I’ve been T1 x 45 years and never had an “easy” relationship with it. I’m guessing at 40 you’re premenopausal. For me it started when I was about 48? But nothing prepared me for 50. When I was 12, everyone talked about and told me what to expect with puberty. Middle age however, is a big mystery, especially when you have T1. I’ve talked to my gynecologist, endocrinologist, pcp, and all I’ve been given is handouts to read. With T1, I know we have more challenges then non T1 women. Along with hot flashes, fatigue, and headaches, all of which I would mistake for lows, sleeplessness, unwanted weight gain, increased insulin doses, and roller coaster highs and lows, I’ll take puberty any day. For over 30+ years, I’ve followed a semivegetarian
diet; no red meat, white bread simple sugars, fried foods and sat fats. Lean chicken and fish, vegetables, fruit, whole grains, yogurt. The diet I followed for years now makes my bgs soar. I would be very interested to hear from other women who are pre, peri, and post-menopausal and how they handle these changes.