Lois T

Q:

Everyone thinks my daughter has diabetes because she is on Metformin, but she is on it because of PCOS. Do you think that means she will become a diabetic? She is not now.

Patty Bonsignore

A:

Because of the PCOS, your daughter is at higher risk for developing type 2 diabetes. The good news is that metformin will not only help her PCOS, it also is a medication we sometimes give to people at risk to help prevent type 2 diabetes. In addition to this though, to prevent type 2 diabetes we recommend the following: 1) Get 150 minutes of physical activity every week -- 30 minutes 5 days per week 2) Lose 5 to 7% of your body weight if you are overweight 3) Eat a healthier diet You will notice it does not take a lot of weight loss to prevent diabetes. For example, a 5 to 7 % weight loss for someone who weighs 200 lbs, is equivalent to 10 to 14 lbs. By “healthier diet” we mean one that is lower in saturated fats and contains less processed, sugary foods. Eating more fresh fruits and vegetables, brown rice, whole wheat products and meats lower in fat, such as chicken and fish, are all excellent changes that your daughter could make. If she is already doing all of the above, then she is well on her way to preventing diabetes. If she needs some guidance around how to change her diet, seeing a registered dietitian would be a good choice