Hi,
This thread is for my sister, who is 19 years old now. She was diagnosed with PCOS two years back with BG level around 130 mg/dl. She was also 28 KGs overweight (ideal weight should have been 60-65 KG) at the time of diagnosis. She was put on metformin 500 and was told to start exercising and correct her diet (she had a pretty sedentary life before that). She reduced about 5 KG and her BG levels came to normal within 6 months and her PCOS also improved. However, within a year she gained more than what she lost and her diabetes sky-rocketed. About 4 months back, I had took her to a diabetes specialist and at that time her fasting BG was 300 mg/dl and her HbA1c was over 10. The doctor confirmed through C-pep and a bunch of other tests that she had Type 2 Diabetes. Her metformin was increased from 500 to 1000, she was put on a second medicine called AjaDuo 10mg/5mg (Empagliflozin (10 mg) + Linagliptin (5 mg)) and she had a glucose monitoring device attached to her arm for 15 days.
Since then, she has lost nearly 10KGs (from 93 to 83) and everything was under control until recently. A few weeks back, she went to a party and gulped down everything she could lay her eyes on. As a result, her fasting increased from 96 mg/dl to 129 mg/dl and her PP was hovering over 160 mg/dl. Her HbA1c went up from 5.7 to 6.3. I went to the doctor and she just increased her Metformin from 1000 to 1500 (three times a day). The doctor couldn't explain as to why the BG spiked by one day of binge eating couldn't come down for almost two weeks despite taking meds regularly and exercising regularly.
I was searching for some answers online and I came across an article that seemed to suggest that Type 2 Diabetes progressed very rapidly in teens and that beta cell functions in teens deteriorated 4 times faster than in adults. It was a study of 4 years from Treatment Options for Type 2 Diabetes in Adolescents and Youth (TODAY). I am so worried about my sister now. I feel like things are already deteriorating since her medication had to be increased from 1000 to 1500 a day.
Is there anyone out there who was diagnosed with both PCOS and Type 2 Diabetes this young? How has it been for you? Has it worsened rapidly in you as the article says it usually does? Have you developed any other complications despite best of your efforts?
I really am very scared and worried about her. She is just 19 and she has her entire life ahead of her. I cannot even imagine her having a failed kidney or failed heart at the age of 30 or 40. I just want to know if there's any hope out there, if anyone has been able to manage it successfully without ending up with insulin.
A little background on her and her food habits:
As of now, our food intake has reduced greatly. We now have come down from 250 gms of carbs a day to 130 gms of carbs. She goes to the gym most days of the week and works out for a continuous 40-50 mins breaking a lot of sweat. Despite, all of this, the diabetes doesn't seem to be improving much (which reminds me of the article published and worries me a lot).
Being an elder brother, I really don't want to see her end up in hospitals when she is in her prime time, about to go out in the world and start making money.
Is there anyone in similar condition who has a successful story to share? Can anyone please tell me what should be done next if nothing works out?
My apologies for making it extremely long.
This thread is for my sister, who is 19 years old now. She was diagnosed with PCOS two years back with BG level around 130 mg/dl. She was also 28 KGs overweight (ideal weight should have been 60-65 KG) at the time of diagnosis. She was put on metformin 500 and was told to start exercising and correct her diet (she had a pretty sedentary life before that). She reduced about 5 KG and her BG levels came to normal within 6 months and her PCOS also improved. However, within a year she gained more than what she lost and her diabetes sky-rocketed. About 4 months back, I had took her to a diabetes specialist and at that time her fasting BG was 300 mg/dl and her HbA1c was over 10. The doctor confirmed through C-pep and a bunch of other tests that she had Type 2 Diabetes. Her metformin was increased from 500 to 1000, she was put on a second medicine called AjaDuo 10mg/5mg (Empagliflozin (10 mg) + Linagliptin (5 mg)) and she had a glucose monitoring device attached to her arm for 15 days.
Since then, she has lost nearly 10KGs (from 93 to 83) and everything was under control until recently. A few weeks back, she went to a party and gulped down everything she could lay her eyes on. As a result, her fasting increased from 96 mg/dl to 129 mg/dl and her PP was hovering over 160 mg/dl. Her HbA1c went up from 5.7 to 6.3. I went to the doctor and she just increased her Metformin from 1000 to 1500 (three times a day). The doctor couldn't explain as to why the BG spiked by one day of binge eating couldn't come down for almost two weeks despite taking meds regularly and exercising regularly.
I was searching for some answers online and I came across an article that seemed to suggest that Type 2 Diabetes progressed very rapidly in teens and that beta cell functions in teens deteriorated 4 times faster than in adults. It was a study of 4 years from Treatment Options for Type 2 Diabetes in Adolescents and Youth (TODAY). I am so worried about my sister now. I feel like things are already deteriorating since her medication had to be increased from 1000 to 1500 a day.
Is there anyone out there who was diagnosed with both PCOS and Type 2 Diabetes this young? How has it been for you? Has it worsened rapidly in you as the article says it usually does? Have you developed any other complications despite best of your efforts?
I really am very scared and worried about her. She is just 19 and she has her entire life ahead of her. I cannot even imagine her having a failed kidney or failed heart at the age of 30 or 40. I just want to know if there's any hope out there, if anyone has been able to manage it successfully without ending up with insulin.
A little background on her and her food habits:
- At the time of her birth, my mom had gestational diabetes and she was also born a little heavier than other babies.
- She didn't have a very active life growing up (thanks to TV and lack of awareness on our part).
- Though she had home cooked food most of the time, since we are Indian, we never paid attention to carbs / calories.
- Before her initial diagnosis with PCOS, most days she would come back from school munching on a packet of chips or sugary stuff.
As of now, our food intake has reduced greatly. We now have come down from 250 gms of carbs a day to 130 gms of carbs. She goes to the gym most days of the week and works out for a continuous 40-50 mins breaking a lot of sweat. Despite, all of this, the diabetes doesn't seem to be improving much (which reminds me of the article published and worries me a lot).
Being an elder brother, I really don't want to see her end up in hospitals when she is in her prime time, about to go out in the world and start making money.
Is there anyone in similar condition who has a successful story to share? Can anyone please tell me what should be done next if nothing works out?
My apologies for making it extremely long.