If insulin resistance isn’t on your radar yet, it should be—especially in midlife.

What’s going on: As estrogen declines in perimenopause and menopause, your body becomes less sensitive to insulin, the hormone that regulates blood sugar.

What it looks like: When insulin stays elevated, your body shifts into fat-storage mode. So if losing weight has felt harder lately, know it’s not a lack of willpower—it’s hormonal.

The health risks: Insulin resistance also raises your risk of high blood pressure, prediabetes, and type 2 diabetes. It may even affect menopause symptoms: Research shows that women with higher insulin levels in early perimenopause are more likely to experience longer-lasting hot flashes and night sweats.

What can help: Eat to keep blood sugar steady. Prioritize protein, healthy fats, and fiber-rich carbs, and limit refined sugars and processed foods. Strength training, sleep, and targeted medications can also improve insulin sensitivity.

A Midi clinician can determine the best approach for your body. In fact, 60% of Midi patients with prediabetes return to a normal A1c (a measure of blood sugar) within one year of care, on average.*

Book a visit to get a personalized Care Plan that supports your hormones and your long-term health.