My 25-Year Journey with PCOS, Insulin Resistance & Hope

I was diagnosed with PCOS (Polycystic Ovary Syndrome) in 2001 when I was 28 years old.

What prompted me to see a gynaecologist was how suddenly everything changed. My weight shot up from 42kg to 47kg in just one month, I started getting acne on my chin, and my periods came only a few times a year. I just knew something wasn’t right.

After an ultrasound scan, my gynaecologist diagnosed me with PCOS. It came as a real shock.

Looking back, I suspect years of work stress and unhealthy late-night meals may have played a part. At that time, I was working as a PA to a prominent Dato’, and my job was incredibly stressful.

Being the health geek that I am 😄, I spent countless hours reading and researching everything I could about PCOS. Instead of relying solely on medication, I decided to make major lifestyle changes. I adopted a very low-carb diet and exercised consistently every single day, come rain or shine.

One important thing I learned is that PCOS is commonly associated with insulin resistance, which increases the risk of developing Type 2 diabetes.

True enough, despite eating very little sugary food, exercising regularly and following a low-carb diet for years, my HbA1c was still 6.0 when I had my blood test in February 2026.

Since moving back to Ipoh, I’ve cleaned up my diet even more. I’ve eliminated about 95% of junk food, including chips, ice creams, biscuits and ultra-processed foods (UPFs). The remaining 5%? Well… life is too short to completely give up the occasional slice of cake, ais kacang, or my favourite kuih! 😊

I also believe that my chronic insomnia, brought on by perimenopause, is one of the biggest reasons why my HbA1c has remained stubbornly at 6.0. Unfortunately, even taking magnesium bisglycinate twice a day hasn’t made much difference to my sleep.

This year, I’ve added several new habits to help improve my insulin sensitivity:

  1. Strength training
  2. Zumba
  3. Daily brisk walking
  4. Taking apple cider vinegar + lemon juice after meals
  5. Eating protein and fibre before carbohydrates
  6. Continuing my habit of not sitting down immediately after meals (OCD me mop the floor and clean the kitchen after every meal)
  7. Cutting back even further on carbohydrates, including bread and oats

My next blood test is in September, and I’m really curious to see whether all these lifestyle changes have made a difference.

I’m hopeful that my HbA1c will improve, but at the same time, I’m trying to stay realistic because quality sleep continues to be the one piece of the puzzle that I haven’t been able to fix.

Until then, I’ll keep doing what I can—eating low-carb meals, practising intermittent fasting whenever possible, staying active, and hoping that one day, I’ll finally enjoy a full night’s sleep.

As for strength training and my daily brisk walks… I know they’ll remain my faithful companions for the rest of my life. 💪❤️ 

Nuts, seeds and legumes are my only snacks now. No more chips, ice-creams and biscuits. 

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