Myths vs facts: Glukose and menopause

Menopause and glucose metabolism are closely linked, but many myths surround the topic. Fact: Declining estrogen levels can reduce insulin sensitivity and increase the risk of impaired glucose tolerance. Myth: Glucose is solely responsible for hot flashes or weight gain. In reality, causes are multifactorial – hormonal changes, age, lifestyle, and genetics all play a role. Another myth: Avoiding sugar cures menopause symptoms. A balanced diet with complex carbohydrates is beneficial, but radical sugar restriction lacks proven advantages. Evidence comes from observational and mechanistic studies; large randomized trials on specific dietary interventions in menopause are scarce. Blood glucose monitoring or DNA tests for glucose tolerance (e.g., TCF7L2 variants) may offer clues but cannot replace clinical evaluation. Beware of commercial tests promising a 'perfect menopause diet plan' – the scientific basis is often weak.