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

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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.

How to stabilize blood sugar during perimenopause
Blood sugar tester

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

Blood flow
Strategies to stabilize blood sugar

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.

Perimenopause Wellness Hub
Expert Guidance on Weight Gain, Metabolism, Skin, Hair, Sleep, and Women’s Health in Midlife by April Spencer, M.D.
doctor typing notes into laptop for perimenopause issues
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