Elevated blood glucose during menopause is not necessarily diabetes, and the diagnosis of diabetes needs to be based on the degree of elevated blood glucose. Diagnostic criteria for diabetes mellitus: fasting blood glucose ≥ 7.0 mmol / L, or two hours after the sugar load blood glucose ≥ 11.1 mmol / L, or random blood glucose ≥ 11.1 mmol / L, accompanied by three more than one symptom, can be diagnosed with diabetes mellitus. The diagnosis of diabetes is also considered in the absence of diabetic symptoms with fasting blood glucose ≥7.0 mmol/L or two-hour postprandial blood glucose ≥11.1 mmol/L monitored twice on non-same days. During menopause, a decrease in metabolic rate and weight gain predispose to insulin resistance, which makes blood glucose elevated; however, menopause is not a disease and does not usually cause a significant increase in blood glucose and is unlikely to progress to diabetes. If blood sugar rises during menopause, it is important to seek medical attention in a timely manner to clarify whether it is diabetes under the guidance of a doctor.