04/22/2026
If you’re in your 40s and feeling more tired, more inflamed, craving sugar, or gaining weight around your middle, even though your habits haven’t changed, this could be an important piece of the puzzle.
A1C reflects your average blood sugar over the past 2 to 3 months. Not one meal, not one day, but how your body is managing blood sugar over time.
During perimenopause, shifting estrogen and progesterone can reduce insulin sensitivity. When that happens, blood sugar can stay elevated longer, and your body has to work harder to bring it back down.
This can show up as fatigue, brain fog, mood changes, stubborn weight gain, and even more intense hot flashes, even when you’ve been told everything looks “normal.”
You might notice I’m wearing a CGM in this photo. I occasionally use one because of a medication I’m on, and it’s opened my eyes to how much blood sugar can fluctuate throughout the day.
This is not a recommendation for everyone.
It’s simply awareness.
For most women, A1C, symptoms, energy, cravings, sleep, and stress patterns give us a very clear picture of what’s going on beneath the surface.
Perimenopause isn’t about doing more, it’s about supporting your body differently.
Your body isn’t broken. It’s communicating.
If you’re feeling off and not getting clear answers, this is exactly the kind of work I do with my clients. We look at the full picture, including bloodwork, symptoms, and lifestyle, and create a plan that helps you feel more balanced, more energized, and more like yourself again.
You don’t have to figure this out on your own. You got this 🤍