How to Stabilize Blood Sugar During Perimenopause for Better Energy and Metabolism
The Doctor’s Note Series
The Doctor’s Note Series provides physician insight into the most common questions women have about perimenopause and midlife wellness.
These articles are designed to help women better understand their bodies and support their health during hormonal transitions.
The Doctor’s Note Series provides physician insights on:
• Perimenopause and metabolism
• Hormonal health and midlife wellness
• Breast cancer prevention
• Skin and hair changes during hormonal transitions
• Women’s health and longevity
Read Doctor’s Note Below
How to Stabilize Blood Sugar During Perimenopause for Better Energy and Metabolism
By April Spencer, M.D.
Many women notice energy crashes and increased cravings during midlife.
These symptoms often reflect blood sugar instability during perimenopause.


Why Blood Sugar Changes During Perimenopause
Declining estrogen can influence insulin sensitivity.
This can lead to:
• Blood sugar spikes
• Energy crashes
• Increased cravings
Over time, these patterns affect metabolism and energy.
Why Blood Sugar Stability Matters
Stable blood sugar supports:
• Consistent energy
• Mental clarity
• Metabolic health
• Healthy body composition


Strategies to Stabilize Blood Sugar
Women can support metabolic stability by:
• Eating balanced meals with protein, fiber, and healthy fats
• Maintaining muscle through strength training
• Protecting sleep
• Managing stress
Frequently Asked Questions
Why does blood sugar become harder to regulate in perimenopause?
Hormonal shifts influence insulin sensitivity and glucose metabolism.
Can blood sugar instability cause cravings?
Yes. Rapid drops in blood sugar trigger cravings for quick energy sources.
Does blood sugar affect energy levels?
Blood sugar spikes and crashes often lead to fatigue.
What foods help stabilize blood sugar?
Balanced meals with protein, fiber, and healthy fats help regulate glucose levels.
About the Author
April Spencer, M.D. is a board-certified breast surgeon, mother of two, and the founder of Dr. Spencer’s Global Breast Health & Wellness Center.
With more than two decades of experience caring for women with breast cancer, Dr. Spencer is dedicated to advancing prevention, education, and proactive wellness strategies that empower women to take control of their health long before disease develops.
She is also the creator of Taylor Made RX Cosmetics, a physician-guided wellness and beauty brand developed to support women’s health from the inside out through targeted supplements, skincare, and hair care solutions designed for the unique needs of women navigating midlife and hormonal transitions.
Dr. Spencer’s work integrates medicine, prevention, and wellness to help women live healthier, more vibrant lives at every stage.


Explore the Doctor’s Note Series
The Doctor’s Note Series provides physician insights on:
• Perimenopause and metabolism
• Hormonal health and midlife wellness
• Breast cancer prevention
• Skin and hair changes during hormonal transitions
• Women’s health and longevity