Classic (insulin-resistant) PCOS
Classic PCOS is seen in women who are typically diabetic or pre-diabetic and have insulin resistance. In this type of PCOS, women often struggle to lose weight and may have been told by their doctor that they have diabetes.
Insulin is a hormone that is released by the pancreas in response to blood high blood sugar from meals. When insulin is high, the body is under the impression that there is ample sugar to use for energy. Therefore it stops the burning of body fat for fuel. This is why weight loss is difficult when insulin is high.
Insulin resistance occurs when the body is less responsive to insulin, and the body must release more to get the same effect. Insulin resistance occurs for several reasons, including a prolonged high fat and sugar diet, exposure to glyphosate, a disrupted microbiome (<< this is an important and often overlooked cause!), and other reasons.
When insulin is high, it stimulates the production of higher androgen levels (which is testosterone), as well as impairs ovulation. This leads to irregular periods, infertility, high testosterone levels causing acne and hair growth, as well as difficulty losing weight. The treatment approach for Classic PCOS is centered around correcting insulin resistance. The process is different for each woman, but a naturopathic doctor who is experienced in treating PCOS can help you identify and resolve the underlying imbalances.