Type 1 In Midlife: Women Over 40 with Type 1 Diabetes, Hormones, Perimenopause, Menopause, and Blood Sugar Challenges

Today's episode is a special one — I'm officially announcing my upcoming book: Highs, Lows & Hormones: A Survival Guide for Women with Diabetes — From Monthly Cycles to Menopause. This book was born from years of lived experience, coaching women through midlife, and realizing there simply wasn't one comprehensive resource that connects the dots between: Monthly cycles and insulin sensitivity Perimenopause chaos and blood sugar swings Sleep, weight gain, gut health, and inflammation Hormone Replacement Therapy (HRT) and safety What labs to run and what questions to ask your doctor And I'm not doing this alone. Joining me in this project are two incredible contributors: Dr. Vanessa Soviero Board-certified OB/GYN, Menopause Certified Practitioner, Director of the Center for Menopause & Midlife Health at Northwell Health, and a woman living with type 1 diabetes herself. Site Medical Director OB/GYN of Islandia Katz Institute of Women's Health MSCP (Menopause Society Certified Practitioner) Zucker School of Medicine at Hofstra Clinical Associate Professor Dr. Soviero brings medical depth to perimenopause, menopause, hormone therapy, cardiovascular risk, and long-term health considerations for women with insulin-dependent diabetes. Kelly Schmidt Registered Dietitian, founder of T1D Functional Nutrition, strength coach, and woman living with type 1 diabetes for over 30 years. Kelly dives into: Insulin sensitivity strategies Gut health & hormone balance Thyroid optimization Inflammation markers Supplements like magnesium, creatine, vitamin D, and more What You'll Learn in This Episode Why perimenopause feels like "reverse puberty" for blood sugar Why does checking hormones once tell the full story How declining estrogen impacts insulin resistance The truth about HRT safety for women with type 1 diabetes Why tracking symptoms empowers better conversations Why menopause is not the end, it's a recalibration We also share our own personal hormone journeys — what surprised us, what we wish we knew earlier, and what we're doing now. Who This Book Is For Women newly diagnosed in midlife Women who have lived with type 1 diabetes for decades Women with LADA or insulin-dependent diabetes Any woman navigating monthly cycles, perimenopause, or menopause This book is your roadmap. Not just information — strategy. Join the Advanced Reader Team The book is expected to be released soon, and we will have an Advanced Reader Team. If you want early access, sneak peeks, and the opportunity to leave a review — stay tuned and check the links in the show notes. Click here to join the advanced reader team: https://abundant-health-with-melissa.kit.com/advancedreaderteam Connect with Kelly Schmidt Website IG @diabeticdietitian Hit the subscribe button and rate and review to help this podcast reach more people. Be sure to share this episode. Watch on YouTube What to do now: *Join the book pre-launch list for early access, bonuses, and 2026 launch updates. Grab my free guide, HRT and Type 1 Diabetes Everything I wish I knew in perimenopause. *Follow me IG @Type1.in.midlife stay in the loop on upcoming episodes. DM me with any feedback or suggestions on topics you'd like us to cover. *Visit diabetessisters.org to join. It's free, easy to use, and a great place to find community and support. Disclaimer: Nothing you hear on this Type 1 in Midlife Podcast should be a substitute for professional medical advice. Please always consult your medical professional before changing your diet, insulin dosages or health care plan.

Living with type 1 diabetes means living with autoimmunity. And if you've ever wondered why did this happen? — you're not alone. In today's conversation, I'm joined by board-certified health and wellness coach, pharmacist, and host of Autoimmune Health Secrets, Amy Behimer. Amy lives with multiple autoimmune diagnoses herself, including MS and thyroid disease, and she brings both clinical insight and lived experience into this conversation. We talk about: What an autoimmune disease is (in simple terms) Why autoimmune diagnoses are increasing The difference between disease and "autoimmune health" Why willpower fails (and what the brain is wired to do instead) The 6 lifestyle spokes that influence autoimmune health How to rebuild trust with your body What to do when hormones shift and habits stop working How to stop blaming yourself when consistency feels impossible Why tiny habits create big ripple effects (including blood sugar stability) If you're managing type 1 diabetes in midlife, navigating hormone shifts, or feeling burned out on "trying again," this episode will help you shift from control to influence, from frustration to curiosity, and from disease to health. Because better is possible — even if perfect isn't. 🎧 Share this episode with someone who needs hope today. Connect with Amy: Podcast: Autoimmune Health Secrets IG @amybehimercoaching Website Free Habit Hub Quiz Hit the subscribe button and rate and review to help this podcast reach more people. Be sure to share this episode. What to do now: *Join the book pre-launch list for early access, bonuses, and 2026 launch updates. Grab my free guide, HRT and Type 1 Diabetes Everything I wish I knew in perimenopause. *Follow me IG @Type1.in.midlife stay in the loop on upcoming episodes. DM me with any feedback or suggestions on topics you'd like us to cover. *Visit diabetessisters.org to join. It's free, easy to use, and a great place to find community and support. Disclaimer: Nothing you hear on this Type 1 in Midlife Podcast should be a substitute for professional medical advice. Please always consult your medical professional before changing your diet, insulin dosages or health care plan.

If you've started progesterone and suddenly your blood sugars feel harder to manage—especially overnight, during stress, or in the luteal phase—this episode is for you. In this solo conversation, Melissa unpacks a nuance that doesn't get talked about enough: progesterone can be incredibly supportive for many women with type 1 diabetes… and for others, it can quietly increase insulin resistance. You'll learn: Why progesterone is often the first hormone to decline in perimenopause How progesterone affects sleep, cortisol, and insulin sensitivity What "progesterone intolerance" can look like in real life Why form, dose, and delivery method matter more than most women are told A powerful client story showing how switching progesterone delivery changed everything This episode is a reminder that harder blood sugars aren't a personal failure—and that symptoms are meaningful data, especially in midlife. Melissa also shares practical questions to bring to your hormone provider, how to track patterns without panic, and why advocating for individualized care is essential when you're living with type 1 diabetes. You're not doing this wrong. Your body is communicating—and you deserve care that listens. If you enjoyed this episode, please share it with a woman who's navigating this season—you never know who needs to hear it. 👉 Want deeper support? Learn more about my Type 1 in Midlife Coaching Circle, where we meet weekly and focus on one area of health each month to support hormones, blood sugar, and long-term wellbeing. https://www.abundanthealthwithmelissa.com/joingroupcoaching2026 Hit the subscribe button and rate and review to help this podcast reach more people. Be sure to share this episode. What to do now: *Join the book pre-launch list for early access, bonuses, and 2026 launch updates. Grab my free guide, HRT and Type 1 Diabetes Everything I wish I knew in perimenopause. *Follow me IG @Type1.in.midlife stay in the loop on upcoming episodes. DM me with any feedback or suggestions on topics you'd like us to cover. *Visit diabetessisters.org to join. It's free, easy to use, and a great place to find community and support. Disclaimer: Nothing you hear on this Type 1 in Midlife Podcast should be a substitute for professional medical advice. Please always consult your medical professional before changing your diet, insulin dosages or health care plan.

Living with chronic illness is exhausting enough. Add denied claims, surprise bills, $500 copays, and confusing insurance rules—and suddenly managing your health becomes a full-time financial battle. In this episode, I sat down with Sally Figueroa, a mom of four, chronic illness advocate, and founder of Health Savings Expert. Sally lives with Type 1 diabetes (diagnosed at age 12) and Rheumatoid arthritis, Raynaud's disease, chronic sinusitis, and the long-term impact of multiple surgeries She's also supported loved ones through endometriosis, Lyme disease, and amplified musculoskeletal pain syndrome (AMPS). For over two decades, she's been navigating the healthcare system—not just for herself, but for others. And what she discovered? Many of the ways to lower medical costs already exist. They just aren't widely shared. In this conversation, we talk about: Manufacturer copay programs that can reduce prescriptions to $0 Prescription discount cards like GoodRx and how to use them strategically Why insurance doesn't always mean affordable What to do when your medication is denied Organizations that advocate for patients behind the scenes The emotional weight of chronic illness + financial stress Why community storytelling can save families thousands Sally created Health Savings Expert as a hub where patients share real-life savings stories—so no one must figure this out alone. Because while we wait for policy reform or future breakthroughs, we still must manage today. 💻 Visit Sally's website: HealthSavingsExpert.com Explore the resource hub, read savings stories, and consider sharing one of your own. Saving $20 on supplies matters when you're living with a condition that never takes a day off. You can also find Sally on: Website: HealthSavingsExpert.com Instagram @Sallyfigfry YouTube @Health Savings Expert Every shared story creates a ripple effect. Join the Type 1 in Midlife Circle for weekly support, hormone clarity, gentle accountability, and a place to stop guessing about your midlife health. https://www.abundanthealthwithmelissa.com/joingroupcoaching2025 Hit the subscribe button and rate and review to help this podcast reach more people. Be sure to share this episode. What to do now: *Join the book pre-launch list for early access, bonuses, and 2026 launch updates. Grab my free guide, HRT and Type 1 Diabetes Everything I wish I knew in perimenopause. *Follow me IG @Type1.in.midlife stay in the loop on upcoming episodes. DM me with any feedback or suggestions on topics you'd like us to cover. Disclaimer: Nothing you hear on this Type 1 in Midlife Podcast should be a substitute for professional medical advice. Please always consult your medical professional before changing your diet, insulin dosages or health care plan.

Sometimes women aren't ready for hormone replacement therapy. Sometimes access is limited. And sometimes you simply want to strengthen your foundation first. In this episode, I'm sharing three supportive, non-hormonal ways to boost insulin sensitivity during perimenopause and beyond — especially when progesterone and estrogen are fluctuating and your blood sugars feel harder to predict. If your luteal phase feels stickier… If fasting glucose is creeping up… If workouts spike you more than they used to… This conversation is for you. I cover: • How Vitex (chasteberry) may support progesterone signaling and improve luteal-phase insulin resistance • Why improving HRV (heart rate variability) and activating the vagus nerve can lower stress hormones and support fasting glucose • The powerful combo of strength training followed by steady-state cardio to improve muscle glucose uptake and reduce post-workout spikes These are practical tools you can begin implementing right away — always in partnership with your healthcare provider. Remember: These strategies are not replacements for medical care. They are foundational habits that support steadier blood sugars — whether you pursue hormone therapy now, later, or not at all. You don't have to figure this out alone. Mentioned in this episode: I'm proud to spotlight Diabetes Sisters, a nonprofit offering education, peer support, and community for women living with diabetes. Visit diabetessisters.org to join—it's free and a wonderful resource. 👉 Want deeper support? Learn more about my Type 1 in Midlife Coaching Circle, where we meet weekly and focus on one area of health each month to support hormones, blood sugar, and long-term wellbeing. If you enjoyed this episode, please share it with a woman who's navigating this season—you never know who needs to hear it. Hit the subscribe button and rate and review to help this podcast reach more people. Be sure to share this episode. What to do now: *Join the book pre-launch list for early access, bonuses, and 2026 launch updates. Grab my free guide, HRT and Type 1 Diabetes Everything I wish I knew in perimenopause. *Follow me IG @Type1.in.midlife stay in the loop on upcoming episodes. DM me with any feedback or suggestions on topics you'd like us to cover. Disclaimer: Nothing you hear on this Type 1 in Midlife Podcast should be a substitute for professional medical advice. Please always consult your medical professional before changing your diet, insulin dosages or health care plan.