Many women going through menopause wonder whether menopause hormone therapy (MHT), also known as hormone replacement therapy (HRT), will impact their blood sugar levels. The relationship between MHT/HRT and glucose metabolism is complex, with research showing predominantly positive effects on blood sugar control. Understanding how MHT/HRT affects your body's ability to manage glucose can help you make informed decisions about your health during and after menopause.

Does menopause affect blood sugar? The answer is yes—and understanding why can help you protect your energy, metabolism, and long-term health. Hormonal changes during perimenopause and menopause can trigger insulin resistance, morning glucose spikes, and even raise your risk of type 2 diabetes. In this post, we break down how menopause impacts blood sugar and share practical strategies—from food and exercise to stress management—that can help you stay balanced through this tr