In every issue of WebMD the Magazine, we ask our experts to answer readers' questions about a wide range of topics. In our July/August 2012 issue, we asked WebMD's diabetes expert, Michael Dansinger, MD, about the link between diabetes and poor sleep.
Q: I have diabetes, and I'm not sleeping well. Are the two related, and what can I do?
Randy Jackson’s struggle with obesity began as a child in Louisiana, with its super spicy, often super-fatty cuisine. Even as an adult, Jackson still doesn't dream of sugarplums at Christmastime. Instead, he dreams of waltzing andouille sausage and grits, jigging jambalaya, and shimmying beignets and bread pudding with bourbon sauce.
“For the old Dawg, a holiday party was a chance to have something to eat, drink, and be merry, but the new Randy does not drink or eat at parties,” says Jackson, 52,...
A: Yes, people with diabetes often have reduced sleep quality and quantity. Sleep apnea, medications, lack of exercise, and abnormal glucose and hormone levels -- all of which are common in people with diabetes -- can disrupt rest. So can nerve pain and frequent nighttime urination (called nocturia), which cause people with diabetes to wake up more often and have trouble falling back to sleep.
Restoring good sleep can be challenging. But many of the steps you take to manage your condition will also help you sleep more soundly and longer. A healthy diet, exercise, and good sleep habits (such as going to bed at a reasonable hour and relaxing in a long bath before bedtime) can make a real difference in both your diabetes and your sleep.
More specifically, you can reduce how often you urinate at night by drinking fewer liquids before bedtime and by elevating your legs for several hours in the evening. This prevents any fluid retained in the lower legs from being reabsorbed into the body, resulting in more urine. If you have sleep apnea, work with your doctor on treatment. Finally, ask your doctor to adjust your medications (or add new ones) to help you sleep better.
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