Changes in Glucose Tolerance over Time in Women with Polycystic Ovaries
The research pointing to the link between insulin resistance and PCOS is very, very strong. And yet I read an article in a pregnancy/mother magazine about PCOS. The last therapy mentioned was managing insulin resistance. While I was exuberant that it was mentioned at all, why last? This should absolutely, unquestionably be the first line therapy. If infertility associated with PCOS is treated with fertility drugs, then the doctor just missed the true problem of insulin resistance and should be liable for malpractice.
Quite frankly, I am sick of patients coming through my office that have a glowing light above their head flashing “insulin resistant” and yet, despite multiple providers that they see, no one has addressed the insulin resistance. Their is no longer any excuse not the know this. Any physician in clinical practice today that does not fully understand the negative ramifications of insulin resistance on their patients should be kicked out of medicine. Period.