Ep 140 - Basal Insulin in Perimenopause: What MDI Users Need to Know

If your basal insulin suddenly feels wrong, morning highs, overnight lows, or afternoons that make no sense, you're not imagining it, and you're not failing at diabetes.

In this solo episode of the Type 1 in Midlife, I'm breaking down why basal insulin becomes a moving target during perimenopause, especially for women on multiple daily injections (MDI).

We'll talk about how fluctuating estrogen, progesterone, and cortisol change insulin sensitivity hour by hour—and what you can do about it.

I share real client examples, explain why basal timing matters more than ever, and walk through options like split dosing, midday basal, and choosing the right long-acting insulin for this stage of life.

You'll also hear how hormone replacement therapy (HRT) can influence insulin needs, why "low and slow" matters, and how tracking patterns, not single days—can help you feel steadier again.

🎧 This is Part 1 of a two-part series. Part 2 in Episode 141 focuses on basal settings for pump users.

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What to do now:

*Join the book pre-launch list for early access, bonuses, and 2026 launch updates. Grab my free guide, HRT and Type 1 Diabetes Everything I wish I knew in perimenopause.

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Disclaimer: Nothing you hear on this Type 1 in Midlife Podcast should be a substitute for professional medical advice. Please always consult your medical professional before changing your diet, insulin dosages or health care plan.