Hyperinsulinemia is an excessive level of insulin. It is sometimes confused with diabetes or hypoglycemia, but it is a different condition. For women with PCOS, it results from your body having a tendency to resist the effects of insulin. Visit your doctor if you experience some of the following symptoms:  Weight gain Sugar cravings Feeling hungry frequently or intensely Difficulty concentrating or staying motivated Anxiety or panic Fatigue As a symptom of PCOS, hyperinsulinemia is connected to the increased production of androgens. This can cause oily skin, acne, facial and body hair. In addition, you may gain weight around your abdomen. If your doctor suspects you have hyperinsulinemia, she will likely order a glucose tolerance test (GTT). Treatment for hyperinsulinemia includes a diet and exercise plan and may also include a drug called Metformin, which can reduce your insulin levels. Whether your doctor prescribes Metformin or not, ask for a referral to a dietician. A good nutrition plan is a crucial part of treatment.  Check fasting insulin, glucose, hemoglobin A1c and c-peptide levels. Although there is no definitive test to diagnose insulin resistance, these levels are often higher than normal in PCOS patients with insulin resistance. If you are struggling to get pregnant and you have irregular periods, you may have polycystic ovary syndrome. In fact, PCOS is the most common cause of infertility. Irregular or absent ovulation makes it difficult or impossible to conceive. Higher hormone levels sometimes increase the risk of miscarriage in women with PCOS who do manage to get pregnant. See your doctor if you cannot get pregnant. Obesity is always a health concern, but it may also be a sign of PCOS. Because of increased levels of insulin, women with PCOS often accumulate fat around the waist and wind up with a pear-shaped appearance, and they typically have a difficult time losing weight. About 38% of women with PCOS are obese. An obese adult typically has a body mass index (BMI) of 30 or higher. If you...

TL;DR in Vietnamese:
Lưu ý tình trạng tăng insulin. Lưu ý đến tình trạng vô sinh. Đặc biệt lưu ý tình trạng béo phì. Lưu ý những thay đổi trên da. Theo dõi triệu chứng đau bụng và đau vùng chậu. Theo dõi chất lượng giấc ngủ. Cảnh giác với các triệu chứng tâm lý. Kiểm tra tiền sử gia đình.