Athlete with Insulin resistance and PCOS
30 y/o female, 96lb, athletic, non smoker, no kids or previous pregnancies, drink 1-2x/wk, gluten free diet. Diagnosed 2yrs ago with PCOS due to cysts on ovaries and irregular periods. Went on Birth control to help these issues, no other tests performed. Went off birth control and developed many symptoms such as: acne, extreme thirst, frequent urination, mood swings, dizziness, fatigue, extreme tiredness after eating, hair growth in abnormal areas. Went to an Endo and had some tests performed: LH 0.82 (13.020), FSH 5.32, PRL 4.49 (379), TSH 0.52, Free T4 14.52, DHEA-Sulfate 111.6; Insulin Fasting 2, Insulin 46.9, Glucose (fasting) 4.76, Glucose 1h 7.97, Glucose 2hr 4.98 on a glucose load of 75gram. After eating, I tested my blood sugar and it was 180 (my 1st test). I don't know what to make of these results. My diet is already restricted due to gluten issues. I am a runner and cyclist already underweight. Yesterday I was prescribed metformin hydrochloride 500mg for 1st 10 days then 1000mg there after but haven't started it. I've already been on Birth contol for an entire month and my cycle had break through bleeding, was very heavy, and I am still very emotional (very unlike me). I don't know what to do about all this. Does this mean I am insulin resistant? Do I need to change my diet again? Do I need to watch my sugars? I am living in the Middle East with terrible insurance. The doctor didn't even want to run tests based on 'looking' at me but I insisted. Any advice on pre-diabetes of Type II for athletes is very helpful. Thank you, thank you, thank you.