In Episode 18 of the MenopauseWize podcast, we explore a critical yet often overlooked topic - the intersection of menopause and diabetes. Joining us is the insightful and empowering Dr. Roshani Sanghani, an American Board-Certified Endocrinologist and the Author of Turn Around Diabetes. Dr. Sanghani has also been a Certified Diabetes Educator and Trainer. With years of experience helping individuals reverse and prevent metabolic disease, Dr. Sanghani brings a refreshing, evidence-based perspective to this conversation.

Together, we unpack what’s really happening to the body metabolically during the menopause transition and how shifts in estrogen and progesterone can affect insulin sensitivity, blood sugar regulation, and overall metabolic health. Dr. Sanghani breaks down what insulin resistance looks like, which symptoms to watch for, and what tests are essential for early detection and ongoing monitoring.

We discuss the powerful role of lifestyle factors—nutrition, exercise, sleep, and stress—in supporting hormonal and metabolic balance, and take a deeper look at why addressing diabetes risk at midlife matters, even in an era of advanced medication.

We also address the growing concerns around polypharmacy in menopausal women and whether hormone therapy could reduce the reliance on multiple medications by addressing root hormonal shifts. Finally, Dr. Sanghani shares her expert view on GLP-1 agonists, their relevance for women navigating weight and insulin resistance at midlife, and closes with her top three action steps every woman should consider to protect long-term metabolic and hormonal health.

Key Topics Covered:

• What is insulin resistance, and how does menopause affect it?
• Symptoms and warning signs of blood sugar imbalance in midlife.
• Essential tests to monitor metabolic health—and how often to do them.
• How lifestyle changes stack up against medication.
• Rethinking polypharmacy: can hormone therapy simplify treatment?
• The growing popularity of GLP-1 agonists—what women need to know.
• Dr. Sanghani’s top 3 non-negotiable steps for metabolic health in menopause.
  
  Whether you're in perimenopause or postmenopause, this episode offers clarity, encouragement, and actionable advice to take charge of your metabolic health - starting today.

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The information provided in all episodes of the MenopauseWize podcast, including content shared by Sukhpreet Patel or any guest or representative, is for informational and educational purposes only. It is not intended as medical advice or a substitute for professional healthcare consultation, diagnosis, or treatment. Always consult your physician or qualified healthcare provider regarding any medical condition or treatment decisions.

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