# 789. The Real Science on Insulin Resistance in Perimenopause Page: https://stenobird.com/podcast/the-female-health-solution-podcast-410185/789-the-real-science-on-insulin-resistance-in-perimenopause Text version: https://stenobird.com/podcast/the-female-health-solution-podcast-410185/789-the-real-science-on-insulin-resistance-in-perimenopause.md Podcast: [The Female Health Solution Podcast](https://stenobird.com/podcast/the-female-health-solution-podcast-410185) Published: 2026-06-08T09:00:00+00:00 Episode link: https://drbethwestie.libsyn.com/789-the-real-science-on-insulin-resistance-in-perimenopause Audio file: https://traffic.libsyn.com/secure/drbethwestie/The_Real_Science_on_Insulin_Resistance_in_Perimenopause.mp3?dest-id=745215 Processing state: not_requested JSON: https://stenobird.com/v1/public/podcasts/the-female-health-solution-podcast-410185/episodes/789-the-real-science-on-insulin-resistance-in-perimenopause Duration seconds: 2175 ## Resource If you're struggling with stubborn weight gain, afternoon energy crashes, 3 a.m. wakeups, sugar cravings, brain fog, mood swings, or hot flashes, insulin resistance may be a bigger factor than you realize. In this episode, I break down why insulin resistance is not just a pre-diabetes issue and how it can quietly impact your hormones for years before it shows up on standard lab work. In this episode, I cover: • Why insulin resistance can explain or worsen many common perimenopause symptoms • The connection between estrogen decline and blood sugar regulation • How muscle mass directly impacts insulin sensitivity and metabolism • Why strength training is more effective than excessive cardio for metabolic health • How cortisol and chronic stress contribute to belly weight, cravings, and sleep disruptions • The most important lab markers to evaluate, including fasting insulin • Why supplements alone rarely solve the problem without addressing underlying hormone imbalances • Practical nutrition strategies to support blood sugar balance and hormone health If this sounds like what you're experiencing, schedule a Strategy Call with my team! We'll discuss your symptoms, review your goals, and help determine the best next steps for testing and support so you can start improving your hormone health with a personalized plan. Book your FREE Strategy Call here: https://calendly.com/dr-beth-westie/program-discovery-call Download your FREE Hormone Cascade Map here: https://dr-beth-westie.mykajabi.com/hormone-cascade-map ## Actions - request_transcript: `POST https://stenobird.com/v1/public/podcasts/the-female-health-solution-podcast-410185/episodes/789-the-real-science-on-insulin-resistance-in-perimenopause/transcription-requests` — Idempotently request low-priority transcript generation for this episode. - read_markdown: `GET https://stenobird.com/podcast/the-female-health-solution-podcast-410185/789-the-real-science-on-insulin-resistance-in-perimenopause.md` — Read the agent-friendly Markdown representation of this episode resource. A page view does not enqueue transcription. Agents should invoke `request_transcript` explicitly when they need this episode processed. ## Transcript Full transcripts are not published on public pages unless there is a clear rights basis.