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    Keeping an eye on your own health implies maintaining this control in all periods of life. Diabetes and menstruation are directly related to health and require some care.

    This cycle usually lasts about 28 days, during which the woman goes through hormonal fluctuations that trigger her ovulation and menstruation. Such variations, however, also affect other parts of your body, which makes women with diabetes feel some specific reflexes.

    It is very important to know and observe these impacts, as they change the way the body absorbs and maintains blood sugar. It is an extra care to ensure well-being at all stages of life , just by making the right decisions.

    To help you with this, we have brought in this article the main points that deserve your attention when it comes to diabetes and menstruation. Good reading!

    How does menstruation affect blood glucose?

    The menstrual cycle usually lasts about 28 days and the woman goes through hormonal fluctuations that activate her ovulation and menstruation. Such variations, however, also affect other parts of your body, which makes women with diabetes feel some specific reflexes.

    It is very important to know and observe these impacts, as they change the way the body absorbs and maintains blood sugar. It is an extra care to ensure well-being at all stages of life, just by making the right decisions.

    The mechanisms of menstruation

    For those who follow the recommended frequency to control blood sugar levels, the menstrual period can represent real chaos. After all, blood glucose tends to vary a lot before and after menstruation.

    The first day of menstruation is the first day of the cycle, when follicle stimulating hormone (FSH) is released in greater amounts. This hormone causes the ovarian follicles to begin their development.

    Towards the seventh day of the cycle, the amount of FSH produced starts to decrease. So that only one follicle continues its growth, causing the production of the female hormone estradiol to increase. Along with estradiol, the luteinizing hormone secreted by the pituitary reaches its peak. And the action of both leads to ovulation.


    The emergence of blood glucose

    From there, the follicle becomes the corpus luteum, initiating the production of progesterone. This hormone, among other things, generates an increase in insulin resistance , making its absorption by the body more difficult. This means that the same dose of insulin may not be enough for the expected effect.

    Another possible effect is the emergence of a greater feeling of hunger, which usually ends up contributing even more to the lack of blood glucose control. Therefore, not preparing for this stage could mean running the risk of experiencing hyperglycemic episodes.

    What to evaluate during menstruation?

    Understanding the reflexes caused by menstruation in those who have diabetes is essential to continue living with quality of life. In this way, it is possible to prevent potential problems, understand some of these impacts and adapt their treatment accordingly.

    Check out the main points of attention below!

    Interference in blood glucose

    Anyone who has diabetes knows the importance of monitoring their blood glucose at the right intervals of day to day. Those who menstruate need to pay even more attention, as the menstrual cycle can influence these levels.

    Conclusive studies have not yet been carried out on the reasons that cause such interference. However, what is known is that each woman has different reflexes, some more intense and others less.

    First day intensity

    The first day of menstruation for a woman with diabetes is usually quite heavy. This means a sudden increase in blood glucose, which can have a very noticeable impact on her feeling of well-being.

    At this point, you need to stay calm and plan to treat the case using the tools you already have: glycemic control and insulin. In extreme cases, seek advice from your physician to receive guidance specific to your needs.

    Directly above flat lay flat lay shot of medical equipment on gray background with copy space. Glucometer and stripes with medicines and syringes.

    Delay in menstruation

    Diabetes can influence the duration of menstruation and even the time of menopause. The reason behind this is also not yet known. But it has been observed that those who have diabetes tend to have a delay first period and more irregular menstrual cycles. In addition, your reproductive window (from menarche to the start of menopause) tends to be shorter.

    Early menopause

    A recent study published in the journal Menopause , of the North American Menopause Society, indicated that women with type 1 diabetes may be more susceptible to early menopause. In addition, your reproductive period also tends to be shorter than it would be without the influence of diabetes.

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    Increased appetite

    Another dangerous reflex of menstruation for a diabetic woman is increase of appetite. After all, taking care of this aspect is essential. So that glycemic levels remain under control in all situations, especially when the appetite increases suddenly.

    This usually happens before your period. The most recommended, therefore, is to resist temptation and avoid the consumption of refined carbohydrates, so that blood glucose remains under control.

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    Excessive tiredness

    One more possible relationship between diabetes and menstruation is an increased feeling of tiredness in the diabetic woman who enters the menstrual cycle. This, in itself, is not something dangerous, but it can make her feel less motivated to practice physical activities.

    As we know, the practice of physical activities is very important to keep diabetes under control during the day to day. So, even with this feeling of tiredness, it is necessary to perform a good number of exercises as part of the routine, so as not to harm your health.

    Difficulty exercising

    The low concentration of estrogen in the female body during menstruation and losses with menstrual flow make training more difficult for women in general. In turn, physical activity lowers blood sugar levels and, for women with diabetes, there are risks of more severe hypoglycemia .

    So, if there are symptoms of glucose drop, stop training immediately. One should eat a sweet food or drink to promote the replacement of sugar levels.

    PSM intensity

    Premenstrual syndrome (or PMS) is that period before menstruation. It can cause a lot of physical, emotional and psychological discomfort to women. It is also possible that it generates reflexes such as weight fluctuation, fatigue, mood swings and increased appetite. All these can be more severe in those who have diabetes.

    If this is the case for you, talk to your doctor to assess the possibility of increasing your insulin dose at these times. After all, remember that each woman has a different PMS intensity, which requires special attention.

    Increased risk of endometrial cancer

    Endometrial cancer usually affects women over 60 who have already entered menopause. Those who have diabetes, however, need to be extra careful with this disease, performing preventive exams to be able to detect it early, if it arises.


    According to research in the area, endometrial cancer can be up to 4 times more common in women who have diabetes. This is even worse when other risk factors for the development of this disease are there, especially when the person is overweight.

    What precautions should be taken?

    Now that you have seen what happens during menstruation, see some habits and initiatives that can be taken and that will be of great help to reduce the main annoyances and risks.

    practice physical activities

    During the menstrual period, as we have seen, the practice of physical activities can bring some hypoglycemic discomfort to the woman. However, routine physical exercises should not be suspended, but conducted more carefully on flow days.

    Consider that physical activities are important for the person with diabetes. The person should always consider the opportunity to maintain a regular practice. Diabetes control is more easily achieve when the daily routine includes physical activity, even walking.

    Adopt a healthy diet

    Food is one of the most sensitive points for diabetes control. At the same time, a healthy diet is also a means of ensuring more health for the body and better conditions for coping with diabetes.

    Thus, measures such as reducing salt, choosing healthier carbohydrates and eating more fruits and vegetables are among the most indicated initiatives. Losses during flow can be more easily supported when there is nutritional stability promoted by healthy eating.

    Carry out gynecological follow-up

    The woman with diabetes has even more reasons to maintain a regular gynecological follow-up. In particular, whenever you notice any significant changes in health during your period.

    Also, consider that diabetes can increase the likelihood of contagious gynecological diseases, especially when decompensated. Medical follow-up can prevent many complications more easily whenever observed at the beginning.

    Well, now that you know the main points of this relationship between diabetes and menstruation, you’ve certainly understood the reasons for the expression tingles in the blood and know what to do. In this sense, you can start paying attention to how your body reacts in these moments.

    It is also always good to be attentive to ensure medical follow-up in case of any sign that deviates from what is considered normal. Also, be sure to follow the guidelines provided for your day to day.

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