My Top Tips to Balancing Blood Sugar in Midlife
Many of my clients notice their energy, appetite and weight begin to shift around perimenopause and menopause. Even if your diet hasn’t changed much, you may feel more tired, experience stronger cravings, or find that weight gathers more easily around your middle. And all those tricks that you used to use to drop half a stone don’t work anymore.
This often links back to changes in blood sugar regulation. Hormonal shifts during menopause can affect how your body responds to carbohydrates and insulin, making it harder to maintain steady energy. The good news is that simple, food-first strategies can make a big difference.
Why Blood Sugar Balance Matters During Menopause
Blood sugar (glucose) is your body’s main source of fuel. After eating, glucose from carbohydrates enters your bloodstream, and the hormone insulin helps move it into your cells for energy.
During perimenopause and after menopause, lower oestrogen levels can make the body less sensitive to insulin. This means glucose stays in the bloodstream for longer, and the body may release more insulin to compensate. Over time, this can lead to energy crashes, increased fat storage, and higher risk of type 2 diabetes and heart disease.
Supporting blood sugar balance helps reduce these risks while improving daily energy, focus and mood.
How to Spot Imbalances
Recognising the signs of blood sugar swings can help you spot when you might need to make adjustments.
Cravings, Energy Crashes and Weight Gain
Common signs include:
These symptoms can have other causes too, so it’s important not to self-diagnose – always check with your GP if something is off. But if they sound familiar, it can be worth experimenting with blood sugar-balancing strategies and monitoring how you feel.
Simple Nutrition Strategies for Steady Energy
The goal is to keep blood sugar levels gently rising and falling through the day, rather than spiking sharply and then crashing. A few small changes to your meals and eating habits can help.
Here are my top tips to balancing your blood sugar:
Include protein at every meal
Protein slows the release of glucose from food, helping you feel fuller for longer. Aim for 20–30g per meal. Good sources include fish, poultry, eggs, dairy, tofu, tempeh, lentils, beans, nuts and seeds.
Add fibre and healthy fats
Fibre-rich foods like vegetables, fruit, legumes, nuts and seeds help regulate glucose release and support gut health. Healthy fats from olive oil, avocado, nuts and seeds also slow digestion and improve satiety.
Choose whole, minimally processed carbohydrates
Swap refined carbs like white bread, pastries and sugary snacks for veggie alternatives like courgetti, cauliflower rice, or mashed celeriac. These release glucose more gradually.
Balance your plate
As a simple visual guide, aim to fill half your plate with non-starchy vegetables, a quarter with protein, and a quarter with wholegrain or starchy vegetables. Include a small portion of healthy fat such as olive oil or avocado.
Eat three meals a day, no snacks
Spacing those three meals every within a 12-hour window helps maintain steady energy. Grazing all day can keep insulin levels raised, while skipping meals may lead to big spikes and crashes later. This will also give you a lovely 12-hour overnight fast.
Be mindful with caffeine and alcohol
Too much caffeine on an empty stomach can spike cortisol and blood sugar, while alcohol can cause unstable blood sugar overnight. Try to pair caffeine with food and keep alcohol within recommended limits.
Move your body
Even a short walk after meals can help lower blood glucose levels by encouraging muscles to use glucose for energy. Strength training supports insulin sensitivity and helps preserve muscle, which naturally declines with age.
What next?
Blood sugar balance is one of the most impactful areas to focus on in midlife. It can help reduce cravings, stabilise energy and support healthy weight management - all while lowering the long-term risk of diabetes and heart disease.
Start by making small, sustainable changes to your meals, such as adding more protein and fibre, choosing wholegrains, and spacing meals evenly through the day. These shifts can have a powerful effect on how you feel, think and move through daily life. And if you want to know more about how to put this into practice, why not get in touch?
Autumn Stew with Lentils and Pumpkin
This nourishing, plant-based stew brings together two autumn favourites - lentils and pumpkin - in a warming, hormone-friendly dish. It’s rich in phytoestrogens, plant compounds that can help support hormone balance during the menopause transition. And it helps you get rid of the pumpkin flesh you may be discarding later this month!
Packed with fibre, protein and slow-release carbohydrates, it helps stabilise blood sugar, support gut health and keep energy levels steady through the day. It’s simple to make, budget-friendly, and ideal for batch cooking on busy weeks.
Serves 4
Ingredients
Method
Tips for Batch Cooking
This stew freezes beautifully. Make a double batch and portion it into containers once cooled. It will keep for 3 months in the freezer or 4 days in the fridge.
Lentil-based stews often taste even better the next day, once the flavours have deepened. Adding a splash of water when reheating helps restore the texture.
You can also stir through a handful of chopped kale or spinach just before serving for an extra boost of magnesium and antioxidants - helpful nutrients during menopause. A spoonful of natural yoghurt on top adds creaminess and a dose of calcium for bone health.
(Explore more ideas in my Recipe Index)
Bones, heart, and brain – how do we protect them?
Menopause marks a major hormonal shift, and for many women it raises new questions about long-term health. Many of us are keen to extend our healthspan – rather than focus on lifespan – we want to enjoy out later years. Three key areas for focus are our bones, hearts and brains, because falling oestrogen levels can considerably affect these areas.
It can feel particularly daunting to hear about the increased risk of osteoporosis, heart disease, or dementia after menopause - especially as many of us have not been given much guidance on prevention. The good news is that nutrition can play a powerful role in protecting these vital areas of health. Small, consistent steps now can build resilience for years to come.
Why Risks Increase After Menopause
Oestrogen has protective effects throughout the body. It supports bone formation, keeps blood vessels flexible, and influences brain signalling. As oestrogen levels decline during and after menopause, that protection reduces.
Bone health:
Lower oestrogen accelerates bone turnover, leading to reduced bone mineral density and increased fracture risk. Postmenopausal women lose about 1–2% of bone mass per year in the first few years after menopause.
Heart health:
Oestrogen supports healthy cholesterol levels and arterial function. After menopause, LDL cholesterol often rises, HDL may fall, and arteries can become stiffer, raising the risk of cardiovascular disease.
Brain health:
Oestrogen supports neurotransmitters such as serotonin and acetylcholine, which are linked to mood, memory and cognition. After menopause, many experience brain fog or forgetfulness, and long-term risk of dementia increases.
These changes aren’t inevitable, and diet is one of the most effective tools to support your future health.
Nutrition for Strong Bones
Supporting bone health after menopause means providing the building blocks for bone, reducing bone breakdown, and maintaining the muscle strength and balance that protect against falls.
Calcium, Vitamin D and K2
Calcium is the main structural mineral in bone. UK guidance recommends 700 mg per day, though some experts suggest 1,000–1,200 mg for postmenopausal women.
Key sources include:
Spacing calcium across meals improves absorption. Aim to include a calcium source at least twice daily.
Vitamin D is vital for calcium absorption and bone mineralisation. Most of our vitamin D comes from sunlight in spring and summer, but in the UK it’s difficult to make enough from October to March. Public Health England recommends a 10 microgram (400 IU) supplement daily in autumn and winter, or year-round if you have darker skin, cover up outdoors, or get little sun. Including vitamin D-rich foods such as oily fish, eggs and fortified foods can also help.
Vitamin K2 helps direct calcium into bones and away from arteries. Evidence is emerging that K2 may reduce fracture risk and improve bone strength in postmenopausal women. It is found in fermented foods like natto (fermented soybeans), and in smaller amounts in aged cheeses such as gouda or brie. While data is still developing, including some fermented foods regularly can be beneficial for both bone and gut health.
Other key nutrients:
Supporting Heart Health with Food
Cardiovascular disease becomes more common after menopause, but diet and lifestyle changes can significantly reduce risk.
Adopt a Mediterranean-style dietary pattern
This has strong evidence for lowering heart disease risk. It focuses on:
This pattern helps to reduce inflammation, improves blood vessel health, and lowers LDL cholesterol.
Increase soluble fibre
Found in oats, barley, pulses, apples, and flaxseed, soluble fibre helps lower LDL cholesterol by binding it in the gut. Aim for at least 30g total fibre daily.
Choose healthy fats
Replacing saturated fats (e.g. processed meats, Greggs sausage rolls) with unsaturated fats (olive oil, avocado, nuts, seeds) can improve cholesterol and blood pressure.
Limit salt and alcohol
Keeping salt below 6g per day helps manage blood pressure. Alcohol can raise blood pressure and triglycerides, so stick within the UK guideline of no more than 14 units per week, spread over several days.
Stay active
Although not a nutrient, movement is key — regular brisk walking, cycling, or strength training improves cholesterol, blood pressure and insulin sensitivity, all of which support heart health. You can read more in my blog on Heart Health.
Protecting Brain Function Through Diet
Cognitive changes such as brain fog or forgetfulness are common during the menopause transition. While often temporary, supporting your brain through diet can help now and may protect long-term cognitive health.
Focus on a Mediterranean or MIND-style diet
These patterns are rich in antioxidants, polyphenols, and healthy fats that protect brain cells. They include:
Include B vitamins:
B6, folate and B12 are vital for neurotransmitter production and methylation, which affect brain function. Low levels are linked to cognitive decline. Include leafy greens, beans, whole grains, eggs, fish and dairy. If you follow a plant-based diet, discuss B12 supplementation with your GP or nutritionist – feel free to get in touch.
Support blood sugar balance
Large swings in blood sugar can worsen fatigue, mood swings and concentration. Combine protein, fibre and healthy fats at meals to keep energy stable. Check out my blog on Blood Sugar Balance here.
Stay hydrated
Even mild dehydration can reduce concentration and memory. Aim for 1.5–2L water daily. Check out my blog on Hydration here.
Consider lifestyle as part of the whole picture
Regular movement (especially aerobic and strength exercise), restorative sleep and mental stimulation (learning new skills, reading, puzzles) all work alongside diet to protect brain function.
Bringing it all together
The drop in oestrogen after menopause can feel like a sudden turning point for your health, but it’s also an opportunity to refocus on what your body needs to thrive long-term. Nourishing your bones, heart, and brain with the right foods can reduce future risk and help you feel stronger and more energised now.
Start with small, sustainable steps. Build your meals around whole plant foods, good quality protein, and healthy fats. Include calcium-rich foods daily, get your vitamin D levels checked, and enjoy colourful produce with every meal.
Nutrition is not a quick fix, but it is a powerful way to care for your body through this new chapter - and to protect your future health.
And if you’d like to know more about to increase your healthspan (not just your lifespan), why not get in touch? I offer Annual Health MOTs to make sure you’re on the right track to a healthy later life.
Can Diet Really Help with Menopause Symptoms?
For many women, perimenopause and menopause brings a mix of hideous symptoms, physical changes, and a feeling that your body is out of control. Hot flushes, night sweats, disrupted sleep, low energy, and mood changes are common, but many women feel dismissed when they try to chat to their GP about it. It can be hard to know what’s “normal” and which changes might genuinely help.
Coupled with the fact that you can’t look at any social media, TV programme, or read a magazine without being bombarded with menopause advice. How can you know what really works – and what’s expensive rubbish?
While hormone replacement therapy (HRT) is a safe and effective option for many, diet and lifestyle play an important supporting role. And research shows that certain foods and nutrients can actually help ease symptoms and protect long-term health. Here’s how evidence-based nutrition can support you during this stage of life.
Large observational studies show that women who eat a Mediterranean-style diet – that’s a diet rich in vegetables, fruit, legumes, nuts, seeds, and olive oil - tend to report fewer vasomotor symptoms, such as hot flushes and night sweats. Diets high in fibre and plant foods are also linked to better cardiovascular health and weight management after menopause, both of which can affect how well you feel day to day.
There have also been clinical trials which suggest that some specific nutrients, particularly phytoestrogens, may reduce hot flush frequency, and that maintaining good levels of B vitamins and magnesium can support mood and sleep. Not every woman responds in the same way, but nutrition is a safe and accessible tool to try alongside other support.
Key Nutrients for Hormone Balance
Hormonal shifts are the root cause of most menopause symptoms. While food absolutely can’t replace falling oestrogen, it can support your body and ease the impact on energy, mood, and sleep.
Phytoestrogens
Phytoestrogens are naturally occurring plant compounds found in foods like soy, flaxseed, sesame seeds, chickpeas, and lentils. They have a weak oestrogen-like effect in the body, which is why they’ve been studied for their potential to reduce hot flushes.
Systematic reviews and meta-analyses show that isoflavones (the main phytoestrogens in soy and red clover) can modestly reduce the frequency and intensity of hot flushes in some women. They may also have beneficial effects on cholesterol and blood vessel health after menopause.
They are generally considered safe from food sources, though quality and safety of supplements can vary, and some women with a history of hormone-sensitive cancers are advised to avoid concentrated phytoestrogen supplements. Always speak to your GP if you are unsure.
Adding a daily portion or two of phytoestrogen-rich foods is a simple place to start: try soy milk or yoghurt, edamame beans, tofu, a tablespoon of ground flaxseed, or a sprinkle of sesame seeds on salads or stir fries.
Magnesium, B Vitamins and Sleep
Sleep disruption is one of the most common - and exhausting! - menopause symptoms. Night sweats, early waking and poor-quality sleep all contribute to daytime fatigue and low mood. Supporting your nervous system through nutrition can help.
Magnesium plays a key role in calming the nervous system and regulating the body’s stress response. Some studies suggest that magnesium supplementation can improve sleep quality, especially when combined with B vitamins, though results are mixed. Aiming for food sources is a great first step: leafy greens, nuts, seeds, legumes and whole grains are all rich in magnesium.
B vitamins, particularly B6, B12 and folate, support energy production and neurotransmitter function, so low levels can add to fatigue and low mood. These nutrients are widely available in a balanced diet through foods like poultry, fish, eggs, dairy, leafy greens, beans and whole grains. If you follow a plant-based diet, you may need to monitor B12 intake more closely and discuss supplementation with your GP or nutritional therapist. Often women I work with are low in these nutrients, so do get in touch if you’re interested in testing to find out your levels.
Vitamin D and calcium are also important for bone health during and after menopause, and low vitamin D has been linked to low mood. UK guidance recommends a daily 10 microgram vitamin D supplement in autumn and winter, or year-round if you have little sun exposure. Again, it’s important to get your vitamin D levels tested to see if and how much you should be supplementing.
Foods to Add – and Foods to Reduce
Rather than cutting out lots of foods, focusing on what you can add in often works best. A varied, colourful diet helps balance blood sugar, supports gut health and provides the fibre, antioxidants and healthy fats needed for hormone balance and long-term wellbeing.
Aim to include plenty of vegetables, fruits, legumes, whole grains, nuts, seeds, and lean protein such as fish, poultry or tofu. Oily fish, like salmon, sardines and mackerel, provide omega-3 fats which support heart, brain health and can help reduce inflammation, while plant foods bring the fibre that supports digestion and hormone metabolism.
It can also help to gently reduce foods and drinks that may trigger or worsen symptoms. Excess caffeine or alcohol can disrupt sleep and may trigger hot flushes in some women. Highly processed foods, especially those high in sugar or refined carbohydrates, can lead to energy crashes and blood sugar fluctuations which can make fatigue and irritability worse. Definitely not what we need! You don’t need to be perfect - small, sustainable changes often bring the most benefit.
What next?
Going through menopause can feel like navigating uncharted territory, that’s full of sharks and pirates, and it’s understandable to feel frustrated if your symptoms are dismissed or not fully explained. Nutrition is not a quick fix, but it can be a powerful tool to help you feel more in control and support your long-term health.
Track how your symptoms change as you make adjustments to your diet and be patient with yourself as you experiment. If you’re unsure where to start, or want more tailored support, why not get in touch? I can help guide you through evidence-based strategies and work alongside your GP, if needed.
With the right support, it is possible to feel well and energised through menopause - and beyond.
Meal Prepping – The Secret Ingredient to Healthy Living
Are you someone who meal preps? If the answer is yes, well done! You’ve already discovered how to make your life easier, healthier, and much less stressed. If the answer is no, let me ask you if any of the following sound familiar to you:
If any of these (or all of them!) resonate with you, don’t worry – you are not alone. This is super common with many of my clients, and I will share with you what I share with them – the world of meal planning and prep.
Life is demanding and busy and making decisions about daily meals just adds to one's stress levels. Meal planning takes away this stress and guesswork out of mealtimes, allowing you to have a more relaxed and organised routine, while ensuring you always have a clear idea of your meals in advance.
Meal planning is simply planning your meals for the week to help reduce stress and to best suit your nutritional needs. Your meal planning can be as flexible or as rigid as you want it to be. It's meant to be helpful and not add any extra stress to your day.
Meal planning also serves as a bridge to efficient meal prepping while still offering flexibility and variation to your diet. You can still have variety in your diet by using different ingredients within the framework you've set.
Here are my top tips for successful meal planning and prep:
And if you’d like to know more, I’m giving away a free eBook called Plan, Prep and Thrive – it contains all the information you need to become a skilled meal prepper. Want to grab a copy? Just click here. And get in touch if I can help at all.
How can a Nutritional Therapist help with PCOS?
September marks PCOS Awareness Month and, as some of you know, this is a condition that is close to my heart. I was diagnosed with the condition at age 23, and now in my 50s I am still managing it. Diet and lifestyle change are key to me keeping my symptoms under control, feeling well and energised, and staying strong and healthy.
Many of us understand, at least on a conceptual level, that adopting healthier eating habits, engaging in regular physical activity, and prioritizing self-care are vital for leading a long and happy life. However, as we are all too familiar with, the demands of modern life often get in the way of these aspirations. Balancing work and family life leaves little room for focusing on our wellbeing. And of course, convenience often takes precedence as we’re all so busy!
However, what I’ve learned is that it is essential to recognize that neglecting proper nutrition, exercise, and overall wellness gradually leads to deteriorating health – particularly when accompanied by a diagnosis of PCOS.
Understanding nutritional support for PCOS
In the past, nutritional therapy was often dismissed as "alternative medicine." However, the tide is turning, and the scientific significance of proper nutrition is now gaining the credibility it deserves. A select group of esteemed medical professionals, including Dr Tim Spector, Dr. Rangan Chatterjee, and the late Dr. Michael Mosley, are actively endorsing the integration of nutrition science into how we care for health.
I’m delighted to say that nutritional therapists are at the forefront of this movement, applying the latest advancements in nutritional and health research to tailor a diet, lifestyle, and, when appropriate, supplement plan to address individual needs. We also offer coaching to facilitate the practical implementation of these strategies and to overcome any obstacles from the past. This can be particularly helpful in PCOS, when managing the stressors that accompany the condition.
Personalised Approach
Nutritional therapy is highly personalised. Practitioners often refer to individuals as "biochemically unique," highlighting that a one-size-fits-all dietary approach just won’t work. Plus, everyone’s health experiences, lifestyles, likes and dislikes, time constraints and time are completely different.
A Registered Nutritional Therapist, such as me, takes into account your genes, medical history, existing symptoms, preferences, and personal circumstances to craft a tailored plan that works for you and how you live your life.
Why don't more people seek nutritional support for PCOS?
Media headlines often discuss the latest food trends, but often fail to connect the dots comprehensively, which makes it more difficult for you to know what might work for you, as well as what might actually be safe! A Registered Nutritional Therapist can help you to probe deeper to understand what is going on for you specifically, before putting together a plan that’s tailor made.
What to expect during a PCOS nutrition programme
Your initial consultation is about 75 minutes, and prior to that session, you'll complete a nutritional therapy questionnaire, and a diet and lifestyle diary to give us an idea of how you live your life.
During the session, we'll delve into your medical history, health goals, challenges, eating habits, preferences, and lifestyle factors. The process is entirely confidential and utterly non-judgmental.
Our programmes then involve a series of sessions spread over twelve weeks dependent on the level of support you need. This structure makes sure that you receive ongoing support, helping you to implement the programme gradually and tackle any hurdles that arise.
Addressing your PCOS through nutrition
While you will probably have some information about what constitutes a healthy diet, realising sustainable progress toward better health involves more than just information. Sustaining motivation often proves to be the most challenging aspect of any health plan! A supportive partner or coach plays a pivotal role in keeping you on track and providing guidance when you veer off course. This accountability and guidance, often provided through health coaching, safeguard the progress you make from going to waste.
If you are suffering with PCOS and would like to know more about our personalised nutrition programmes, why not book in a free health review today? Just click here and pick a time that works for you. We would love to support you.
Please get in touch and find out more - I offer a free 30-minute exploratory call.