PCOS sugar cravings: tips for managing cravings

Polycystic Ovary Syndrome (PCOS) is a common hormonal disorder that affects individuals of reproductive age, marked by a variety of symptoms that can impact a person’s overall health and lifestyle. One of the less-discussed aspects of PCOS is the condition’s potential to intensify sugar cravings, an issue that not only complicates dietary choices but also affects glucose metabolism. 

Addressing sugar cravings associated with PCOS involves both biological and psychological considerations. People with PCOS may experience an increased and intense desire for sugary foods, which can be influenced by factors like insulin resistance, common in PCOS, and the emotional responses linked to eating habits. Strategies to manage these cravings include nutritional tweaks and lifestyle adjustments, alongside an understanding of the psychological factors at play. Let’s learn more about PCOS sugar cravings.

Key Takeaways

  • PCOS often leads to intensified sugar cravings, impacting diet and health.
  • Psychological and biological factors contribute to these cravings in PCOS.
  • Management includes nutritional strategies and lifestyle modifications.
  • Dieting and restriction can worsen PCOS sugar cravings.

What is Polycystic Ovary Syndrome?

Polycystic Ovary Syndrome (PCOS) is a common endocrine disorder affecting individuals who have ovaries. It is characterised by a combination of symptoms and biochemical changes, which can vary significantly among those affected.

The defining features of PCOS include:

  • An imbalance in reproductive hormones, and this hormone imbalance can often lead to irregular periods or missed menstrual cycles.
  • The presence of polycystic ovaries as identified through ultrasound, with an excess of immature follicles.
  • Increased levels of androgens (male hormones), which may be evident through symptoms such as hirsutism (excessive hair growth).

PCOS is also often associated with:

  • Insulin resistance, which can contribute to rapid weight gain and metabolic issues.
  • Dysregulated glucose metabolism, contributing to cravings for sugary foods.

A person with PCOS may experience a range of symptoms, including:

  1. Irregular menstrual cycles.
  2. Difficulty with fertility.
  3. Acne and oily skin.
  4. Thinning hair on the head.
  5. Rapid weight gain, particularly around the waist.

There is no single test to diagnose PCOS. Healthcare professionals consider a combination of clinical signs, symptoms, and laboratory tests before making a diagnosis. Management often focuses on individual symptoms and may include lifestyle changes, medications, and supplements.

It’s important to note that being diagnosed with PCOS doesn’t imply a single, one-size-fits-all experience. The disorder presents and progresses differently in each individual, and they should work closely with their healthcare provider to manage their specific condition. PCOS management should also focus on reducing the risk of other conditions such as high blood pressure, high cholesterol levels, heart disease and other health complications from developing.

Understanding the impact of PCOS on sugar cravings

Polycystic ovary syndrome (PCOS) significantly influences sugar cravings due to its effects on insulin functionality and blood sugar regulation. Being well-informed about the underlying biological processes can help you to understand sugar cravings and why they occur.

The science behind PCOS and sugar cravings

PCOS is characterised by hormonal imbalances that can lead to a range of metabolic issues, including insulin resistance. Insulin resistance is a condition in which body cells do not respond as effectively to insulin, the hormone responsible for transporting glucose from the bloodstream into cells for energy production. People with PCOS often experience high levels of insulin as the body tries to compensate for this resistance, which can in turn trigger intense sugar cravings as the body seeks quick energy sources, often in the form of high-calorie, carbohydrate-rich foods.

Insulin resistance and blood sugar levels

The relationship between insulin resistance and blood sugar levels is central to understanding sugar cravings in PCOS. When cells become insulin resistant, glucose remains in the bloodstream, leading to elevated blood sugar levels. The body’s natural response is to release even more insulin to manage the glucose, creating a cycle of high blood sugar and high insulin levels. These fluctuations can cause blood sugar levels to spike and crash, resulting in urgent cravings for sugar as the body seeks to quickly replenish its energy stores. This phenomenon often makes it challenging for individuals with PCOS to maintain stable energy throughout the day and people with PCOS often have a hard time with intense carbohydrate cravings.

Understanding the psychological aspects of food cravings

Food cravings or sweet cravings, particularly for sugary food, can dramatically affect the emotional well-being of those living with Polycystic Ovary Syndrome (PCOS). These intense desires can stem from psychological factors, often leading to cycles of emotional eating that may further exacerbate PCOS symptoms and impact mental health.

Emotional eating and PCOS

People with PCOS may find themselves eating in response to emotional triggers rather than hunger, a behaviour known as emotional eatingStress hormones, such as cortisol, can prompt cravings for high-calorie comfort foods that provide a temporary sense of relief from anxiety or depression. Yet, this relief is often fleeting and may lead to a cyclical pattern of binge eating, guilt, and further stress.

The need to avoid extreme diets

Restrictive diets can amplify food cravings, as individuals with PCOS may perceive these limitations as additional stressors. Avoiding extreme diets and instead opting for a more intuitive approach to food can help to stabilise blood sugar levels and reduce the risk of triggering an overeating response. This sustainable approach to nutrition acknowledges the complex role that psychological factors play in managing PCOS and food cravings.

Mindfulness and coping with cravings

Mindfulness techniques have emerged as an effective strategy to cope with food cravings and reduce instances of overeating. By recognising the signs of emotional eating and identifying their triggers, people with PCOS can establish healthier eating patterns. This self-awareness allows individuals to pause, reflect, and choose a more constructive way to handle their stress and anxiety, often diminishing the urge to seek comfort through food.

Nutrition strategies to manage cravings

Effective management of cravings can be facilitated by incorporating tailored nutrition strategies into one’s diet. These strategies focus on balance and moderation, specifically for people with PCOS who may experience intense cravings, particularly for sugary foods.

Aim for a balance of all three macronutrients

Aiming for a balance of carbohydrates, protein, and healthy fats within well-balanced meals can help stabilise blood sugar levels and reduce cravings. For instance, pairing whole grains with legumes can create a meal rich in fibre as well as protein.

Incorporate high fibre foods

High fibre foods, such as non-starchy vegetablesfruits, and whole grains, can contribute to a feeling of fullness and may help prevent carbohydrate cravings. If it feels good to you, you may choose to swap things like white bread for their seeded or wholegrain alternative, or perhaps swap white rice for brown rice. Experiment and see how these swaps impact your PCOS cravings.

Boost your protein intake

Increasing your intake of protein can assist in curbing hunger and cravings, as protein promotes satiety. Choose a protein source such as dairy, legumes, fish, meat, nuts or seeds for example, to add to your meals and snacks.

Eat regularly and eat enough

People with PCOS should aim for regular meals that provide sufficient calories to prevent low energy levels, which may lead to sugar cravings. Balanced meals can help maintain consistent energy levels throughout the day, deterring the cycle of binge eating.

Don’t restrict any foods to prevent a binge-restrict cycle

Avoiding restrictive diets that ban certain foods can prevent a cycle of deprivation and subsequent overeating. Incorporating a variety of foods, even including “fun foods”, can help to reduce the intense sugar cravings. You don’t need to cut out your favourite foods entirely or go on a low carb diet to manage PCOS sugar cravings.

By ensuring that you still include your favourite foods in your diet, you are preventing the vicious cycle of binge and then restrict which can impact people with PCOS.

Add in insulin sensitisers

Excess insulin and high blood glucose levels because of insulin resistance associated with PCOS can often be improved with the addition of insulin sensitisers like inositol. Inositol is a supplement that can help soften insulin spikes and potentially be an effective way to lower PCOS sugar cravings. As an insulin sensitiser, inositol can help the cells in the body become more responsive to insulin, therefore letting more glucose into the cells, and reducing blood glucose levels.

Lifestyle modifications to manage sugar cravings

Apart from diet, there are other ways that we can adapt our lifestyle to help manage sugar cravings.

Influence of exercise on blood sugar control

Regular exercise plays a critical role in stabilising blood sugar in individuals with PCOS. Physical activity increases insulin sensitivity, thereby helping to regulate glucose levels in the blood. A structured routine that incorporates both aerobic exercises (like brisk walking or swimming) and resistance training can diminish the frequency and intensity of sugar cravings by ensuring more consistent blood sugar levels.

The effect of sleep and stress on PCOS blood sugar cravings

Adequate sleep and minimal stress are vital lifestyle factors influencing sugar cravings. People who achieve seven to nine hours of sleep nightly tend to have more regulated glucose levels, as lack of sleep can lead to increased cortisol, the stress hormone, which may amplify sugar cravings  by having a knock-on effect on appetite hormones. Similarly, managing stress through techniques such as yogadeep breathing, or mindfulness can lower cortisol levels, thus indirectly impacting PCOS symptoms and sugar cravings.

Working with healthcare professionals

You may want to incorporate communication with and support from healthcare professionals to address insulin resistance and sugar cravings. They can guide dietary changes and lifestyle adjustments that are bespoke for each person’s unique PCOS profile. This partnership ensures that any strategies for managing blood sugar are safe, effective, and aligned with other treatments for PCOS. Learn more about working with our expert clinicians in our virtual PCOS clinic.

Summing Up: Managing PCOS Sugar Cravings

Managing sugar cravings is a common challenge for individuals with Polycystic Ovarian Syndrome (PCOS). A balanced, varied diet, regular exercise, and stress management may be helpful to crucial manage these cravings effectively.

  • Balanced meals: Ensuring meals are balanced with protein, fats, and carbohydrates can help stabilise blood sugar levels and reduce cravings.
  • Regular exercise: Regular physical activity can improve insulin sensitivity and thus help in managing cravings
  • Stress: Techniques to reduce stress, like meditation or yoga, can decrease the likelihood of emotional eating. Seek support from a healthcare professional if you are struggling with emotional eating.

Frequently Asked Questions

Here are some of your most frequently asked questions about PCOS sugar cravings.

How can you curb sugar cravings when dealing with PCOS?

You can curb sugar cravings in PCOS by eating meals and snacks that contain protein, fats and carbohydrates, ensuring regular meals to avoid blood sugar dips, and incorporating protein and fibre into snacks and meals to enhance satiety.

Should you detox from sugar if you have PCOS?

A “sugar detox” is not a medically recognised treatment for PCOS, and individuals should focus on sustainable, long-term dietary changes that reduce high-sugar foods rather than short-term “detoxes”. Your liver does all the detoxing you need!

In what ways does PCOS affect the desire for sugary foods?

PCOS often leads to insulin resistance, which can cause blood sugar levels to fluctuate, increasing the desire for sugary foods as the body seeks to quickly elevate blood glucose levels.

Are there any specific dietary strategies to combat cravings in PCOS?

Dietary strategies to combat cravings in PCOS include a regular, balanced intake of fibre-rich foods, fats, and protein to stabilise blood sugar levels, alongside regular physical activity to improve insulin sensitivity.

Alex Okell ANutr Founder and Editor

Founder and Editor | Registered Associate Nutritionist


Founder of Be The Collective LTD [The PCOS Collective & The Endo Collective] Alex Okell ANutr is a London-based reproductive health nutritionist with experience in research, private practice and digital media. She holds a Master’s degree in Nutrition from King’s College London and has co-authored papers with the University of Cambridge, King’s College London, The Food Foundation and the Food Standards Agency. Alex offers 1:1 PCOS support in our virtual PCOS clinic.

Leave a Comment

Your email address will not be published. Required fields are marked *

Scroll to Top