Menopause and Diabetes What is the Connection


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5/18/2016 Diabetes and Menopause

Video taken from the channel: Association of Reproductive Health Professionals

Researchers say it’s tough to separate the effects of menopause from the effects of weight and age (both increase the risk of diabetes), but hormones could have something to do with the development of diabetes around menopause. Estrogen and progesterone can affect the way your cells respond to insulin. Diabetes and menopause may team up for varied effects on your body, including: Changes in blood sugar level. The hormones estrogen and progesterone affect how your cells respond to insulin.

After menopause, changes in your hormone levels can trigger fluctuations in your blood sugar level. Home > For Women > Menopause Flashes > Bone Health and Heart Health > Diabetes Hits Women Hard at Menopause: Beat It Back. Diabetes hits women hard, especially at midlife.

In the United States, it’s the number 6 killer of women ages 45 to 54 and the number 4 killer of women ages 55 to 64. What’s more, diabetes increases your risk of heart disease, stroke, and many other. According to the statistics, women who gain weight during perimenopause and menopause, and after menopause are at higher risk of developing metabolic syndrome and/or type 2 diabetes. Among the problems of diabetes and menopause: instability of blood sugar levels.

Fluctuations in estrogen and progesterone can make your sugars yo-yo up and down. To deal with this, Pinkerton recommends taking your sugars regularly and talking to your endocrinologist about glucose readings and other health factors impacted by menopause, including blood pressure and. But there is growing evidence that the pattern of hormonal disturbances related to the menopause transition—as revealed by “vasomotor” symptoms such as hot flashes and/or night sweats—also plays a role. Certain patterns signal increased risk for diabetes that develops later on, often years after symptoms subside. Changes in hormones during menopause can lead to weight gain and make your blood pressure more sensitive to salt in your diet — which, in turn, can lead to higher blood pressure.

Some types of hormone therapy (HT) for menopause also. By: Darby Faubion Updated June 29, 2020. Medically Reviewed By: Kelly L. Burns, MA, LPC, ATR-P For some couples, menopause and anger toward husbands seem to go together.

This may make it hard for the husband to be supportive, and it certainly isn’t easy for the woman either. After writing about menopause and hot flashes and stress/anxiety being a possible culprit, I started wondering about the link between menopause and anxiety. How are the two linked? Are women feeling anxious about menopause? Or, is it the other way?

An Australian study published in Human Reproduction has found that women who experience early menopause have a three-fold higher risk of developing type 2 diabetes in their 60s. Premature menopause means going through menopause at age 40 or younger. The researchers analyzed 5,000 women between 45 and 50 over the years of 1996 to 2016.

In this study, 71 percent of women with early menopause.

List of related literature:

Diabetes and Menopause As life expectancy increases, women are living a greater proportion of their lives in the postmenopausal phase, a time when the prevalence of type 2 diabetes also increases.

“Pathology for the Physical Therapist Assistant E-Book” by Catherine C. Goodman, Kenda S. Fuller
from Pathology for the Physical Therapist Assistant E-Book
by Catherine C. Goodman, Kenda S. Fuller
Elsevier Health Sciences, 2016

There are still many unanswered questions regarding menopause and diabetes such as whether the onset of menopause directly increases the risk for development of DMindependentofaging, or the role that declining estradiol levels and hormonal changes have on diabetes risk.

“Sadikot's International Textbook of Diabetes” by Kamlakar Tripathi, Banshi Saboo
from Sadikot’s International Textbook of Diabetes
by Kamlakar Tripathi, Banshi Saboo
Jaypee Brothers,Medical Publishers Pvt. Limited, 2019

It can be difficult to distinguish the effects of the menopause from those of diabetes, but in practical terms the treatment is the same.

“Textbook of Diabetes” by Richard I. G. Holt, Clive Cockram, Allan Flyvbjerg, Barry J. Goldstein
from Textbook of Diabetes
by Richard I. G. Holt, Clive Cockram, et. al.
Wiley, 2011

Repeated insulin release to lower blood sugar levels eventually can lead to insulin resistance, which is the cause of metabolic syndrome, which is directly implicated in obesity, type 2 diabetes, atherosclerosis, heart disease, polycystic ovarian syndrome, and cancer.

“Adaptogens: Herbs for Strength, Stamina, and Stress Relief” by David Winston, Steven Maimes
from Adaptogens: Herbs for Strength, Stamina, and Stress Relief
by David Winston, Steven Maimes
Inner Traditions/Bear, 2007

When glucose can’t get into the brain because of insulin resistance, it causes hot flashes and low cognitive function— two common complaints of our clients who are going through menopause.

“Keto: The Complete Guide to Success on The Ketogenic Diet, including Simplified Science and No-cook Meal Plans” by Maria Emmerich, Craig Emmerich
from Keto: The Complete Guide to Success on The Ketogenic Diet, including Simplified Science and No-cook Meal Plans
by Maria Emmerich, Craig Emmerich
Victory Belt Publishing, 2018

“When estrogen decreases during menopause, it can cause something called ‘insulin resistance,’ which means that the body doesn’t metabolize sugars as efficiently as it used to,” explained Dr. Liebowitz.

“What's Age Got to Do with It?: Living Your Healthiest and Happiest Life” by Robin McGraw
from What’s Age Got to Do with It?: Living Your Healthiest and Happiest Life
by Robin McGraw
Thomas Nelson, 2010

Insulin resistance and hyperinsulinemia are now recognized as a common feature of polycystic ovary syndrome and an important contributing cause of the hyperandrogenism and chronic anovulation that characterize the disorder.

“Clinical Gynecologic Endocrinology and Infertility” by Leon Speroff, Marc A. Fritz
from Clinical Gynecologic Endocrinology and Infertility
by Leon Speroff, Marc A. Fritz
Lippincott Williams & Wilkins, 2005

Adiponectin is decreased in obesity, insulin resistance, type 2 diabetes, and polycystic ovary syndrome, all of which are well-established risk factors for endometrial cancer.

“Encyclopedia of Cancer” by Manfred Schwab
from Encyclopedia of Cancer
by Manfred Schwab
Springer Berlin Heidelberg, 2011

Insulin resistance and compensatory hyperinsulinemia are also prevalent in PCOS patients, thus causing women with PCOS to have an increased risk of developing type 2 diabetes (862,863).

“Knobil and Neill's Physiology of Reproduction” by Ernst Knobil, Jimmy D. Neill
from Knobil and Neill’s Physiology of Reproduction
by Ernst Knobil, Jimmy D. Neill
Elsevier, 2006

This is due to the characteristic younger age of onset with type 1 diabetes, so that a woman in the childbearing years is apt to have this ketosis-prone form of diabetes, characterized by insulinopenia rather than insulin resistance.

“Clinical Maternal-Fetal Medicine” by Hung N. Winn, John C. Hobbins
from Clinical Maternal-Fetal Medicine
by Hung N. Winn, John C. Hobbins
Taylor & Francis, 2000

Oktay Kutluk

Kutluk Oktay, MD, FACOG is one of the world's foremost experts in fertility preservation as well as ovarian stimulation and in vitro fertilization for infertility treatments. He developed and performed the world's first ovarian transplantation procedures as well as pioneered new ovarian stimulation protocols for embryo and oocyte freezing for breast and endometrial cancer patients.

Mail: [email protected]
Telephone: +1 (877) 492-3666

Bibliography: oktay_bibliography

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  • Great video! Have you done any research on intermittent fasting for menopausal women? I would love to know what you think about it.

  • Wowzers! I remember eating the Now & Later candy and now I will think of their name associated with insulin!
    Very informative video and strong end to the Heart Attack series.
    Your faithful follower and student will watch you next week!

  • Such a great round up, Dr. Taylor. Ever since I started watching your videos (and I have in order) I feel like I’m back in college getting an education of a lifetime. You are so organized, detailed and informative. I could watch for hours. You’re pleasant, generous ( since the youtube videos are free), humorous and beautiful to boot. If I had you as a professor in college, I probably would have gone into the medical field. You are so appreciated! God bless you.

  • I have Graves’ disease so I am on thyroid meds.. The Dr I go to also checks my A1C. I started out at 5.7 and now have it down to 5.4. It’s a challenge but changing some eating habits have helped. Thanks for all of this info. We all should know by now that sugar is bad and when you purchase processed foods they have to add sugar to make it taste good. It was a sad day when we were told that fat was the enemy. So everyone avoided fat but the carbs definitely went up so here we are today saying it’s really OL to eat the right kind of fat. Yeah! Thanks for making this so understandable! Thanks ��

  • Dr Lam also suggests drinking some almond/coconut milk with some vanilla extract, coconut oil and an egg stirred into it before bed or during the night if you wake up. I love it with a bit of honeycomb low carb protein shake (sometimes) and almond meal added:)

  • I’m in Peri and I’m also a prediabetic. Most days I’m fine but some days I feel like my blood sugars are low. When I check it’s fine, around 7.5mmol after lunch…but I feel shaky, panic, pale, heart palpitations. Is it the Perimenopause? My doctor doesn’t seem to know. Please advise.