Pcos issues

So I just started seeing a new Obgyn and he was convinced that I need to get my sugars under control and lose 100 lbs before I can have baby #2 I only weighed 10lbs less then I do now when I got pregnant with my 3 year old and I have been checking my sugar levels and guess what they are normal even my primary care provider says there is nothing wrong with my sugars that I am good. I exercise everyday and eat healthy I weigh 241lbs and i am 5'1. I feel like he looked at my weight and judged me he didn't even do blood work before he said all of this my PCP did and said that it was fine idk I just want one more baby but its hard with having periods that last 54 days then not having one for 3 months. And I can't take birth control due to having blood clots after having my daughter so I feel like I am hopeless anyone else out there have similar issues