Ep 158 - Fasting Glucose Rising? It's Not What You Think

Ep 158 - Fasting Glucose Rising? It's Not What You Think

If your morning number has started creeping up—even though you haven't changed anything—you are not imagining it.

This is one of the most common patterns I see in women with type 1 diabetes moving through their 40s and beyond.

And it's not about doing more or trying harder.

It's physiology.

In this episode, I'm breaking down why fasting blood sugar is often the first place midlife hormone shifts show up—and what's actually happening overnight in your body.

Because when you understand the "why," you can respond with clarity instead of frustration.

What You'll Learn:

  • How declining estrogen impacts insulin sensitivity overnight
  • Why cortisol rises earlier and stronger in midlife
  • How the dawn phenomenon becomes more pronounced
  • The role of progesterone shifts in blood sugar variability
  • Why muscle loss affects overnight glucose regulation
  • How sleep disruption directly raises fasting blood sugar

Why This Matters

Morning blood sugar is often the first signal that something is shifting hormonally.

And too often, women blame themselves. But this isn't failure, it's your body asking for a different approach.

What You Can Start Doing:

  • Build and protect muscle with strength training
  • Prioritize protein at dinner to support overnight stability
  • Improve sleep quality to lower cortisol response
  • Evaluate basal insulin needs (this often changes in midlife)
  • Track patterns across your cycle or symptom shifts

A Personal Note

After 40+ years of living with type 1 diabetes, I've seen how quickly things can change in this season. What used to work… stops working, and that can feel discouraging.

But it's also where deeper understanding begins.

Resources + Next Steps

My upcoming book, Highs, Lows & Hormones, goes deeper into this—helping you understand how your cycle, hormones, sleep, and insulin all work together so you can stop guessing and start responding with confidence.

👉 Join the waitlist + get my free Type 1 + Hormone Support Guide
👉 Connect with other women inside the Type 1 in Midlife Coaching Circle

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.

*Follow me IG @Type1.in.midlife stay in the loop on upcoming episodes. DM me with any feedback or suggestions on topics you'd like us to cover.


*Visit diabetessisters.org to join. It's free, easy to use, and a great place to find community and support.

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.

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Ep 176 - The Supplements I Take Every Day—and Why You Shouldn't Copy Me

Ep 176 - The Supplements I Take Every Day—and Why You Shouldn't Copy Me

I get asked this question all the time: What do you actually take every day? So today, I'm opening up my supplement cabinet for a little show and tell—from the hormones I use morning and night to magn...

21 Syys 28min

Ep 175 - The GLP-1 Explosion: What Women With Type 1 Diabetes Need to Know

Ep 175 - The GLP-1 Explosion: What Women With Type 1 Diabetes Need to Know

GLP-1s are exploding, and women living with type 1 diabetes are paying attention. But beyond the weight-loss headlines and social media success stories, what do women with T1D really need to know? Ret...

14 Syys 57min

Ep 174 - Type 1 Diabetes & Menopause: The Research Is Growing—What Happens Next?

Ep 174 - Type 1 Diabetes & Menopause: The Research Is Growing—What Happens Next?

What happens when the diabetes strategies that worked for years suddenly stop working the same way? For women with type 1 diabetes entering perimenopause and menopause, changing estrogen and progester...

7 Syys 1h 1min

Ep 173 - Aging With Type 1 Diabetes: 5 Things I'm Doing Differently After 44 Years

Ep 173 - Aging With Type 1 Diabetes: 5 Things I'm Doing Differently After 44 Years

What if the things that worked for your type 1 diabetes at 30 simply don't work the same anymore? Your insulin needs change. Hormones change. Sleep, recovery, energy and body composition can change to...

31 Elo 28min

Ep 172 - When Hormones Change the Rules: Type 1 Diabetes, Perimenopause & HRT

Ep 172 - When Hormones Change the Rules: Type 1 Diabetes, Perimenopause & HRT

What happens when a women's health nurse practitioner also lives with type 1 diabetes herself? In this episode of the Type 1 in Midlife Podcast, Melissa sits down with Dena Kranzberg, DNP, WHNP-BC, wo...

24 Elo 1h 4min

Ep 171 - The Pelvic Floor Conversation We Should Have Had Years Ago

Ep 171 - The Pelvic Floor Conversation We Should Have Had Years Ago

Most women have heard the words pelvic floor, but few of us truly understand what it does—or how much it influences our everyday lives. In this episode, I'm joined by Dr. Casey Mosos, pelvic floor phy...

17 Elo 1h

Ep 170 - Part 3 of A 3-Part Hormone Series: Could Low Testosterone Be Behind Your Brain Fog, Fatigue & Loss of Drive?

Ep 170 - Part 3 of A 3-Part Hormone Series: Could Low Testosterone Be Behind Your Brain Fog, Fatigue & Loss of Drive?

In this final episode of my three-part hormone series, we're talking about the hormone many women overlook: testosterone. Most women associate testosterone with men, but it plays a critical role in wo...

10 Elo 18min

Ep 169 - The Thyroid Fix: Why TSH Isn't Enough with Dr. Amie Hornaman

Ep 169 - The Thyroid Fix: Why TSH Isn't Enough with Dr. Amie Hornaman

If you've ever been told, "Your thyroid labs are normal," yet you still struggle with fatigue, brain fog, stubborn weight gain, or unpredictable blood sugars, this episode is for you. I'm joined by Dr...

3 Elo 47min

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