Perimenopause is a significant transition in a woman’s life, marked by hormonal shifts that can impact everything from mood to metabolism. One common but often overlooked change is insulin resistance, which can contribute to weight gain, fatigue, and increased risk of conditions like type 2 diabetes. If you’re in perimenopause and noticing changes in your energy levels, weight, or cravings, insulin resistance may be playing a role.

Perimenopause, the transitional phase leading up to menopause, often brings a variety of changes for women, both physical and emotional. One of the most common—and frustrating—challenges during this time is an increase in belly fat.