{"version":1,"type":"rich","provider_name":"Libsyn","provider_url":"https:\/\/www.libsyn.com","height":90,"width":600,"title":"Ep 140 - Basal Insulin in Perimenopause: What MDI Users Need to Know","description":"If your basal insulin suddenly feels wrong, morning highs, overnight lows, or afternoons that make no sense, you\u2019re not imagining it, and you\u2019re not failing at diabetes. In this solo episode of the Type 1 in Midlife, I\u2019m breaking down why basal insulin becomes a moving target during perimenopause, especially for women on multiple daily injections (MDI). We\u2019ll talk about how fluctuating estrogen, progesterone, and cortisol change insulin sensitivity hour by hour\u2014and what you can do about it. I share real client examples, explain why basal timing matters more than ever, and walk through options like split dosing, midday basal, and choosing the right long-acting insulin for this stage of life. You\u2019ll also hear how hormone replacement therapy (HRT) can influence insulin needs, why \u201clow and slow\u201d matters, and how tracking patterns, not single days\u2014can help you feel steadier again. \ud83c\udfa7 This is Part 1 of a two-part series. Part 2 in Episode 141 focuses on basal settings for pump users.   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\/joingroupcoaching2026     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.   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. ","author_name":"Type 1 In Midlife: Women Over 40 with Type 1 Diabetes, Hormones, Perimenopause, Menopause, and Blood Sugar Challenges","author_url":"https:\/\/www.abundanthealthwithmelissa.com","html":"