Extreme tiredness before and during periods

Hi everyone! I am 44yo and believe going through perimenopause. My cycles are becoming shorter with many days of spotting, plus other symptoms like brain fog and very occasional hot flashes. My question is if any of you feel extreme tiredness around your periods? I feel extreme fatigue and sometimes unable to get out of bed for first two days of the periods. This was never the case before.

Past 6-7 years have been tough personally and on health - I got diagnosed with diabetes December of 2024 with very high A1C (14). I always wondered if perimenopause could have played a part in it with the hormones all over the place (especially stress hormones - cortisol), with one thing leading to another. I brought down my A1C to 7 by changing my diet for about a year and half, but recently have started a med to help with my diabetes. I do understand that diabetes could be the reason for the tiredness as well, but it’s extreme around the periods.

Please do share your thoughts. Thank you!