u/OohLaDiDaMrFrenchMan

Everything looks like it’s getting slightly bigger and smaller, constantly. I’ve just learned to ignore it but it’s always there when I focus on it. I don’t often have any other hallucinations these days now that my meds are dialed in, but this one just won’t go away.

I have PCOS, am on antipsychotics for life, and used to be prediabetic until I began 1000 mg metformin (my fasting glucose was consistently 110-126 before then). I got my A1C tested a few months ago and it was 4.8% which was fantastic news.

I got it tested again a few days ago and it came back as 5.1%, which is still good, but I’m concerned about the upward trend. I’ve lost about 30 lbs since starting metformin so I’m not sure why it went up. Is it normal for A1C to fluctuate over the months without any clinical implications? I haven’t been watching my carbohydrate intake as closely anymore because I thought I was in the clear so I’m wondering if I need to start doing that again.

I have lean PCOS. I’ve always been relatively thin even when my prediabetes was at its worst. I was prescribed metformin about 7 months ago to treat my insulin resistance and prediabetes, and have lost 30 lbs, and now I’m on the verge of being underweight (I’m BMI 18.5 right now). Despite this I still have a body fat percentage of 29% (down from 32%) and don’t have much muscle even though I work out and aim for 100g of protein a day. Do I just need to body recomp or is my PCOS causing my high BF%?