Friday, July 17, 2026

5 ways to balance glucose for more energy, according to a nutritionist

You’re working out. You’re sleeping 8 hours. But for whatever reason, you still feel tired, sluggish, and cranky. What gives? It might be time to balance glucose.

According to a nutritionist , it all comes down to what you’re eating—and, more specifically, how it impacts your insulin. “Food is our fuel,” she explains. “If we make the wrong food decisions, we will be tired. We will have headaches and joint aches; we will constantly crave sweets.”

She has a point. For as often as we blame our health on the stress of our demanding routines, few of us ever consider the impact of the foods we eat. “We must be thoughtful about our daily diets,” Quintas warns. “Think about foods that nourish you.”

 

The myth of the slow metabolism

Of all the complaints that Quintas hears in her office, a “slow metabolism” might be the most frequent. However, Quintas says this is rarely the sole issue. “We look for external causes to our problems, when the truth is that we can do a lot to improve with a change of habits,” she explains.

To that end, we should consider how what we eat influences our metabolism. Quintas defines metabolism as “all the chemical reactions that occur in each of the cells” and says that to keep our energy in an optimal state, we must first consider our basal metabolism—the energy our body uses on involuntary functions like the heartbeat and breathing while at rest and not digesting. “It depends directly on your muscle mass: the more muscle mass, the better the basal metabolism, so it is crucial to take care of it,” Quintas says.

Knowing this, she says we should focus on working out, staying active, and increasing our protein intake to provide the amino acids that our muscles need. Then, we should manage stress because high cortisol levels can cause our body to use that muscle mass as a source of energy instead of fat.

The influence of insulin

Another of the great myths she encounters? The idea that we must eat mostly fruits and vegetables if we want to balance our metabolisms: “Wrong,” she says. “If we do that, our insulin can peak just before bed.”

Insulin is the hormone that is in charge of managing glucose in the blood. It also plays a central role in fat storage. “When we have more glucose than we need, insulin helps convert it into fat for storage,” Quintas explains. The problem comes when we develop insulin resistance—or, put another way, when our body’s cells become less sensitive to this hormone and, therefore, we are unable to process high glucose levels.

5 ways to manage insulin and energy

To reach balance, Quintas proposes an “insulin control diet,” which she says leads to better health because it benefits us in numerous ways—including helping to reduce tiredness after meals, hunger between meals and spurring our bodies to use stored fat efficiently as a source of energy. Furthermore, controlling our insulin can help us maintain muscle mass, stabilise our blood glucose levels, and improve our digestive health as well as reduce LDL (bad) and stabilise our liver profile, reducing our risk of fatty liver. Below are her five tips to balance glucose—

1. Eat carbohydrates with protein

“When we consume carbohydrates alone, especially if they have a high glycemic load, such as rice, pasta, or potato, they cause a rapid increase in blood glucose, leading to an insulin spike,” Quintas says. “This spike not only promotes metabolic imbalances, but can also cause an energy slump.” To prevent this from happening, she recommends adding protein in order to stimulate the secretion of glucagon, a hormone that counteracts the effects of insulin and helps keep the glucose level more stable.

2. Avoid liquid carbohydrates

Juices, sodas, and smoothies can cause insulin spikes. “Because they are in liquid form, the stomach doesn’t need to work hard to process them, which causes the sugar to quickly reach the bloodstream,” Quintas explains. “This sudden increase in glucose causes an insulin spike, which, as we already mentioned, favors the accumulation of fat and can generate hunger soon after.”

3. Eat every three to four hours

“Maintaining a constant supply of energy through small, frequent meals is key to avoiding insulin spikes and keeping the metabolism active,” Quintas says. She argues that if we let more time pass, our body may start using muscle mass as a source of energy instead of fat, lowering basal metabolism and causing a rebound effect. So be sure to have a healthy mid-morning and afternoon snack, as “this will help us arrive less hungry to our main meals.”

4. Eat within one hour of waking

Quintas warns that after a long overnight fast, our glucose stores are low, which means we must eat to keep the body going: “If we don’t eat soon after waking up, our body could start using muscle mass as a source of energy.” She advises eating first thing in the morning, even if it’s just a little yogurt or a coffee with milk: “After a few hours you can have a bigger breakfast. This will help our metabolism to get the batteries without forcing a large meal first thing.”

5. Don’t work out on an empty stomach

Some swear by the benefits of working out on an empty stomach but Quintas says this is a mistake—not only because of scarce morning glycogen reserves but also because it increases the risk of injury by using muscle mass as a source of energy. “A small portion of carbohydrates and protein before exercise ensures greater energy availability and protects muscle mass,” she says.

 

 

This is only for your information, kindly take the advice of your doctor for food, medicines, exercises and so on.   

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How to sleep better during perimenopause, according to a hormone expert

Officially, perimenopause marks the transition into menopause. Unofficially? It ushers in a chapter that is physically and emotionally challenging for many women. During these years, hormones begin to fluctuate irregularly and impact almost every bodily function, especially sleep. Various resources estimate that somewhere between 39% and 72% of women experience perimenopause-related sleep disturbances, which can include sudden night-time awakenings, hot flushes or anxiety. There’s got to be a better way.

Certified menopause specialist Dr Christina Enzmann says there is. Below, she explains what happens to the body during perimenopause and how we can find restful sleep even in its midst.

How the perimenopause affects sleep

During perimenopause, hormone production in the ovaries begins to fluctuate. Progesterone and later oestrogen are affected by these fluctuations. The changes are gradual, but they affect central processes that, according to Enzmann, are directly linked to the sleep-wake rhythm.

For example, sleep and body temperature are closely connected. When oestrogen levels fall, it “impairs thermoregulation,” which in turn promotes night-time hot flushes and sweats, and thus, fragments sleep. But that’s not all: according to Enzmann, hormonal changes often also lead to an increase in cortisol levels, the body’s most important stress hormone. This can lead to a dysfunction of the HPA axis (hypothalamic-pituitary-adrenal axis), which further disrupts sleep. Many women report that they are exhausted in the evening, only to lie wide awake once in bed. “We call this tired but wired,” says Enzmann. “Then you keep waking up in the middle of the night, often with racing thoughts, feelings of  stress or inner restlessness.”

Blood sugar also plays an important role. When it fluctuates greatly due to diet or stress, insulin can remain permanently elevated, which in turn raises the cortisol level. “This is a vicious circle which can massively disrupt the quality of sleep,” says Enzmann.

In short, progesterone, oestrogen, cortisol and insulin work closely together during this phase of life, and even small imbalances can have a major impact on sleep.

Perimenopause and the role of hormones

Progesterone is a natural sedative. It has a relaxing effect on the central nervous system and helps us to fall asleep. But when its levels drop, the calming effect disappears. Oestrogen, on the other hand, influences the deep sleep and REM phases, stabilises mood, and helps regulate temperature. “If these hormones fall or fluctuate greatly, problems falling asleep, night-time awakenings and episodes of night sweats occur, often accompanied by increased cortisol and unstable blood sugar,” Enzman says. All these fluctuations and changes in the body mean that women already have to struggle with severe sleep problems during the perimenopause.

But at what point do you know that these are symptoms of the perimenopause and not simply a period of restless sleep due to stress? When should you seek medical advice? Enzmann says that sleep problems should be taken seriously after three to four weeks at the least, especially if they are affecting everyday life. These include concentration problems, emotional instability or a feeling of being overwhelmed. “Sleep problems are often an early symptom of hormonal dysregulation or chronic stress,” she emphasises, “and not simply a natural part of getting older.”

Common mistakes

The problem is that many women are quick to turn to dietary supplements when they have sleep problems in order to restore their sleep to its usual restful state. However, Enzmann warns that not every sleep disorder is the same, “and what works for one person won't help another.” Although magnesium (300mg as glycinate), taurine (3g) and a B-vitamin complex can help, other women need targeted support, for example, with adaptogens such as ashagandha, especially when it comes to restlessness or anxiety. All of this should first be analysed and discussed with a doctor before seeking external support.

Another mistake is reaching for sleeping pills: “Not only can they lead to addiction, they can also worsen the quality of sleep,” warns Enzmann. An evening glass of wine “to relax” is also not a good idea: “Although alcohol helps you fall asleep faster, it has been proven to worsen the deep sleep phases and often leaves you even more tired the next morning.”

What really helps

According to the expert, there are far better and more sustainable solutions for better sleep during the perimenopause. Medically, bioidentical hormone therapy (HRT), for example, with progesterone in the evening, can have a sleep-promoting effect for many women, especially if cycle irregularities, mood swings, or hot flushes occur in addition to sleep problems. “It is equally important to stabilise cortisol levels through exercise, meditation, mindfulness and micronutrients,” Enzmann says.

Fixed evening routines such as warm foot baths, lavender, journaling, breathing exercises, or meditation can also help in everyday life, while avoiding late-night meals, alcohol, sugar and screen time supports the body’s own melatonin production. “Regular exercise in the fresh air also stabilizes the circadian rhythm and an anti-inflammatory, blood sugar-stable diet is also essential for better sleep,” Enzmann notes.

Certain dietary supplements, such as the magnesium glycinate mentioned above, taurine, L-theanine, or herbal adaptogens such as rhodiola, can also be helpful. But “a dark bedroom or a sleep mask can also work wonders,” advises Enzmann. Equally helpful: putting away the computer and cell phone in the evening.

Perimenopause and melatonin

And what role does melatonin, which is often attributed to good sleep, play? It can be particularly effective if the sleep problems are caused by a shifted sleep rhythm; "however, it should be taken in low doses; 0.3 to 1mg is often completely sufficient,” emphasises Enzmann. “Too much melatonin can paradoxically lead to waking up at night.”

According to the expert, herbal remedies such as valerian, passionflower, hops, or ashwagandha can also have a supportive effect, especially in cases of stress or inner restlessness. However, the individual selection and combination are crucial.

Remember, “sleep problems in perimenopause are not a sign of weakness, they are an indication that the body is recalibrating,” Enzmann says. Thus, it is worth getting to the bottom of the causes instead of just fighting symptoms. When you understand how hormones, cortisol, blood sugar and lifestyle interact, you can make the right adjustments. This can have a far-reaching effect: “When sleep is restored, many of the other symptoms of perimenopause and menopause often calm down all by themselves,” Enzmann notes.

 

 

This is only for your information, kindly take the advice of your doctor for food, medicines, exercises and so on.   

 

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