
PCOS and Macronutrients: What Science Says
A science-backed guide to how carbohydrates, fats, and proteins influence hormonal balance and insulin sensitivity in PCOS.
Read MoreExplore how low-glycemic index diets improve insulin resistance, hormonal balance, and weight management in women with PCOS.
PCOS is closely linked with insulin resistance—a condition where the body’s cells become less responsive to insulin. This leads to elevated insulin levels, which can increase androgen production, promote weight gain, and disturb ovulation. Low-glycemic diets help stabilize blood sugar levels and reduce the insulin spikes that exacerbate PCOS symptoms. Unlike traditional calorie-cutting approaches, focusing on the *quality* of carbohydrates can have a more sustainable impact on hormonal balance.
Reduction in insulin levels on low-GI diets (Moran et al., 2013)
Greater menstrual regularity compared to high-GI diets
Target GI score for optimal PCOS management
Low-GI foods cause a slower, smaller increase in blood glucose and insulin, helping mitigate key PCOS features like insulin resistance and anovulation.
Reduces hyperinsulinemia, which is responsible for increased androgen levels
Improves LH:FSH ratio and promotes regular ovulatory cycles
Supports weight loss and reduces triglyceride and LDL cholesterol levels
These foods have GI scores under 55 and are rich in fiber, antioxidants, and micronutrients ideal for PCOS symptom relief.
Spinach, kale, and arugula support insulin signaling and antioxidant defense
Cauliflower, broccoli, and bell peppers have minimal glycemic impact
Lentils, barley, quinoa, and steel-cut oats provide slow-digesting carbs
Here are practical tips for adopting a low-GI approach that’s evidence-based and sustainable:
Follow these gradual steps to transition to a low-glycemic lifestyle without feeling deprived:
Track your current diet for 3 days to identify high-GI culprits
Replace 2 high-GI foods per week with low-GI alternatives
Incorporate 1 low-GI snack daily (e.g., hummus with carrots)
Evaluate progress monthly by monitoring menstrual cycles and energy levels
Download Aora to track symptoms, monitor cycles, and get personalized insights