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In the eyes of many people, poor sleep does not seem to be considered a serious illness. In fact, this is not the case. There is a close connection between sleep quality and physical health. Sufficient and high-quality sleep is necessary for human health.
Poor sleep can cause many health problems, such as mental depression, fatigue, loss of appetite, slow thinking response, memory loss, depression, mental depression, etc. In fact, in the endocrinology department, there are many patients who cause sugar metabolism disorders due to insomnia. Next, let’s talk about insomnia and diabetes and .
1 Insomnia is the driving force behind diabetes
A foreign survey found that people who lack sleep for a long time are prone to diabetes.
This study conducted a follow-up survey on the sleep conditions of 1,100 middle-aged and elderly people and found that sleeping 7 to 8 hours a night is the healthiest. If you sleep less than 6 hours a day, the risk of diabetes is twice.
Further research found that severe insomnia can activate the body's stress system, increase the excitability of the sympathetic nerve, and increase the secretion of "hemoglycemic hormones" such as , cortisol, , catecholamine, etc. in the body, aggravates insulin resistance, lead to glucose metabolism disorders, and induce diabetes.
In fact, the reason why some diabetic patients have high blood sugar in clinical practice is closely related to insomnia.
The author once treated a female patient. She usually eats and takes medicine regularly and has always controlled her blood sugar well. Not long ago, her son died in a car accident. She could not accept this reality and suffered from severe insomnia. Later, after a follow-up examination in our outpatient clinic, the fasting blood sugar of was significantly higher than before, which was considered to be directly related to insomnia. Through psychological counseling and sleeping medication treatment, the patient's insomnia symptoms gradually improved and his blood sugar returned to normal.
This also tells us that when patients with diabetes have poor blood sugar control, in addition to finding incentives in terms of medication, diet and exercise, they should also pay attention to emotional fluctuations, insomnia and other reasons.
2 Why do diabetic patients prone to insomnia?
Clinical observations found that many diabetic patients have sleep disorder , and the reasons are many, mainly include:
1. Diabetic patients have poor blood sugar control due to , thirst, drinking more, urine, and frequent waking up at night, which affects sleep quality;
2, blood sugar unstable and acute complications of diabetes , may experience anxiety, causing insomnia;
3, psychological pressure is too high. Diabetes complications can seriously endanger the patient's life. Many diabetic patients are worried about complications and have a heavy psychological burden. They often have depression , which leads to nervousness and anxiety and cannot sleep well; the impact of complications of
4 and . Diabetes can cause peripheral neuropathy, causing itchy skin, needle-like pain, poor sleep at night, and wake up easily after falling asleep; when gastroparesis is combined, abdominal distension, deficiency and insomnia occurs;
5 and are under too much economic pressure. After getting diabetes, on the one hand, the economic expenses increase and the economic burden increases. On the other hand, his work and income may be affected by the disease, which can also affect his sleep.
6, 2 diabetes patients with obese are prone to obstructive sleep apnea syndrome, and sleep at night is prone to wake up and causing insomnia.
3 How to improve insomnia in diabetics
To solve insomnia in diabetics, we must first find out the specific cause of insomnia, and achieve the purpose of improving sleep by eliminating the cause.
1. For patients who experience insomnia due to fluctuations in blood sugar, they must control their diet, exercise reasonably, take medication regularly, adjust their mentality, and pay attention to maintaining regular lifestyles to ensure that blood sugar control is stable and meet the standards;
2. For insomnia caused by complications of diabetes, they must first control blood sugar, delay the progress of complications, and provide symptomatic treatment. Use emollients and anti-itonic lotions for those with dry and itchy skin; use nerve-enhancing drugs (such as Mikappabao) and pain-relieving drugs (such as carbamazepine); those with hypertension must control their blood pressure below 130/80mmHg; those with insomnia caused by gastroparesis and neurological bladder have a good combination of Chinese and Western medicine;
3. Insomnia caused by anxiety and environmental factors should seek psychological treatment to relieve the patient's worries and improve the sleep environment. If insomnia is severe, Western medicine sedatives (alprozolen, sulaxanthin, etc.) should be added if necessary, but it must be short-term and small;
4. If the sleep quality is affected due to obesity, it is necessary to go to the ENT department for examination and diagnosis, and then treat it through surgery or other methods.
5. Work and rest on time, and the nap time should not be too long. Soak your feet in warm water before going to bed. Try not to drink refreshing drinks such as coffee or strong tea before going to bed. These practices are of great benefit to improving patients' sleep.
To sum up. Insomnia is closely related to sugar metabolism disorders. If diabetic patients have poor sleep for a long time, they must pay great attention and intervene early, otherwise it may lead to loss of control of blood sugar and worsening of the condition.
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This article is first published丨Endocrine Channel of the Medical World
Author of this article丨Direction Center of Jinan Hospital of Shandong Province Wang Jianhua
Editor-in-chief丨Cao Qian
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