Can menopause cause symptoms like mood swings, elevating fasting blood sugars, and stress?

Hello doctor,

I have elevated fasting glucose. My HbA1c was 5.6 % last year. I have not been diagnosed as diabetic or pre-diabetic. My fasting blood sugar is between 130 to 150 mg/dL after a recent COVID-19 infection and sinus infection. However, before the infection, my levels were 115 to 119 mg/dL. I cannot have carbohydrates for dinner else I wake up feeling unwell, and my fasting blood sugars rise to 130 mg/dL. I have used the tablet Rexulti for depression, due to which I have gained over 70 lbs of weight. I discontinued it two months back when my weight was as high as 226 lbs.

I was also diagnosed with sleep apnea last year and needed two liters of oxygen. The oxygen therapy was started ten months back. Since then, I have reduced my intake of carbohydrates, and my weight has reduced from 226 lbs to 170 lbs. However, I can eat only 0.3 oz of carbohydrates daily or feel dizzy and sleepy. If I eat more than that, I also feel insulin resistance, and fat gets accumulated over my umbilicus. Is it something related to fluid retention?

I have a lot of fat in my umbilical area and stretch marks on my waist and jawline. I also feel my skin is thinner and my arms and legs look skinny. I am weaker than I have ever been. I cannot lift a 40 lb bag of dog food. Also, I have noticed that I had a "moon face" five years back. ” I am sure I need to get my HbA1C repeated. Currently, I am on tablet Losartan 25 mg, tablet Levothyroxine 125 mcg, tablet Vyvanse 50 mg, a tablet Lamictal 50 mg, tablet Lexapro 30 mg, a tablet Clonazepam 0.5 mg twice daily, tablet Nexium, tablet Propanolol 10 mg for anxiety and tablet Lithium 75 mg. Also, lately, my moods have been labile. I am angry, depressed, and anxious for a few hours and then fine again. I am extra stressed. Is there something wrong with me?

Kindly help.

Hello doctor,

Thank you for the response.

I had a partial hysterectomy six months back. I have not been the same since. I feel better not having the pain and heavy periods, but mentally, I have not recovered and am not as strong physically. I was told before my hysterectomy that I would attain menopause, but I did not attain even eight weeks after the procedure. My doctor supplemented a small amount of estrogen and testosterone with SL troche and checked my hormones two months later. It was horrible. I think I was psychotic at times. I was paranoid, mean, and had suicidal ideation. These symptoms cleared three days after I stopped the HRT. I do have a history of vitamin D deficiency. However, it has not been tested for years. My lipid profile was done two years back. I have attached the reports for your reference. I do supplement with vitamin D, especially during the winter. My depression worsens when there is less daylight.