What's happening in the menopausal body?

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:

  • Fatty liver
  • Abdominal obesity
  • Hunger and cravings for sugar or carbohydrate rich foods
  • Elevated blood sugar
  • Increased risk for type 2 diabetes
  • Abnormal cholesterol levels
  • High blood pressure
  • Heart disease: coronary artery disease and peripheral vascular disease
  • Arthritis
  • Gallstones
  • Skin tags
  • Gout
  • Swollen ankles
  • Lack of ovulation
  • Overstimulation of ovarian testosterone
  • Excess hair on the face, hair loss on scalp (male pattern baldness in women)
  • Adult acne and large pores on the face.
  • Increased risk for breast cancer and endometrial cancer
  • Urinary stress incontinence
  • Sleep disorders

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?