Sleep Longer To Lower Blood Glucose Levels
Doctors and scientists have known for decades that insufficient sleep affects the body's hormone levels and ability to regulate and metabolize glucose. That means if you're excessively sleepy, you could be at higher risk for weight gain (see "Sleep and Obesity") and even type 2 diabetes. Researchers have tested the relationship between sleep and hormones extensively. In one study, healthy adults were asked to sleep only four hours a night for six nights. After this period of sleep restriction, the subjects' glucose tolerance (their ability to break down glucose) was 40 percent lower on average—reaching levels that are typical of older adults at risk for diabetes, which is characterized by high glucose levels due to insufficient insulin. Additionally, when the sleep-deprived subjects were fed a high-carbohydrate breakfast, their glucose levels stayed significantly higher than when they were well rested—providing further evidence that their bodies were not processing glucose as well. Why would lack of sleep affect hormones and glucose metabolism? Part of the answer may lie in slow wave sleep. When a person enters slow wave, or deep sleep, nervous system activity goes down, the brain uses less glucose, and other changes occur such as an increase in growth hormone and a decrease in the activating hormone cortisol. For this reason, a sufficient amount of deep sleep is thought to be very important to the regulation of glucose in the body. Researchers have seen this in action by manipulating people's sleep stages and looking at the effect it has on their glucose levels. In one experiment, scientists disrupted people's sleep just enough to keep them from entering deep sleep (but not enough to fully wake them). After these nights of deep-sleep deprivation, the subjects' insu Continue reading >>
Diabetes Fatigue Symptom | Sign No 5 Of 10 Diabetes Type 2 Symptoms
Diabetes Type 2 Symptoms – Feeling Fatigue, Drowsiness and Tired All the Time SHARE LINK: Diabetes type 2 symptoms like the diabetes fatigue symptom vary from person to person. But diabetes fatigue symptoms or drowsiness with a noticeable drop in energy throughout the day are common complaints of those with the diabetes fatigue sign or other diabetes type 2 symptoms. Too tired to get off the sofa at night? Does drowsiness after lunch make you feel like you need a nap in the middle of the afternoon? Insulin resistance and elevated blood sugar could be the culprits. Insulin unlocks the door to your cells allowing blood sugar to enter so it can provide fuel to power your body. Insulin resistance means your cells are having difficulty allowing blood sugar to enter. If the blood can’t enter the cells where it can be burned for energy, it builds up in the bloodstream causing elevated blood sugar. A diet rich in sweets and high-carb foods causes insulin levels to surge in an attempt to remove sugar from your bloodstream and get it to your cells for energy. This function works well unless the insulin levels spike too often from a high calorie, high carb diet. When this happens, your cells respond by decreasing the responsiveness and number of insulin receptors on their surfaces. Eventually, this prevents glucose from getting into your cells properly, leading to high blood sugar and depriving your cells of the fuel they need for energy. Maintaining normal insulin response and healthy blood sugar levels naturally involves diet and exercise to help regulate blood sugar. If you notice diabetes type 2 symptoms early while in a pre-diabetic state, prompt action and a pro-active approach could prevent the full onset of diabetes. How is Normal Tiredness Different from Diabetes Type Continue reading >>
Excessive Daytime Sleepiness And Long Naps Linked To Increased Diabetes Risk
New research presented at this year's annual meeting of the European Association for the Study of Diabetes (EASD) shows that daytime sleepiness and taking long naps during the day are both associated with an increased risk of type 2 diabetes. The research is by Dr Tomohide Yamada, University of Tokyo, Japan. Sleep is an important component of a healthy life, along with a good diet and appropriate physical activity. Excessive daytime sleepiness is widely prevalent around the world, as is the habit of taking short sleeps or "napping". Daytime naps are usually brief, but can range from a few minutes to a few hours. The frequency varies from taking an occasional nap to planned rest periods several times daily for habitual nappers. Some individuals take a nap because they are excessively sleepy during the daytime as a result of a sleep disorder. In this new study, the authors did a meta-analysis to investigate the association between daytime sleepiness or napping and the risk of type 2 diabetes. They searched Medline, the Cochrane Library, and Web of Science for articles published up to November 2014 using the keywords daytime sleepiness, nap, and diabetes. Among 683 studies initially identified, a total of 10 were deemed of good quaility and included 261,365 Asian and Western subjects. The studies came from Sweden, Spain, Finland, and Germany (daytime sleepiness) and the USA, China and Germany (napping). Excessive daytime sleepiness was defined as answering yes to questions like "Do you have a problem with sleepiness during the daytime?". Daytime napping was defiened on the basis of answering yes to questions such as "Do you take a daytime nap?" or "Do you sleep during the day?". Excessive daytime sleepiness was found to increase the risk of diabetes by 56%, while a longer Continue reading >>
What Causes Diabetes Fatigue?
Fatigue is one of the most common disabling diabetes symptoms. Diabetes fatigue can disrupt and interfere with all aspects of daily living. What causes diabetes fatigue, and why is it so common? We’ve written about fatigue before and received tons of great comments on those posts. But this time let’s go deeper and find the whole range of causes and solutions, even if it takes a few weeks. Hopefully, everyone will find something that might help them, because this is a serious problem. For example, Melanie wrote, “[Fatigue] really takes a toll on my family and things we can do. I just want to have the energy to play with my son and to do things around the house or with friends…I can’t drive more than 30 minutes because my husband is afraid I will fall asleep…and wreck [the car]. (I have dozed while driving before.)” Maria commented, “Fatigue is a constant and I have had to learn to do only what I can. I don’t push myself anymore as I pay for it dearly. I get tired of explaining why I don’t feel good, don’t want to do anything. Some understand and some don’t.” And Jan wrote, “I sleep from midnight to noon each day. Then I get depressed because I wasted half a day.” Because of my multiple sclerosis (MS), I live with fatigue sometimes, and I know how limiting it is. I know how difficult it can be to manage. There are more than 15 known causes for fatigue. It helps to figure out what is causing yours, so you can address it. Here are some possibilities. First, diabetes can directly cause fatigue with high or low blood sugar levels. • High blood glucose makes your blood “sludgy,” slowing circulation so cells can’t get the oxygen and nutrients they need. Margaret commented, “I can tell if my sugars are high in the morning, because ‘grogg Continue reading >>
Can Diabetes Affect Your Sleep Schedule?
Diabetes is a condition in which the body is unable to produce insulin properly. This causes excess levels of glucose in the blood. The most common types are type 1 and type 2 diabetes. If you have type 1, your pancreas doesn’t produce insulin, so you must take it on a daily basis. If you have type 2, your body can make some of its own insulin, but it’s often not enough. This means that your body can’t use the insulin correctly. Depending on how well you control your blood sugar, you may or may not experience symptoms. Short-term symptoms of high blood sugar can include frequent thirst or hunger, as well as frequent urination. It isn’t uncommon for these symptoms to have an impact on the way you sleep. Here’s what the research has to say. In one 2012 study, researchers examined the associations between sleep disturbance and diabetes. Sleep disturbance includes difficulty falling asleep or staying asleep, or sleeping too much. The study found a clear relationship between sleep disturbance and diabetes. The researchers say that sleep deprivation is a significant risk factor for diabetes, which can sometimes be controlled. Having diabetes doesn’t necessarily mean that your sleep will be impacted. It’s more a matter of what symptoms of diabetes you experience and how you manage them. Certain symptoms are more likely to cause issues when you’re trying to rest: High blood sugar levels can cause frequent urination. If your blood sugar is high at night, you could end up getting up frequently to use the bathroom. When your body has extra glucose, it draws water from your tissues. This can make you feel dehydrated, prompting you to get up for regular glasses of water. The symptoms of low blood sugar, such as shakiness, dizziness, and sweating, can affect your slee Continue reading >>
Can Diabetes Cause Fatigue, Body Ache?
Every weekday, a CNNHealth expert doctor answers a viewer question. On Wednesdays, it's Dr. Otis Brawley, chief medical officer at the American Cancer Society. Asked by Mike from Tennessee Can diabetes be a (possible) cause of fatigue, leg and lower back aches? I have had bursts of energy for 10 to 15 minutes, but then need to sit for about 10 minutes, and I'm ready to go full steam again. PLEASE, Thank You, Mike Expert answer Dear Mike: Thanks for an important question, as a lot of people with diabetes complain of these symptoms. The answer is that diabetes itself probably is not the cause of your fatigue, lower back and leg aches. The things that cause type 2 diabetes (also called adult onset diabetes), such as a weight problem and lack of exercise, are commonly the cause these symptoms. Fatigue incorporates three components: 1. The inability to initiate activity. 2. Reduced ability to maintain activity. 3. Difficulty with concentration and memory. Fatigue should be distinguished from sleepiness, shortness of breath on exertion and muscle weakness, although these can also be associated with fatigue. Fatigue lasting six months or more is referred to as chronic fatigue. Chronic fatigue is not necessarily the entity known as chronic fatigue syndrome, which is a diagnosis after exclusion of all other causes. Fatigue in anyone should be evaluated by a health care provider to exclude all possible causes and to get counseling on how to treat it. Other medical causes of fatigue are the side effect of drugs, thyroid dysfunction, high calcium levels, rheumatologic illnesses, adrenal, kidney or liver problems. Some infections such as tuberculosis or hepatitis can cause fatigue, and indeed, fatigue can be their only symptom. Depression is also a major cause of fatigue. While unus Continue reading >>
Causes Of Extreme Fatigue
The Most Common Reasons for Excessive Fatigue Discovering the causes of extreme fatigue can be difficult if you don't know the distinctions between fatigue and sleepiness. Some disorders cause fatigue, others sleepiness, and some disorders cause a mix of these two. The question is: "Are you tired, sleepy, or fatigue?" In this page you will learn: What is extreme fatigue, compared to sleepiness and tiredness, What causes extreme fatigue, including most common disorders and medication, Useful questionnaire to test your excessive fatigue, How to stop fatigue in a sleep apnea patient. What is Severe Fatigue? Feelings of excessive fatigue, tiredness and sleepiness have different descriptions. Explaining correctly how do you feel to your doctor may be critical to find the real causes of extreme fatigue. Let's learn how can we make the difference between extreme fatigue and daytime sleepiness: Definition of Extreme Fatigue According to Sleep Disorders and Sleep Promotion in Nursing Practice, fatigue means an overwhelming sense of tiredness, lack of energy, and a feeling of weakness linked with physical or psychological problems. In simple words, fatigue is an unpleasant feeling that describes sensations of muscle weakness and low energy, but without having sleepiness. Fatigue is something that you feel when: you finish the physical activity or exercise, you are depressed, you are bored, and have no inspiration for doing something. People with fatigue usually want to rest, sitting down on a chair, or laying down on the bad, but without wanting to sleep. Definition of Daytime Sleepiness Sleepiness, is the tendency to fall asleep during the day. A person with excessive daytime sleepiness has the desire to fall asleep or has unintended episodes of falling asleep in during daytime. Continue reading >>
Extreme Tiredness (fatigue)
Tweet In the medical world, extreme tiredness and exhaustion that doesn’t disappear with rest or sleep is known as fatigue and this can be a telling symptom of diabetes. Causes of fatigue There are many things that can cause you to fell fatigued. The most common and obvious is a lack of sleep. Most adults need between 6 and 8 hours of sleep a day, but this can vary quite a lot from person to person. It's also important to remember that most people require less sleep as they get older. Other common causes of fatigue include: Anaemia - a condition that occurs when you don't have enough red blood cells Cancer - most types of cancer cause fatigue to a certain degree Chronic Fatigue Syndrome - a condition that causes unexplained exhaustion and fatigue Depression - constant tiredness is a major indicator of depression or emotional stress Diabetes - sudden and extreme tiredness is one of the main symptoms of diabetes mellitus Infections - fatigue can be brought on by various infections such as the flu (influenza) Coeliac Disease - an autoimmune condition in which inflammation in the lining of the small intestine affects the body’s ability to absorb nutrients properly. Diabetes and fatigue With diabetes, fatigue is caused by a number of factors, including: High blood sugar levels, either from a lack of the insulin horomone or from insulin resistance, can affect the body’s ability to get glucose from the blood into cells to meet our energy needs People on stronger diabetes medication such as insulin, may also experience fatigue as a symptom of low blood glucose levels. Blood glucose testing can help to determine whether high or low sugar levels may be the cause of fatigue. Recognising fatigue Symptoms of fatigue include: A lack of, or no energy Difficulty in carrying out s Continue reading >>
(ssris) Is A Common Cause Of Excessive Yawning.
I am a 55-year-old, obese man with Type 2 diabetes. I have also been treated for hemochromatosis. My problem is what I describe as violent yawning attacks. Anywhere from two to five hours after meals, I yawn forcefully for 5-10 minutes. What could be causing these yawning episodes, and what can I do to stop them? Answer There are a number of possible causes for your yawning episodes. As an older, obese man with diabetes, the most likely explanation is poor sleep due to sleep apnea, resulting in daytime tiredness. Sleep apnea is a disorder in which breathing stops for at least 10 seconds five or more times an hour while a person is asleep, sometimes happening hundreds of times a night. Research has shown an association between sleep apnea and Type 2 diabetes. Excessive yawning, which is defined as a cluster of 10 to 30 yawns occurring many times a day, can be the result of sleep deprivation caused by episodes of apnea. One way to determine whether sleepiness may be causing your yawning attacks is to evaluate your level of tiredness using a tool known as the Epworth Sleepiness Scale. If your result is 10 or higher, you should consult your doctor about having a polysomnography, or sleep study, done in a sleep lab to determine whether you do in fact have sleep apnea. (During a polysomnography, a person is wired up to various machines while he sleeps to measure factors such as the level of oxygen in his blood and the electrical activity in his heart.) Another possibility to consider is that one of your medicines may be causing your yawning episodes. For instance, a class of antidepressant drugs known as selective serotonin reuptake inhibitors (SSRIs) is a common cause of excessive yawning. Yawning caused by these drugs tends to stop within a few days of reducing the dose or Continue reading >>
Association Between Excessive Daytime Sleepiness And Severe Hypoglycemia In People With Type 2 Diabetes
OBJECTIVE Sleep-disordered breathing and sleepiness cause metabolic, cognitive, and behavioral disturbance. Sleep-disordered breathing is common in type 2 diabetes, a condition which requires adherence to complex dietary, behavioral, and drug treatment regimens. Hypoglycemia is an important side effect of treatment, causing physical and psychological harm and limiting ability to achieve optimal glycemic control. We hypothesized that sleep disorder might increase the risk of hypoglycemia through effects on self-management and glucose regulation. RESEARCH DESIGN AND METHODS People with type 2 diabetes (n = 898) completed questionnaires to assess sleep-disordered breathing, daytime sleepiness, and occurrence of severe hypoglycemia. RESULTS Subjects who scored highly on the Epworth Sleepiness Scale were significantly more likely to have suffered from severe hypoglycemia. This was a significant predictor of severe hypoglycemia in regression analysis including the variables age, sex, duration of diabetes, HbA1c, BMI, and treatment type. Readers may use this article as long as the work is properly cited, the use is educational and not for profit, and the work is not altered. See for details. OBJECTIVE We performed a secondary analysis to evaluate the effect of the Women’s Health Initiative dietary intervention on incident diabetes and diabetes treatment in postmenopausal women. RESEARCH DESIGN AND METHODS A total of 48,835 women were randomized to a comparison group or an intervention group that underwent a behavioral/nutritional modification program to decrease fat and increase vegetable, fruit, and grain intake for an average of 8.1 years. Ninety-three percent of participants completed the intervention, and 71% participated in active follow-up through 30 September 2015 (me Continue reading >>
Excessive Daytime Sleepiness In Type 2 Diabetes
ORIGINAL ARTICLE Sonolência excessiva diurna em diabetes tipo 2 Camila Medeiros; Veralice Bruin; Débora Férrer; Ticiana Paiva; Renan Montenegro Júnior; Adriana Forti; Pedro Bruin Faculdade de Medicina, Universidade Federal do Ceará (UFC), Fortaleza, CE, Brazil ABSTRACT OBJECTIVE: To examine excessive daytime sleepiness (EDS) in type 2 diabetes. SUBJECTS AND METHODS: Patients (N = 110) were evaluated regarding Epworth Sleepiness Scale (EDS), sleep quality (Pittsburgh Sleep Quality Index), depressive symptoms (Beck Depression Inventory), Restless Legs Syndrome (RLS), risk of obstructive sleep apnea (OSA) (Berlin questionnaire), and comorbidity severity (Charlson Comorbidity Index). Patients were compared with indivi–duals with arterial hypertension and without diabetes. RESULTS: Diabetic patients had more EDS, depressive symptoms, and higher comorbidity severity than hypertensive patients (p < 0.005). In diabetic patients, poor quality sleep (53.3%), and high risk of OSA (40.9%) and RLS (14.5%) were found; EDS (55.5%) was associated with depressive symptoms present in 44.5% indivi–duals (OR = 1.08; 95% CI: 1.01-1.15), and remained so after data were controlled for age, gender, body mass index, and glycated hemoglobin (OR = 2.27; 95% CI 1.03-5.03). CONCLUSIONS: Sleep abnormalities are frequent. EDS affects most of the patients and is independently associated with depressive symptoms. Adequate antidepressant therapy should be tested for the effects on EDS. Keywords: Diabetes; sleep; depression; apnea; comorbidity RESUMO OBJETIVO: Em pacientes com diabetes tipo 2, avaliar a sonolência excessiva diurna (SED). SUJEITOS E MÉTODOS: Pacientes (N = 110) foram investigados com relação a Escala de Sonolência de Epworth (SED), qualidade do sono (Índice de Qualidade de Continue reading >>
Medical Definition Of Excessive Daytime Sleepiness
Excessive daytime sleepiness: A neurological disorder in which there is a sudden recurrent uncontrollable compulsion to sleep. Excessive daytime sleepiness is also known as narcolepsy. The condition is often associated with: Cataplexy -- a sudden loss of muscle tone and paralysis of voluntary muscles associated with a strong emotion Sleep paralysis -- immobility of the body that occurs in the transition from sleep to wakefulness Hypnagogic hallucinations -- pre-sleep dreams Automatic behaviors -- such as, for example, doing something "automatically" and not remembering afterwards how you did it. More than 100,000 Americans have excessive daytime sleepiness (narcolepsy). It strikes both males and females and affects people of all races. The symptoms most commonly appear in a person's teens and early twenties. The disease can vary in severity. Some persons with it have mild sleepiness or rare cataplexy (less than one episode per week). Other persons may have moderate sleepiness or infrequent cataplexy (less than one episode a day). Still other persons with the disorder may experience severe sleepiness or have severe cataplexy (with one or more episodes of cataplexy per day). The basic cause of narcolepsy is not known. It is not a fatal disorder in itself but it can lead to fatalities. For example, a narcoleptic may fall asleep while driving. Narcolepsy is usually treated with a medication to improve alertness and an anti-depressant that helps control cataplexy. Other names for the condition include hypnolepsy, sleeping disease, paroxysmal sleep, and Gelineau syndrome. The 14 Most Common Causes of Fatigue Last Editorial Review: 1/25/2017 Continue reading >>
Extreme Daytime Sleepiness May Be Diabetes Sign
5th September 2005 Recent research suggests that extreme sleepiness could be a sign of depression or a diabetic, even if a person does not sleep well. Out of a random sample of 16,500 men and women aged 20 to 100 years old Americans, 8.7 percent experienced extreme day time sleepiness. Researchers have discovered that extreme daytime sleepiness is highy connected with depression and obesity rather than with sleep-disordered breathing or sleep disruption. Depression was the key factor for extreme daytime sleepiness because the metabolism slows down. Those who are being treated for depression are three times as likely to experience extreme sleepiness than others. There is a strong correlation between extreme daytime sleepiness and diabetes. Individuals with diabetes are two times more likely to report extreme daytime sleepiness than those who are not. Overweight people are also more likely to experience extreme daytime sleepiness. Extreme daytime sleepiness is more common in people less than 30 and those aged 75+, suggesting greater medical illness and health problems. Tweet Type 2 diabetes mellitus is a metabolic disorder that results in hyperglycemia (high blood glucose levels) due to the body: Being ineffective at using the insulin it has produced; also known as insulin resistance and/or Being unable to produce enough insulin Type 2 diabetes is characterised by the body being unable to metabolise glucose (a simple sugar). This leads to high levels of blood glucose which over time may damage the organs of the body. From this, it can be understood that for someone with diabetes something that is food for ordinary people can become a sort of metabolic poison. This is why people with diabetes are advised to avoid sources of dietary sugar. The good news is for very many peo Continue reading >>
Tired All The Time? It Could Be Your Diabetes
If you’re coping with diabetes and feel wiped out all the time — the kind of fatigue that isn’t helped by eating or getting a little extra sleep — your doctor might tell you that your blood sugar levels are to blame. But research suggests that the fatigue associated with diabetes could have other causes. In a study published in June 2012 in The Diabetes Educator, researchers Cynthia Fritschi, PhD, RN and Laurie Quinn, PhD, RN, found that stress, depression, body mass index (BMI), and lack of physical activity can all be significant contributors to fatigue in people with diabetes. In the study, 83 women ages 40 to 65 with type 2 diabetes completed questionnaires about their health, fatigue levels, diabetes symptoms, depression, emotional distress, physical activity, and how they were managing and coping with diabetes. Some of the women wore a continuous glucose monitor for three days to assess the changes in their glucose (blood sugar) levels. The researchers found no relationship between the women’s fatigue level and their blood sugar control. Fasting blood sugar, glucose fluctuations over the study period, and results from the A1C test, which measures average blood sugar level over the previous two to three months, did not predict how tired the women reported feeling. “It appears that other factors — such as being overweight, getting little physical activity, and having higher levels of distress — could be causing their fatigue,” Fritschi says. A statement published by the American Diabetes Association (ADA) in November 2016 in its journal Diabetes Care recommends that physical activity be prescribed to all people living with diabetes in order to manage glycemic control and overall health. In particular, the ADA urges people living with diabetes to in Continue reading >>
Not to be confused with Narcolepsy. Hypersomnia, or hypersomnolence, is a neurological disorder of excessive time spent sleeping or excessive sleepiness. It can have many possible causes and can cause distress and problems with functioning. In the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders, (DSM-5), hypersomnolence, of which there are several subtypes, appears under sleep-wake disorders. Symptoms The main symptom of hypersomnia is excessive daytime sleepiness (EDS), or prolonged nighttime sleep, which has occurred for at least 3 months prior to diagnosis. Epidemiology Hypersomnia affects approximately 5% of the general population, "with a higher prevalence for men due to the sleep apnea syndromes". Diagnosis "The severity of daytime sleepiness needs to be quantified by subjective scales (at least the Epworth Sleepiness Scale) and objective tests such as the multiple sleep latency test (MSLT)." The Stanford sleepiness scale (SSS) is another frequently-used subjective measurement of sleepiness. After it is determined that EDS is present, a complete medical examination and full evaluation of potential disorders in the differential diagnosis (which can be tedious, expensive and time-consuming) should be undertaken. Differential diagnosis Hypersomnia can be primary (of central/brain origin), or it can be secondary to any of numerous medical conditions. More than one type of hypersomnia can coexist in a single patient. Even in the presence of a known cause of hypersomnia, the contribution of this cause to the complaint of EDS needs to be assessed. When specific treatments of the known condition do not fully suppress EDS, additional causes of hypersomnia should be sought. For example, if a Continue reading >>