Diagnosed with PCOS, need some advice

I have PCOS and insulin resistance in spades. PCO is considered a "pre-diabetic" condition, and is typically treated with a Type II Diabetic drug (Glucophage/metformin). I didn't have gestational diabetes with either daughter because I was on the Glucophage for the pregnancies (and still am).

What has helped me immensely is: focus on lean quality protein, and the fats/carbs will take care of themselves. Choose carbs carefully: Do you want the bun the cheeseburger comes on, or would you rather have some fries? I like to order cheeseburger's without the bun when we're out - so I can afford some fries. My husband would rather cut the cheeseburger in half - loose half the bun and thereby make 1/2 a double cheeseburger. Then he steals one or two of my fries! LOL

Also - track your fiber. Protein and FIber help keep you "fuller, longer". Carbs are the instant burn - protein takes longer to process....fuller....longer.

I also order kids meals a lot. Nobody's given me grief about it yet - if they do, I'll try telling them I'm a food addict and on a strict food plan and see what happens.

I have had pcos for decades, maximum doses of clomid to get pregnant, gestational diabetes when pregnant controlled entirely by diet (they let me try it even though they thought I was going to have to have insulin injections). Pcos is not prediabetes. However many sufferers are insulin resistant. Most everyone in my family have diabetes and thyroid probelms. The endo told me I would have both by 40, I am now 57 and still have neither.

All that being said the diet I was put on then was the diabetic diet which was basically low carb. Only diet that worked ever for me. Lost a bunch of weight during both pregnancies on it (babies were both born normal weight) eating 2800 calories a day. I am trying it again now granted with much fewer calories but success. No meds. Just watching calories and keeping the carbs lower (aim for between 50-100 although some days it gets under 50).

Many women with PCOS have mentioned reducing carbs or going low carb. There's a PCOS group here: http://community.myfitnesspal.com/en/group/3070-p-c-o-sis

I don't know whether or not you've previously had issues with breastfeeding, but there's recent evidence to show that keeping the blood sugars controlled can help with that too - particularly in women with PCOS. Which might give you another reason to be happy for the metformin. (My breastfeeding specialist doctor had me on metformin for supply issues, but evidence is that it works much better if taken during pregnancy rather than post birth.)