09/04/2026
Can perimenopause cause prediabetes?
Midsection weight gain, afternoon fatigue, and mood changes all get filed under "hormones" during perimenopause. The same symptoms show up in prediabetes, which is frequently how metabolic problems sit unexamined for years.
Estrogen improves insulin sensitivity. As levels become variable, cells take up glucose less efficiently and sugar that used to clear quickly starts lingering. Women who report hot flashes and night sweats carry an 18% higher risk of developing type 2 diabetes.
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