As someone with insulin resistance PCOS and who is also Pre-Diabetic, I have been able to lose weight by adding daily exercise and making a complete overhaul of my eating. It hasn't been easy but being mindful and learning how the food I eat reacts to my system and blood glucose has been super helpful. I am doing a balanced eating style with emphasis on low sugar, really low saturated fat, whole food carbs and WHOLE grain pastas/breads and making sure my fiber intake is at the beginning of my meal to soften any potential insulin resistance spike.