The two hormones, estrogen and progesterone, affect the way your cells respond to insulin. At menopause, changes in hormonal levels can cause fluctuations in blood sugar levels. If blood sugar is out of control, diabetes complications set in. Diabetes symptoms include excessive thirst, blurred vision, frequent urination and fatigue. Once diabetes is managed by diet, medication and insulin, women experience fewer fluctuations in blood sugar levels.
Women may become overweight or obese during menopause and after. This increases the insulin requirement or need for oral medication for diabetes. This effect of menopause is marked by depression, hormonal changes and lowered physical activity, leading to weight gain. Overweight diabetic women may have high blood sugar levels and may need more of insulin and complementary diabetes medications.