{"podcast":{"title":"Type 1 In Midlife: Perimenopause, Menopause & Type 1 Diabetes","slug":"type-1-in-midlife-perimenopause-menopause-type-1-diabetes-6369803","podcast_index_feed_id":6369803,"rss_url":"https://feeds.libsyn.com/472698/rss","website_url":"https://www.abundanthealthwithmelissa.com","image_url":"https://static.libsyn.com/p/assets/b/0/6/1/b061ac24ed35131416c3140a3186d450/Type_1_In_Midlife_Mktg_For_Libsyn_3000_x_3000_px_1.jpg","author":"Melissa Slemp","episode_count":166,"summary":"The Type 1 in Midlife Podcast is for women navigating hormones and blood sugar through perimenopause, menopause, and aging with type 1 diabetes. Hosted by Melissa Slemp, certified nutritional and hormone health coach, author of Highs, Lows & Hormones, and living with type 1 diabetes for more than 44 years. This show brings honest conversations, practical strategies, and real-life support to women who are tired of feeling dismissed, confused, or alone in their health journey. Inside each episode, you'll learn how hormones impact insulin resistance, sleep, weight gain, stress, energy, metabolism, and blood sugar management during every stage of life. Melissa also brings trusted conversations around the benefits and considerations of hormone therapy, helping women better understand current research, treatment options, symptom relief, and how hormone support may improve quality of life during midlife and menopause. Through lived experience, coaching insight, expert interviews, and faith-filled encouragement, Melissa helps women better understand their bodies, confidently advocate for the care and support they deserve, and feel empowered to make informed health decisions. If you're loo…","last_synced_at":"2026-07-06T22:20:00.422674+00:00","page_url":"https://stenobird.com/podcast/type-1-in-midlife-perimenopause-menopause-type-1-diabetes-6369803"},"episode":{"title":"Ep 156 - GMI vs A1C: Why Your Numbers Don't Match (And What Actually Matters)","slug":"ep-156-gmi-vs-a1c-why-your-numbers-don-t-match-and-what-actually-matters","published_at":"2026-05-04T11:00:00+00:00","page_url":"https://stenobird.com/podcast/type-1-in-midlife-perimenopause-menopause-type-1-diabetes-6369803/ep-156-gmi-vs-a1c-why-your-numbers-don-t-match-and-what-actually-matters","show_page_url":"https://stenobird.com/podcast/type-1-in-midlife-perimenopause-menopause-type-1-diabetes-6369803","url":"https://8a3e4cb9-6bb5-419e-af59-a9022a4482b0.libsyn.com/ep-156-gm-vs-a1c-why-your-numbers-dont-match-and-what-actually-matters","audio_url":"https://traffic.libsyn.com/secure/8a3e4cb9-6bb5-419e-af59-a9022a4482b0/T1IM_156_-_Meliss_Slemp_solo.mp3?dest-id=4006335","summary":"Have you ever looked at your CGM and felt confident… only to get your lab A1C back and feel completely thrown off? If your numbers don't match, you're not doing anything wrong. In this episode, we're breaking down the real reason your CGM estimate (GMI) and lab A1C can show different results—and why this disconnect can feel so frustrating, especially after years of doing your best to manage type 1 diabetes. Melissa shares her personal experience of seeing a 5.9 CGM estimate vs a 6.2 lab A1C and why that moment matters more than just the number. This conversation will help you stop second-guessing yourself and start understanding what your data is actually telling you. In This Episode I cover: What A1C really measures (and what it doesn't) How CGMs track glucose differently (interstitial vs blood) Why CGM estimates (GMI) are not exact The role of standard deviation and glucose variability Why your A1C can look \"good\" while your daily swings tell another story How anemia, iron levels, and hormones can impact A1C results Sensor accuracy, lag time, and calibration factors Why midlife hormones make this even more confusing Mentioned in This Episode: Episode 153 : What Labs to Ask for When You're Told \"Everything Is Normal\" Free Guide: Hormone Therapy + Type 1 Diabetes Upcoming Book: Highs, Lows & Hormones 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 j…","meta_description":"Have you ever looked at your CGM and felt confident… only to get your lab A1C back and feel completely thrown off? If your numbers don't match, you're not…","key_points":[],"chapters":[],"topics":[],"duration_seconds":1604,"processing_state":"not_requested","actions":[{"name":"request_transcript","method":"POST","url":"https://stenobird.com/v1/public/podcasts/type-1-in-midlife-perimenopause-menopause-type-1-diabetes-6369803/episodes/ep-156-gmi-vs-a1c-why-your-numbers-don-t-match-and-what-actually-matters/transcription-requests","description":"Idempotently request low-priority transcript generation for this episode."},{"name":"read_markdown","method":"GET","url":"https://stenobird.com/podcast/type-1-in-midlife-perimenopause-menopause-type-1-diabetes-6369803/ep-156-gmi-vs-a1c-why-your-numbers-don-t-match-and-what-actually-matters.md","description":"Read the agent-friendly Markdown representation of this episode resource."}]}}