For years, acne has largely been viewed as a surface-level skin concern, something triggered by oil, dirt, or unsuitable skincare products. But experts today are increasingly pointing to a deeper connection: the role of blood sugar regulation, insulin resistance, and hormonal imbalance in driving persistent breakouts, especially among women dealing with conditions such as Polyendocrine Metabolic Ovarian Syndrome or PMOS, formerly known as PCOS.
"PMOS is not just a reproductive disorder it is fundamentally a metabolic condition. At the centre of this dysfunction is often insulin resistance. When the body’s cells stop responding efficiently to insulin, circulating insulin levels rise, which in turn stimulates excess androgen production. This hormonal imbalance can manifest through symptoms such as irregular cycles, excess oil production, seborrhoea, and recurring acne," Dr Suvidha Valsaraj, BSMS, Panchakarma specialist and wellness expert, Zeus Hygia, tells Health Shots.
“One of the most effective ways to intervene is by improving insulin sensitivity and stabilising blood glucose levels,” says Dr Valsaraj. Dietary patterns play a key role here, particularly the intake of high-glycemic, refined foods, which can perpetuate repeated spikes in glucose and insulin.
