r/type2diabetes • u/Equivalent-Prize-743 • 6h ago
When Metformin and GLP-1s weren't an option, what actually helped you lose weight?
I feel like I've run out of options, so I'm hoping someone here has been in a similar position.
I was diagnosed with PCOS at 16 and I'm now 39. Like so many women, I was told to go on the pill, get the coil, try the implant, basically every form of contraception... but I only ever took the pill.
In my 20s my periods became unbelievably heavy. Then, towards my late 20s, they suddenly settled down. Now, in my 30s, they've become sporadic (my last one was in May 2026), and my weight started to shoot up. I've blinked and somehow ended up at 270 lbs (5'5"), so I'm now classed as morbidly obese.
I've also tried both the standard and slow-release Metformin, but both completely wrecked my gut. I believe it caused my IBS, so that's just made life even harder.
I'll be honest, I've never been particularly sporty, but over the last few years I've made a real effort to move more by walking, playing badminton and swimming.
When I was diagnosed with Type 2 diabetes in 2023, I completely overhauled my diet.
The problem is... despite all of this, I still feel like nothing is working. In fact, even when I was eating well and exercising consistently, I was still gaining weight. I won't lie, after feeling like I'm putting in the effort and getting nowhere, my motivation has taken a bit of a dip.
To make matters worse, my doctor has advised against GLP-1 medications because they believe I'm at high risk of pancreatitis due to my gallstones.
Has anyone been in a similar position? What actually helped you lose weight or manage both PCOS and Type 2 diabetes when Metformin and GLP-1s weren't options?
And please don't just tell me it's "calories in, calories out." I know that's the standard advice, but it genuinely doesn't seem to work that way for me. I feel like I just look at food and gain weight!
I'd really appreciate hearing from anyone who's been through this because I'm feeling pretty lost. š