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Health Resources Hub / Women's Health / Polycystic Ovary Syndrome

Balanced Blood Sugar, Balanced Hormones: What Every Woman Needs to Know

Supporting blood sugar may improve PMS, PCOS, sleep, anxiety and more. A functional dietitian explains how.

By

Jennifer Nicole Bianchini, MS, RDN

Published on March 24, 2025

7 min read

Balanced Blood Sugar, Balanced Hormones: What Every Woman Needs to Know

Jennifer Nicole Bianchini, MS, RDN

Ever wonder what’s really happening when you feel hangry? That crash in energy and mood is often tied to unstable blood sugar. Blood sugar spikes and crashes can lead to irritability, cravings and fatigue.

For women, blood sugar balance is a foundational piece of overall health. When it’s stable, hormones are more likely to be in sync, premenstrual syndrome (PMS) symptoms lessen, anxiety eases, sleep improves and cravings begin to fade. Yet despite its importance, blood sugar balance rarely gets attention until a diagnosis like Type 2 diabetes brings it into focus.

What Is Blood Sugar Balance?

When you eat carbohydrates, your body breaks them down into glucose, which enters the bloodstream. In response, your pancreas releases insulin, a hormone that helps shuttle glucose out of the blood and into your cells to be used for energy. Balanced meals rich in protein, fiber and healthy fats slow down glucose absorption, allowing insulin to work more effectively. But when meals are unbalanced and heavy in refined carbohydrates like white bread, pasta, pastries and sugary snacks, blood sugar spikes more dramatically. Over time this can lead to insulin resistance, inflammation, hormone imbalance, weight gain and chronic diseases such as diabetes and heart disease.

What are some signs your body may be out of balance?

  • Afternoon fatigue
  • Cravings after meals
  • Mood swings or anxiety
  • PMS

Why Women Need to Pay Attention

Blood sugar affects several key hormones: insulin, cortisol, estrogen and progesterone. Let’s break each one down.

Cortisol, the stress hormone, naturally rises in the morning and drops at night. Blood sugar imbalances and chronic stress can lead to elevated cortisol throughout the day, which disrupts your natural rhythm and leads to sleep issues, fatigue and anxiety.

Insulin is directly impacted by the foods you eat. When constantly elevated, it can disrupt the balance of other hormones, promote fat storage in the body and contribute to weight gain and inflammation.

Estrogen and progesterone fluctuate throughout your cycle. Blood sugar instability can worsen PMS symptoms, contribute to irregular periods or conditions like polycystic ovary syndrome (PCOS), and intensify mood swings.

By balancing blood sugar, you can regulate all hormones in the body and feel energized and revitalized. Metabolic, hormonal and digestive health will be optimized. PMS and painful periods will decrease, mood will become more stable, cravings will be a thing of the past, sleep will improve, and excess weight in the belly will begin to decrease — all pointing to beneficial metabolic and hormonal changes.

What a Balanced Meal Looks Like

Now you know the importance of blood sugar balancing, but how do you create a healthy, balanced meal that supports blood sugar and hormone health? Start simple. Protein, fiber and healthy fats are key to balanced blood sugar.

Protein (animal or plant based) supports lean muscle mass, which naturally decreases with age. It also helps slow digestion and keeps you feeling satiated.

Fiber found in fruit, vegetables, whole grains, beans, legumes, nuts and seeds slows the absorption of sugar and supports gut health.

Healthy fats like olive oil, avocados or nuts further slow digestion, reduce blood sugar spikes and help slow digestion.

When we eat to support blood sugar balance, we prevent sugar spikes and crashes, which can lead to cravings, inflammation, weight gain and hormonal imbalance over time.

Here are some examples of balanced meals:

Breakfast: Eggs, sautéed spinach, avocado and berries or tofu scramble with peppers, onions and sweet potatoes

Lunch: Almond flour wrap with grilled chicken, cucumber, tomato, hummus and olives

Dinner: Salmon or tofu and quinoa bowl with roasted broccoli, olive oil and lemon dressing

Snack: Apple, peanut butter and chia seeds or Greek yogurt with walnuts

Lifestyle Habits That Help Stabilize Blood Sugar

Eat breakfast: Skipping breakfast may seem like a good idea, but it will backfire. When you skip breakfast, you have to play catch-up the rest of the day. Eating a high-quality, high-protein breakfast will set the tone for better blood sugar control the rest of the day. Start with a savory breakfast. Research shows women who eat savory over sweet breakfasts have improved blood sugar balance, appetite control and hormonal balance throughout the day.

Eat dinner at least 3 hours before bedtime: This allows time for digestion to be complete before sleep so the body can repair, rebalance and recover for the next day. This is important for metabolic, hormone and overall health.

Take a walk after meals: Movement — especially walking — after meals can help improve insulin sensitivity and help your body use glucose for energy more efficiently.

Get a good night’s sleep: Deep, restorative sleep is essential for hormone regulation and metabolic health.

Practice mindfulness: Deep breathing, journaling or mindful eating practices help calm the nervous system, lower cortisol and support digestion.

Stimulate the vagus nerve, your body’s rest-and-digest switch: You can stimulate the vagus nerve through breathwork, humming, cold exposure or gentle yoga. These tools help regulate your nervous system and improve your body’s ability to manage stress and blood sugar.

Blood sugar balance is one of the most powerful ways women can support their energy, mood, hormones and long-term health. The best part? It doesn’t require a diet makeover, just small, consistent, simple actions.

Start with one balanced meal tomorrow. Your hormones, mood and metabolism will thank you.

Jennifer Nicole Bianchini is a registered dietitian, functional nutrition specialist, mind-body expert and certified yoga instructor. She is founder of Body to Soul Health, a boutique functional nutrition and lifestyle company specializing in gut health, hormone balance and mindful living. As the creator of Find Your CALM, Jennifer Nicole empowers women to reclaim their health and well-being through personalized, holistic nutrition and lifestyle techniques. Find her on IG @jennifernicolerd or www.bodytosoulhealth.com.

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