Sandra Ishkanes is a Functional Medicine specialist. She takes a whole-body approach to healthcare, combining nutrition, lifestyle and cutting-edge medical testing.
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As the menopausal transition progresses, the body also becomes less able to use sugar as fuel and more and more sugar is being converted to fat. The classic apple-shaped figure is associated with an increased risk for:
Your waist/hip ratio is a quick way to gauge your risk of insulin resistance. Measure around the fullest part of your buttocks, then measure your waist at the narrowest part of your torso. Divide your waist measurement by your hip measurement. A healthy ratio is less than 0.8, and the ideal is 0.74. A ratio greater than 0.8 is associated with all the health risks listed above.
You can also measure your waist in inches as it directly measures belly fat. If your waist measurement is more than 34.5 inches, there's a strong likelihood that you already have insulin resistance and metabolic syndrome.
It seems the both the body and the brain are moving to ketones for fuel, but why would this be happening?