I am 42, have been diabetic for 32 yrs. I am have been on insulin pump therapy for 15 yrs and cgm for 1 year. I am still average weight, but have gained about 10lbs in the last 10 years. Over the last 4-5 years I have become increasingly insulin resistant. This has become even more severe over the last six months. I believe this is due to perimenopause. I have searched and searched for any info on this subject and have found very little info to help guide me through this roller coaster ride. I have read this can make blood glucose levels more predictable. I am still having periods and have always notice slight changes in insulin resistance during cycle. When period starts my insulin needs go down and after ovulation my insulin needs steadily increased. Now the insulin resistance is much more dramatic over the last 6 months. The last two weeks prior to period I have bgs from 250 to 500. I go from needing 35-40 units a day to 55-65 units a day and still can't get bgs lower than 175. I seems to not be able to handle most carbs during this phase, so eat mostly veggies, lean meats and some fruit. Exercise is a luxury, my bgs are usually to high to exercise. I currently have no complications but am increasingly worried that I soon will have complications due to the inability to manage my bg's. I feel that even the endo's and diabetes educator don't have any good advice for me. There only advice is more insulin...that's great but my insulin appears to do nothing to reduce my bg's. . I am wondering if anyone has tried low dose bcp to level crazy swings in hormone levels. Any advice or sharing would be greatly appreciated, I feel very alone in my current situation.