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The Question
10/20/08 08:28 PM

"Since having diabetes I've developed PCOS and a big problem with facial hair. If my sugar is controlled and I lose weight will the hair stop growing?"
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Category: Women's Issues

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Expert Answers (1)

10/21/08 08:42 PM

We know that insulin resistance and hyperinsulinemia (too much insulin) causes a number of problems including PCOS (Polycystic Ovarian Syndrome). In women, the ovary is the producer of Androgens (Testosterone). High levels of insulin causes elevated levels of Testosterone which stimulates the growth of the excess facial hair also Known as Hirsutism. We also know that obesity causes insulin resistance so it is imperative to lose weight as your first line of attack. This in turn will reduce the insulin resistance and will also improve your blood glucose levels. Treatment for PCOS includes lifestyle modification isuch as diet and exercise for weight reduction, two classes of medications are used to increase insulin sensitivity , Metformin and TZD (Glitazones) and to treat the Hirsutism or facial hair a medication called Spironolactone is used. This blocks the Testosterone receptors and reduces the facial hair. Often women with PCOS have irregulr menses (periods) so for women who do not plan to get pregnant birth control pills are used for this. So, my suggestion is that you should consult with an Endocrinologist for the PCOS and get started on a treatment plan and ask for a referral for nutrition counseling .
Answered By: Beverly Herman-Rivera
Accreditations: RD, CDE
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