Abstract
A 31-year-old woman reporting weight gain and oligomenorrhea for 9 years who married at age 25 was diagnosed at the age of 29 with polycystic ovary syndrome (PCOS). She underwent infertility treatment for two years, but failed to conceive. At age 31, she was diagnosed with diabetes mellitus. Her laboratory data was as follows: BMI, 32.0 kg/m2; HbA1C, 6.4%; HOMA-R, 5.15. Through continuous diet and exercise guidance over 5 months, her laboratory data improved as follows: BMI, 26.6 kg/m2; HbA1C, 5.1%; HOMA-R, 2.15. Fourteen months later, she gave birth at BMI, 26.2 kg/m2, and HbA1C, 4.8%. This illustrates the value of improving insulin resistance through lifestyle changes.
