to happen before your body just can't deal with it anymore! This is why I would highly recommend you be agressive with your Pre-Diabetes management.
Metformin is one of the mildest medications out there in terms of serious side effects. It has a unique job in that it is one of the few medications that will actually help your body use it's insulin more efficiently, rather than just help your body make more of it (which is what most other diabetes meds do). This tackles IR DIRECTLY!
Although some people do feel very sick on it, for most people it's a passing thing while they adjust, and it's better if you slowly ramp up the dosage. Foods that are higher in fats and/or processed sugars/starches will tend to trigger the stomach upset (as will lettuce, for some reason). You do need to plan on eating something every 2 - 3 hours, but that's recommended anyways for IR control. Always try to have a source of protein and/or high fibre with every meal/snack. High fibre is a good leveler of blood sugar, too, as it binds to the more easily-digested starches/sugars and slows down their digestion. If you are one of the (lucky?) people who does still get sick from Metformin, try taking the Extended Release version (or regular version if you're already taking Met ER). People seem to do better on one or the other.
As for Byetta, I don't know a lot about it. It does seem to be a pretty good medication, I just haven't come across it as often.
The good news - treating the IR will help you to unlock the ability to lose weight in combination with the healthy lifestyle changes. As your body gets more in-line, your PCOS symptoms should start to ease off, and you will start feeling a LOT better!!! As you lose weight and get control over your IR, you may eventually be able to reduce your medications. Some of us are lucky in that, after getting back in balance and staying in balance, they are able to maintain just by using a healthy lifestyle. Others aren't as lucky, but you won't know until you get to that point. In the meantime, take control over your health by taking control over your IR. IR and PCOS ARE a pain in the butt, but they CAN be managed!
Take care, and HTH!!!
DipMT, Hon (ACTM)
(Diploma in Massage Therapy, with Honours from the Atlantic College of Therapeutic Massage)
| current weight: 269.6