I haven't posted much on my other health conditions lately. Ever since taking Accutane, my PCOS seems to be much less of a concern. And my endometriosis is now something that I've adjusted to. But lately, I'm really feeling the physical and emotional strain of these other conditions.

The Accutane cleared my skin completely, although it did nothing for the hyperpigmentation and scarring left behind. My breakouts are now only happening around my period, although they are getting worse with each month. Nothing too alarming yet. I've been taking vitamin A every day for the past few months. I increased it the week of my last period which seemed to help that problem.

I'm also on Yaz to help the rest of my hormonal issues out although I can't say that it seems to do much besides regulate my periods. I still have severe menstrual pain, headaches, nausea, and killer fatigue around my period. The fatigue is actually worse I think. My last period had me sleeping the entire day curled on the couch and all through the night.

I had surgery for the endometriosis almost a year ago. Some of the types of pain that I was getting are better. But others are slowly returning. And it didn't do anything for cramps every month. Although my doctor warned that it probably wouldn't because I'm probably just one of the lucky ones who gets severe pain.

There is certainly a huge emotional side to all this despite the access to prescriptions that have helped in so many ways. There is still the pain of having to get those prescriptions filled every month. There's the fear that I won't be able to keep regulating these things for very long. There's the physical and emotional scarring of years of severe acne. There's the fear of infertility.

Unfortunately, it seems that none of that matters lately. My bigger concern is how these prescriptions and conditions are affecting my diabetes. I am having a very hard time controlling this disease with just insulin and self-control. Resistance is in high swing. Cravings, hormones, fatigue, and pain are bouncing my blood sugars too.

I'd toyed with the idea of Metformin back in March. It's an approved treatment for PCOS and one that I think really might kick all this in the butt. I'm worried that the side effects will be intolerable though. So many horror stories of how Metformin causes such horrible stomach issues. I'm not good with gastrointestinal concerns. Give me pain, headaches, whatever. But no nausea, no tummy trouble.

I'm considering starting on an extremely low dose next week though just to see if perhaps the Metformin might help my blood sugars (and weight) fall back into place. I kept hoping that diligence with exercise and keeping busy despite unemployment would give the numbers a punch. Even the Dexcom isn't helping with the highs the past couple of days. I think I need an extra "oomph" in my management. And I think Metformin might just be it.

Perhaps I'll be lucky enough not to have any side effects.