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It is a metabolic disorder and PCOS is related to hyperinsulinemia . When you find that the levels of hormones keep fluctuating and 40% of these patients tend to develop diabetes as the lifestyle goes on. So the combination of obesity, lack of exercise, stressful life, triggers off diabetes in these patients and when we do investigations, we definitely look and rule out diabetes complicating their lifestyle it is quite common to find hypothyroidism complicating polycystic ovaries.
