(By Dr Rujul Jhaveri, who is a Consultant Gynaecologist at NH-SRCC Children’s Hospital)


Often overlooked but essential for women living with diabetes is the connection between diabetes and their menstrual cycle. By understanding this relationship, women can better manage your health and improve their overall well-being.


The Cycle's Influence on Blood Sugar Levels:


Your menstrual cycle can have a significant impact on your blood sugar levels. Many women experience fluctuations in insulin sensitivity during their cycle. During your period, your body requires more insulin to maintain optimal blood sugar levels. It's crucial to monitor your glucose levels closely, adjusting your insulin or medication as needed.


Hormones and Blood Sugar: 


The hormonal changes that occur throughout your menstrual cycle can affect insulin resistance. For instance, the hormone estrogen can enhance insulin sensitivity, leading to lower blood sugar levels. In contrast, other hormones like progesterone can lead to insulin resistance, causing elevated blood sugar levels. Being aware of these fluctuations helps you make necessary dietary and medication adjustments.


Managing Symptoms: 


Some women with diabetes experience intensified PMS symptoms. High blood sugar levels can exacerbate common symptoms like irritability, fatigue, and cravings. It's essential to monitor your blood sugar levels and make lifestyle adjustments during this time to minimize these effects. Engaging in regular physical activity, maintaining a balanced diet, and getting enough sleep can make a significant difference.


Menstrual Irregularities and Diabetes:


Women with diabetes often experience menstrual irregularities, such as irregular cycles or even missed periods. Poorly managed diabetes can affect the endocrine system, disrupting the menstrual cycle. If you notice significant changes, consult your healthcare provider to address the issue promptly.


Diabetes and Polycystic Ovary Syndrome (PCOS):


Polycystic Ovary Syndrome is a common condition among women with diabetes. PCOS can affect fertility and insulin resistance. Managing both diabetes and PCOS is crucial, and your doctor can help create a tailored plan to address both conditions. 


Dos: 


Understanding the complex relationship between diabetes and your menstrual cycle empowers women to take charge of their health. Regular monitoring of blood sugar levels, lifestyle adjustments, and open communication with healthcare providers are vital steps in managing diabetes during your period.


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