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Menopause &
Diabetes As a
woman with diabetes, you may have wondered how diabetes will affect your
menopause, and how menopause may affect your diabetes. You may also have
questions about taking hormones.
Menopause is usually defined
as the point when your periods stop. The average age in the US is around
50-51, although women with diabetes may be younger. Many symptoms are
attributed to menopause, the most common are hot flashes, disturbed sleep,
nightsweats, and the decreased ability to think clearly.
You may have noticed that
your blood sugar is affected by your menstrual cycle. Hormones can affect
blood sugar. The changes in your hormone levels during menopause can also
affect your blood sugar.
Some women choose to take
hormone replacement therapy or HRT. These hormones (estrogen and
progesterone) replace the hormones that the body no longer makes. You may
have heard that women with diabetes can't take hormones because of their
affect on blood sugar. But the doses with HRT are so low that they don't
have much affect. Because hormones can affect your blood sugar, your
diabetes medicines may need to be adjusted also.
There are benefits to taking
hormones.
- Protects your heart.
- Protects your bones from
the loss of calciumwhich can lead to brittle bones.
- Eliminates the symptoms,
such as hot flashes (which are easy to confuse with hypoglycemia), helps
you sleep and think more clearly.
As with all therapies, there
are some risks however.
- May increase your risk
for breast cancer for women who have a strong family history or other risk
factors.
- Estrogen taken alone can
increase the risk of uterine cancer. Taking progesterone with the estrogen
eliminates this risk.
- Spotting or bleeding,
much like a period.
- Headaches.
Talk with your provider
about hormone replacement therapy. Then weigh the risks and the benefits and
decide what is right for you.
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nopausis : meno- + Greek pausis, pause;
see pause.]