PCOS in 1989 - Docs were not well versed and only treated with birth control, Provera, or surgery
IR in 1998 - Had to bring studies in to have my doc even check my insulin (which was off the chart) started Gloucophage (Metformin) 500 mg - JUST increased to 1000mg daily as my insulin crept back up.
I am back on the low/no carb WOE to decrease those levels. Low carb and exercise are the best to get IR under control, lose weight, and get other related "syndrome" issues under control.