1 rich Libsyn https://www.libsyn.com 90 600 If your insulin pump suddenly feels harder to manage, morning spikes, overnight drops, or blood sugars that don’t follow the rules, you’re not failing at diabetes. In this episode, we dive into basal insulin challenges for women using insulin pumps during perimenopause. Hormone shifts in estrogen, progesterone, and cortisol can dramatically change insulin sensitivity, even when your pump technology hasn’t changed. You’ll learn: Why pump settings that worked for years may suddenly feel “off” How perimenopause affects basal insulin needs hour by hour When manual mode can be more helpful than automated mode How to use temporary basals to stay ahead of hormone-driven highs and lows What to know if you’re starting hormone replacement therapy (HRT) This episode is about understanding your body, using your pump as a tool—not a source of frustration—and gaining confidence to advocate for better care. 🎧 Part 2 of the basal insulin series. If you’re on daily injections, listen to Episode 140. &amp;nbsp; Join the Type 1 in Midlife Circle for weekly support, hormone clarity, gentle accountability, and a place to stop guessing about your midlife health. https://www.abundanthealthwithmelissa.com/joingroupcoaching2025 &amp;nbsp; &amp;nbsp; 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,&amp;nbsp;HRT and Type 1 Diabetes&amp;nbsp; Everything I wish I knew in perimenopause. *Follow me IG&amp;nbsp;@Type1.in.midlife&amp;nbsp;stay in the loop on upcoming episodes. DM me with any feedback or suggestions on topics you'd like us to cover. &amp;nbsp; Disclaimer: Nothing you hear on this Type 1 in Midlife Podcast should be a substitute for professional medical advice. Please always consult your medical professional before changing your diet, insulin dosages or health care plan. Type 1 In Midlife: Women Over 40 with Type 1 Diabetes, Hormones, Perimenopause, Menopause, and Blood Sugar Challenges https://www.abundanthealthwithmelissa.com <iframe title="Libsyn Player" style="border: none" src="//html5-player.libsyn.com/embed/episode/id/39737455/height/90/theme/custom/thumbnail/yes/direction/forward/render-playlist/no/custom-color/88AA3C/" height="90" width="600" scrolling="no" allowfullscreen webkitallowfullscreen mozallowfullscreen oallowfullscreen msallowfullscreen></iframe> https://assets.libsyn.com/secure/content/197512070