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Menopausal Hormone Therapy

menopause28Hormones and Menopause

Waking up flushed and sweaty several times a night left Cathy feeling tired all day. But when she began to feel hot on and off during the day as well, she went to see Dr. Kent. He told Cathy she was having hot flashes—a sign that she was starting the menopause transition. Dr. Kent talked about several ways to control her hot flashes. One was to use the hormone estrogen for a short time. He talked about the benefits and risks of this choice. Cathy said she remembered hearing something on a TV talk show about using hormones around menopause. Were they helpful? Were they safe? She didn’t know.

A hormone is a chemical substance made by an organ like the thyroid gland or ovary. Hormones control different body functions. Examples of hormones are estrogen, progesterone, testosterone, and thyroid hormone.  In a woman’s body during the menopause transition, the months or years right before menopause (her final menstrual period), levels of several hormones, including estrogen and progesterone, go up and down irregularly. This happens as the ovaries work to keep up with the needs of the changing body.

Menopause is a normal part of aging. It is not a disease or disorder that has to be treated in all cases. Women may decide to use hormones like estrogen because of the benefits, but there are also side effects and risks to consider.

Dr. Kent told Cathy to call back for a prescription if she decided to try using hormones to relieve her symptoms. She read pamphlets from the doctor’s office and talked to her friends. Lily, who had surgery to remove her uterus and ovaries, has been taking the hormone estrogen since the operation. Sandy said she’s had a few hot flashes, but isn’t really uncomfortable enough to take hormones. Melissa is bothered by hot flashes and can’t sleep, but her doctor thinks she should not use estrogen because her younger sister has breast cancer. Each friend had a different story. Cathy wanted more information.

Do hormones relieve menopause symptoms?

Symptoms such as hot flashes might result from the changing hormone levels during the menopause transition. After a woman’s last menstrual period, when her ovaries make much less estrogen and progesterone, some symptoms of menopause might disappear, but others may continue.

To help relieve these symptoms, some women use hormones. This is called menopausal hormone therapy (MHT). This approach used to be called hormone replacement therapy or HRT. MHT is a more current, umbrella term that describes several different hormone combinations available in a variety of forms and doses.

How would I use MHT?

Estrogen is a hormone used to relieve the symptoms of menopause. Estrogen alone (E) may be used by a woman whose uterus has been removed.  But a woman who still has a uterus must add progesterone or a progestin (synthetic progesterone) along with the estrogen (E+P).  This combination lowers the chance of an unwanted thickening of the lining of the uterus and reduces the risk of cancer of the uterus, an uncommon, but possible result of using estrogen alone.

Cathy’s friend Stephanie takes a pill containing estrogen and progestin, but Cathy has trouble swallowing pills. If MHT is only available as a pill, that is something she’d consider when making her decision.

Estrogen comes in many forms. Cathy could use a skin patch, vaginal tablet, or cream; take a pill; or get an implant, shot, or vaginal ring insert. She could even apply a gel or spray. There are also different types of estrogen (such as estradiol and conjugated estrogens). Estradiol is the most important type of estrogen in a woman’s body before menopause.  Other hormones, progesterone or progestin, can be taken as a pill, sometimes in the same pill as the estrogen, as well as a patch (combined with estrogen), shot, IUD (intrauterine device), gel, or vaginal suppository.

The form of MHT your doctor suggests may depend on your symptoms. For example, an estrogen patch (also called transdermal estrogen) or pill (oral estrogen) can relieve hot flashes, night sweats (hot flashes that bother you at night), and vaginal dryness. Other forms—vaginal creams, tablets, or rings—are used mostly for vaginal dryness alone. The vaginal ring insert might also help some urinary tract symptoms.

The dose can also vary, as can the timing of those doses. Some doctors suggest that estrogen be used every day, but that the progesterone or progestin be used cyclically—for 10 to 14 straight days every four weeks. A cyclic schedule is thought to mimic how the body makes estrogen and progesterone before menopause. This approach can cause some spotting or bleeding, like a light period, which might get lighter or go away in time. Alternatively, some women take estrogen and progesterone or progestin continuously—every day of the month.

Is there a downside to taking hormones?

A lot of the information Cathy read said that taking estrogen is the most effective way to relieve hot flashes, night sweats, and vaginal dryness. Estrogen also helps keep bones strong. Cathy thought that those seemed like good reasons to use MHT. But she wondered, is there a downside?

Research has found that, for some women, there are serious risks, including an increased chance of heart disease, stroke, blood clots, and breast cancer, when using MHT. There may also be an increased risk of dementia in women when they start MHT after age 65. These concerns are why every woman needs to think a lot before deciding to use menopausal hormone therapy.

Also, some women develop noticeable side effects from using hormones:

  • breast tenderness
  • spotting or a return of monthly periods
  • cramping
  • bloating

By changing the type or amount of the hormones, the way they are taken, or the timing of the doses, your doctor may be able to help control these side effects. Or, over time, they may go away on their own.

What more should I know about the benefits and risks of hormones?

Cathy knows there have been news stories about menopausal hormone therapy research findings. But, several years ago, when she first heard about the risks of using estrogen, she didn’t really pay attention. Now she wants to know more about the risks.

Over the years, research findings have led to a variety of positive, negative, and sometimes conflicting reports about menopausal hormone therapy. Some of these findings came from randomized clinical trials, the most convincing type of research. Historically, clinical trials often used one type of estrogen called conjugated estrogens.  Several other types of estrogen, as well as progesterone and progestins, have also been tested in small trials to see if they have an effect on heart disease, breast cancer, or dementia.

Let’s look more closely at what we have learned from these small studies.

Hot flashes and night sweats—Estrogen will relieve most women’s hot flashes and night sweats. If you stop using estrogen, you may again start having hot flashes. Lifestyle changes and certain prescription medicines also might help some women with hot flashes. For most women, hot flashes and night sweats go away in time.

Vaginal dryness—Estrogen improves vaginal dryness, probably for as long as you continue to use it. If vaginal dryness is your only symptom, your doctor might prescribe a vaginal estrogen. A water-based lubricant, but not petroleum jelly, may also relieve vaginal discomfort.

Cholesterol levels—Estrogen improves cholesterol levels, lowering LDLs (the “bad” kind of cholesterol) and raising HDLs (the “good” kind of cholesterol). The pill form of estrogen can cause the level of triglycerides (a type of fat in the blood) to go up. The estrogen patch does not seem to have this effect, but it also does not improve cholesterol to the same degree as the pill form. But, improving cholesterol levels is not a reason to take estrogen. Other medicines and lifestyle changes will improve cholesterol levels more effectively.

What is the Women’s Health Initiative? What have we learned from it?

Before menopause, women generally have a lower risk of heart disease than men. This led experts to wonder whether giving women estrogen after menopause might help prevent heart disease. In 1992, the National Institutes of Health (NIH), the nation’s premier medical research agency, began the Women’s Health Initiative (WHI) to explore ways postmenopausal women might prevent heart disease, as well as osteoporosis and cancer. One part of the WHI, the Hormone Trial, looked at oral conjugated estrogens used alone (E) or with a particular progestin (E+P) to see if, in postmenopausal women, estrogen could prevent heart disease without increasing the chance of breast cancer.

In July 2002, the E+P part of the WHI Hormone Trial was stopped early because it became clear to the researchers that the overall risk of taking E+P outweighed the benefits:


  • Fewer fractures
  • Less chance of colon and rectum cancer


  • More strokes
  • More serious blood clots
  • More heart attacks
  • More breast cancers

In April 2004, the rest of the Hormone Trial, the E alone group, was also halted because using estrogen alone did not have a positive effect on heart disease overall and increased the risk of stroke.

During the first 3 years after stopping the E+P used in the WHI, women were no longer at greater risk of heart disease, stroke, or serious blood clots than women who had not used MHT. On the other hand, they also no longer had greater protection from fractures. The women still had an increased risk of breast cancer, but their risk was smaller than it was while they were using hormones.

It appears from the WHI that women over age 60 should not begin using MHT to protect their health—it will not prevent heart disease or dementia when started several years after menopause. In fact, older women in the study using MHT were at increased risk of certain diseases. On the other hand, women who were less than age 60 did not appear to be at increased risk of heart disease, and the overall risks and benefits appeared to be balanced.

It is important to remember that the WHI findings are based on the specific oral form (rather than patch, gel, etc), dose, and type of estrogen and progestin studied in the WHI. Which hormones and dose you use and the way you take them might change these benefits and risks. We don’t know how the WHI findings apply to these other types, forms, and doses of estrogen and progesterone or progestin.

The U.S. Food and Drug Administration (FDA) now recommends that women with moderate to severe menopausal symptoms who want to try menopausal hormone therapy for relief use it for the shortest time needed and at the lowest effective dose.

What are some other options?

Cathy is like a lot of women bothered by symptoms of menopause. After learning about some research results, she is concerned about using menopausal hormone therapy for relief of her symptoms. But it’s been several years since some study findings raised concerns, and now Cathy is wondering whether there is anything new.

Women now have more options than when the WHI study was first planned. More types of estrogens are available, and some of them come in a variety of forms. For example, synthetic estradiol, now available in several forms (pill, patch, cream, gel, etc.), is chemically identical to the estrogen most active in women’s bodies before menopause. If it is not taken by mouth, but rather applied to the skin or taken as a shot, estradiol appears to work the same way as estradiol made in the body. Investigators are now studying a low-dose estradiol patch (transdermal estradiol) compared to a low-dose conjugated estrogens pill to see whether one or both slow hardening of the arteries in women around the age of menopause and whether the estradiol patch is as effective and, perhaps, safer than the conjugated estrogens pill. These alternatives are creating more choices for women seeking relief from their menopausal symptoms, as well as a variety of new opportunities for research.

Besides a pill, some estrogens come in different and sometimes new forms—skin patch, gel, emulsion, spray, and vaginal ring, cream, and tablet. These forms work in the body somewhat differently than a pill by entering your body directly through the skin or walls of the vagina. Oral estrogen (a pill) is chemically changed in the liver.  Some studies suggest that if estrogen enters through the skin and bypasses the liver, the risk of serious blood clots or stroke might be lower. Others suggest a lower risk of gallbladder disease. This may also allow a change in dosage—further testing may show that the same benefits might come from lower doses than are needed with a pill.

Do You Have Depression In Menopause?

depression and menopause

depression and menopause

If you were to ask most women that were going through menopause what it was that stuck out most of their mind it would probably be something along the lines of hot flashes or perhaps headaches. Something that happens with many women, however, is the fact that they may experience depression during menopause, even if they had never experienced it before in their lives. Some women may not make the connection between the fact that they are going through menopause and that they are experiencing depression but in many cases, the two may be quite intertwined just the fact that you are suffering depression in menopause.

If you are experiencing depression in menopause, it is important for you to make sure that you talk to somebody about it in order for them to be aware of the situation. Depression is certainly nothing to play around with and although it is possible for you to reduce the amount of depression that you are experiencing naturally, it is still something that should not be kept to yourself. That being said, here are some things that you can do which will help you to work on the amount of depression that you are feeling and to overcome it in many cases.

One of the main reasons why women have depression in menopause is as a result of the fluctuation of hormones, vitamins and minerals in their bodies. If you’re lacking in vitamins and minerals as a result of menopause, supplementing with them may help you to overcome your depression to a large extent.

Something else that you can do which helped greatly with depression in almost every instance is to exercise regularly. Exercise not only helps to bring the body into a balance, it also releases chemicals into the body which make you feel good about yourself. That is why some people actually get addicted to exercise and once you do it regularly, you will find that you enjoy doing it and the way that it makes you feel.

Another thing to try is to adjust your diet, as this may be at the root of your depression. We may have been able to handle eating a standard American diet before our body began to fluctuate its hormone levels but now, the same diet may be deadly to us. Avoiding processed sugar and any other processed foods is a great start and can help you to improve your overall outlook. Not only that, you often feel and look a lot healthier, which is a great deterrent to depression overall.

Ovarian Cysts during Menopause and What to Do about Them

menopause and ovarian cysts

menopause and ovarian cysts

Something that is of concern to many women who are going through menopause is the possibility of having ovarian cysts during menopause and this time in their life. These cysts can cause additional fluctuations in the hormones that are being produced by the ovaries and can throw you out of balance even further than menopause itself. In order for you to overcome these problems, there are a number of different natural things that you can do.

The first thing that you need to understand is that in many cases, the ovarian cysts that are occurring during menopause are not really going to do all that much damage. As a matter of fact, there are a number of different fibroids that can occur in both inside of the uterus and on the ovaries during menopause that will naturally disappear once menopause is gone. Although it is not really known why they occur, it is thought to be a natural process and it is very rare that these benign tumors are going to need to be removed surgically.

Of course, there are some things that you can do in order to balance the body out and to reduce the number of cysts that you are experiencing naturally. Since it is as result of the body being out of balance and experiencing a reduction in the amount of estrogen and progesterone that the body is producing, often, bringing those levels back up naturally is an excellent way for you to reduce the number of fibroids that you are experiencing. This can be done through homeopathic means and there are plenty of enzyme therapies that are naturally available through your homeopath.

Something else that you may want to do is to adjust your diet so that it is more balanced. The easiest way for you to do this is to add things in your diet, such as raw fruits and vegetables. Instead of changing your diet rapidly, which very rarely works, begin to add things to your diet in order to change it gradually. Exercising regularly can also have a great impact on your overall body balance.

One final thing that you can do is to make sure that you are hydrated properly. Make sure that you are drinking eight to 10 glasses of water every day and taking a little bit of salt with the water. It will help to flush impurities out of your body and to bring it back into a balance that it may be lacking.

Getting a Good Night Sleep after Menopause

menopause sleeplessness

menopause sleeplessness

Whenever a woman is in her 30s, the hormone levels in her body will begin to fluctuate to a certain extent. Often, it is during this time that progesterone drops off rather rapidly and this can create an imbalance in the body that makes it difficult for her to sleep. During the next decade or two, these levels of hormones can continue to fluctuate rapidly and at times, a woman may find that she is going for weeks without being able to sleep well. Believe it or not, this is one of the most common problems that is experience during menopause but it does not need to be something that takes over your life entirely.

Since it is an imbalance in the body that is causing difficulties in sleeping, bringing the body back into balance is what is necessary in order to overcome these difficulties altogether. Even during the time whenever a woman is in full-blown menopause and may be experiencing a number of difficulties from hot flashes to headaches, it does not need to affect your sleep if you balance your body properly.

There are some enzyme therapies that can be taken which are homeopathic and will help to bring the body back into balance to a certain extent. Along with that, you should make sure that you are supplementing regularly with vitamins and minerals that may be depleted from your body during this time in life. A good multivitamin should make a difference in the way that you feel.

Exercise is also vital during this time in your life in order to bring the body back into balance. If you are able to exercise for 30 minutes every day, you will not only find that you have additional energy but you will find that you are sleeping better at night. Try it for a few days, you will be surprised with how much of a difference it is going to make.

One final thing that you can do is to supplement with some sleep hormones that are usually produced by the body naturally but may be lacking during menopause. A good example of this is melatonin, a natural sleep hormone which helps to signal the body that it is time for rest. If you take melatonin 30 minutes before you go to bed, you would be surprised with how much this will be able to help you sleep naturally.

Menopause Sleep Problems

menopause sleep problems

menopause sleep problems

When was the last time that you had a difficult night and found that you were not able to get to sleep? For women that are going through menopause, it may be much harder for them to try to remember the last time they had a good night sleep. Unfortunately, having sleepless nights does not only affect you during that time whenever you’re awake in the middle of the night, it affects you for the entire day. It can make you drowsy, make it difficult for you to concentrate and can even add to weight gain that you may be experiencing. If menopause sleep problems are causing you to stay up at night, there are some things that you can do naturally which will help.

One of the main reasons why menopause makes it difficult for so many women to sleep at night is because it creates an imbalance in the body that they are not used to. During the time that his leading up to menopause, the hormones estrogen and progesterone may drop rapidly and fluctuate within a woman’s body. Just this single thing that is going on in a woman can make it very difficult for her to sleep but there are actually far too many things that go on during menopause for us to list here. In order to bring the body back into balance, some steps need to be taken on your part.

The first and best way for you to be able to overcome menopause sleep problems and sleep better at night is to make sure that you are getting plenty of exercise during the day. It is a good idea for you to shoot for 30 minutes of exercise on a daily basis and to make sure that you are doing that most days of the week. If you are trying to lose weight on top of getting better sleep, you might want to increase that to 45 to 60 minutes per day. Many women find that after exercising for just a few days, they begin to sleep better at night.

You might also need to supplement in some way or another in order to sleep better at night. There are specific chemicals that are released in the body whenever you’re getting ready for sleep which signal that it is time for the sleeping process to occur. One of the main chemicals that does this is melatonin, and it is available in natural form at your local vitamin shop. Try taking melatonin 30 minutes before bedtime and you may just find that you drop off naturally.

Are You Experiencing the Menopause Hot Flash?

menopause hot flash

menopause hot flash

One of the things that you hear the most about whenever it comes to menopause symptoms, and one that has been the subject of numerous jokes is the menopause hot flash. The unfortunate thing is, for most women that experience hot flashes, it is not really all that funny to feel. These can sneak up on you out of the blue and suddenly, you’re going from being a little bit chilly to fanning yourself and sweating profusely. Fortunately, there are some natural things that can be done in order to help you to overcome these hot flashes and to even out your temperature, overall.

There are so many different things that are going on in a woman’s body whenever they are going through menopause that it can be difficult to single out any one thing that may be the culprit. You might actually be surprised to learn, that these menopause hot flashes may be coming on as a result of something that triggered the event, not the fact that the event is something in and of itself. That is why it is important for you to make sure that you record everything for a while in order to be able to recognize any triggers which may be causing these hot flashes in yourself. Things that you should record should be your moods, the area that you are in, the type of food that you are eating and whenever the hot flash occurs.

There are some common things which tend to trigger menopause hot flashes as well, these include chocolate, coffee, peanuts and sugary foods. Of course, each of us is going to have our own individual triggers and it is going to go right along with our overall body chemistry. If you avoid the triggers, you should be able to avoid the hot flashes to a large extent but there is something else that you can do which will help you overcome them as well.

One of the things that may be causing the menopause hot flash is a general unbalance that is occurring within your body. This is not uncommon during a time in a woman’s life whenever her hormone levels are fluctuating so rapidly. You can help to balance things out to a large extent, however, by making sure that you’re getting some daily exercise and that you are eating properly. Doing these two things will not only help you to be stronger inside, it will help you overcome your hot flashes and perhaps to get rid of them all together.

Menopausal Leg Cramps and What to Do about Them

Menopause Leg Cramps

Menopause Leg Cramps

There are a number of people who experience menopausal leg cramps regularly, many of which can be attributed to restless legs syndrome. There may also be times in our life whenever we experience problems such as this, menopause being one of them. If you have leg cramps during menopause, there are a number of things that can be done in order to help you to overcome it successfully. The real key to overcoming these problems, however, is going to be persistence on your part as it may take some time before a relief is experienced.

There are so many different things that are going on a woman’s body during menopause that it can be difficult to single out one item which may be causing these menopausal leg cramps. In some cases, it may be as simple as supplementing with the right types of vitamins and minerals. The reason why this is the case is because as the estrogen and progesterone levels fluctuate inside of a woman’s body, their ability to hang onto these vitamins and minerals may fluctuate along with it. Something that you may need to take regularly would be magnesium, as it can not only help you to overcome leg cramps, it will help you to have a better overall outlook on your health.

Something else that may be going on during this time is the fact that a woman’s circulatory system may be slowing down during menopause as well. If your blood is not circulating properly, your extremities, including your legs, will not be getting enough of the vital oxygen and nutrients that are typically carried by the blood to them. If this is something that is going wrong with you, you’ll want to make sure that you begin exercising regularly or to increase your exercise if you are already doing so. This will not only help to increase your circulation, it will make your heart stronger so that it is able to force the blood into your extremities further.

If you are overweight, reducing the amount of calories that you eat every day and eating more healthy foods will help you to get rid of some body fat which will make a difference in how you feel as well. Doing this along with exercising, is an excellent way for you to boost your metabolism, increase your circulatory system and to really look and feel great. Best of all, it may also help to get rid of those menopausal leg cramps that are so annoying.

Enzyme Therapy to Help with Menopause Symptoms

Enzyme Therapy for Menopause

Enzyme Therapy for Menopause

If you are entering menopause, or are already in menopause, there may be a number of different symptoms that you are experiencing. Some of the most common symptoms include hot and cold flashes, aching legs, cold hands and feet, anxiety attacks and hypoglycemia. Of course, the list can go on and on from there, but it is important for you to understand that regardless of what it is that you’re experiencing during menopause, it is typically a result of enzyme problems within the body. In order for you to overcome these problems, you need to balance out those enzymes to the best of your ability.

Whenever a woman is in her 30s, her levels of estrogen are going to begin to drop gradually over the next decade or so. During this time, it may be a bit more difficult for her to get pregnant as a result of the eggs in her ovaries not being produced as frequently. Whenever a woman reaches her 40s, the estrogen and progesterone may begin to drop more rapidly and they may actually begin to experience some of the earlier symptoms which commonly go along with menopause. It is not uncommon for somebody who is in this pre-menopause state, known as perimenopause to have hot flashes and migraine headaches as a result of these hormone fluctuations. By the time a woman reaches full menopause, which is defined as whenever a woman has not had a period for 12 months, these symptoms may be quite severe.

The first thing the most women do who are experiencing menopause symptoms is to go to a doctor in order to get some kind of enzyme therapy that will help them to overcome it. Unfortunately, most of these enzyme therapies that are given to you by a physician are not going to be natural and they may have a number of different items in them which can be harmful to you. It is a much better idea if you are able to take an enzyme therapy that is homeopathic, as it can help you to level off your hormones without harming you with any unnatural side effects.

One other thing that you can do in order to level off your enzymes and hormones is to exercise regularly and eat a very balanced and healthy diet. The better you take care of your body, the better it will take care of you and the less problems you were experience as a result of these changes in your body.

Menopause Anxiety —Is it Real?

menopause4You would probably be surprised with the number of people who experience anxiety attacks on a regular basis. What may surprise you even more, however, is that many of these anxiety attacks are brought on as a direct result of menopause. Some of the changes that are occurring in a woman’s body during menopause can result in the deficiency inside of their body which can bring on menopause anxiety attacks, along with a host of other problems that need to be corrected. If you can identify why it is that you are having these problems with anxiety attacks, you will be in a much better position to overcome them permanently.

The first thing that most people who are having menopause anxiety attacks during menopause need to understand is the fact that it may be as a result of stress, rather than the result of the estrogen and progesterone levels fluctuating rapidly inside of the body. Although these hormone levels can result in a number of different problems, it is thought that a misconception about what a woman is going to go through during menopause can cause a lot of the problems that they are experiencing mentally. Educate yourself on menopause and realize that it is not the end, it is actually a beginning. This may help to reduce your stress when you do so.

If you are having menopause anxiety attacks and would like a way to be able to overcome them in many cases, there is a coping technique that I have used successfully in the past. Most women who experience anxiety attacks try to fight their way through them in order to get rid of them as quickly as possible. Believe it or not, this can actually make the anxiety more intense and it leaves you tired and unprepared to handle the next attack that may come along. I find that by riding on top of the anxiety, similar to the way that you would ride on top of a wave, the anxiety will wash underneath you and you will be able to handle it much easier.

One other thing that you may want to try is supplementing with vitamins, as this may be a problem which causes anxiety in us as we reach our older years. This is especially true of vitamin B, as our body will use it much faster as we age. Supplement with this vitamin regularly, perhaps two or three times a day and you may just see her anxiety disappear altogether.

Hypoglycemia Caused by Menopause – What to Do about It

Hypoglycemia Caused by Menopause – What to Do about It

menopause3There are so many different things that can go wrong whenever a woman is going through menopause and in many cases, their body changes so rapidly that it is difficult to keep up with those changes. As a result of the estrogen and progesterone levels dropping so rapidly during this time in their life, the body tends to go through the change rapidly as well. This can result in so many different problems and for many of them, they simply need to be ridden out until your body levels out at the end of menopause. Something that you may be dealing with, however, that can be corrected to a large extent is hypoglycemia.

Hypoglycemia is low blood sugar and many people experience this throughout their entire life. In many cases, it is something that people experience before they have diabetes so it certainly is nothing to be overlooked if you are experiencing a problem with it. In order for you to overcome hypoglycemia, especially during menopause, it is necessary for you to level out your blood sugar to the best extent possible. This is done through exercise and through eating a diet which is low on the glycemic index.

Exercise is going to help you to balance your body, regardless of what it is that you’re trying to accomplish. You will notice a leveling off of your blood sugar level whenever you exercise, and in many cases this may be enough to help you to overcome hypoglycemia that you are experiencing. If you eat the proper type of food, however, you can experience more health benefits than simply level blood sugar.

If you are not familiar with the glycemic index, you should download and print out a chart so that you can familiarize yourself with it. The glycemic index is a list of foods that release sugar into your bloodstream and they are rated according to how quickly that sugar is released. Foods that are high on the glycemic index are going to quickly release the sugar into your bloodstream and caused it to fluctuate rapidly. By eating foods that are low on the glycemic index, you will have a much more stable blood sugar level, overall.

One other thing that you can do is to make sure that you are eating regularly, perhaps five or six small meals a day instead of just a couple of meals which most people tend to eat. This will also help you to level off your blood sugar and feel better, overall.