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5 ways to improve!
In the eyes of many people, poor sleep does not seem to be a serious illness
.
In fact, there is a close relationship between sleep quality and physical health, and adequate and high-quality sleep is necessary
for human health.
Poor sleep can cause many health problems, such as lethargy, fatigue, loss of appetite, slow thinking response, memory loss, low mood, mental depression, and so on
.
In fact, in the endocrinology department, there are not a few
patients who cause glucose metabolism disorders due to insomnia.
Next, let's talk about insomnia and diabetes
.
1
Insomnia is behindthe cause of diabetes, a foreign survey found that people who lack sleep for a long time are prone to diabetes
.
The study tracked the sleep of 1100 middle-aged and elderly people and found that sleeping 7~8 hours a night is the healthiest, and if you sleep less than 6 hours a day, the risk of diabetes increases by 2 times
.
Further studies have found that severe insomnia can activate the body's stress system, enhance sympathetic nerve excitability, increase the secretion of "glycemic hormones" such as cortisol and catecholamines in the body, aggravate insulin resistance, lead to glucose metabolism disorders, and induce diabetes
.
In fact, clinically, the reason why some diabetics have high blood sugar is greatly related
to insomnia.
The author once received a female patient, she usually eats and takes medication very regularly, and her blood sugar has been well
controlled.
Not long ago, her son died in a car accident, and she could not accept this reality and suffered from severe insomnia
.
Later, in the outpatient examination of our hospital, the fasting blood sugar increased significantly compared with before, and it was considered to be directly related
to insomnia.
Through psychological counseling and sleeping medication, the patient's insomnia symptoms gradually improved, and blood sugar returned to normal
.
This also tells us that when diabetics have poor blood sugar control, in addition to looking for triggers from medication, diet and exercise, we should also pay attention to mood swings, insomnia and other causes
.
2
Why do diabetics suffer from insomnia?Clinical observation has found that many diabetic patients have sleep disorders, the reasons are many, mainly including: 1.
Diabetic patients affect sleep quality due to poor blood sugar control, thirst, polydipsia, polyuria,
and frequent night rises;
2.
When blood sugar is unstable and acute complications of diabetes occur, anxiety can occur and cause insomnia;
3.
Excessive
psychological pressure.
Diabetes complications can seriously endanger the life of patients, many diabetic patients due to the fear of complications, psychological burden is relatively heavy, often combined with depression, and then nervous anxiety and can not sleep peacefully;
4.
Effect of
complications.
Diabetes can cause peripheral neuropathy, cause itchy skin, needle-like pain, sleep well at night, and wake up easily when asleep; When gastroparesis is combined, abdominal distension, poor nutrition, and insomnia occur;
5.
Excessive economic pressure
.
After having diabetes, on the one hand, the financial cost increases, the financial burden increases, and on the other hand, his work and income may be affected by the disease, which can also affect his sleep
.
6.
Obese patients with type 2 diabetes are prone to obstructive sleep apnea syndrome, and sleep at night is easy to wake up and cause insomnia
.
3
How to improve the insomnia of diabetics to solve the insomnia of diabetic patients, we must first find out the specific causes of insomnia, and achieve the purpose of improving sleep by removing thecauses.
1.
For patients with insomnia due to blood sugar fluctuations, it is necessary to control diet, exercise reasonably, use medication regularly, adjust mentality, and pay attention to maintaining the rules of life, so that blood sugar control can reach the standard stably;
2.
For insomnia caused by diabetic complications, it is first necessary to control blood sugar, delay the progression of complications, and provide symptomatic treatment
.
Emollients and anti-itching lotions for patients with dry and itchy skin; Nerve nutrition drugs (such as mecoba) and painkillers (such as carbamazepine) for limb numbness and pain; Patients with hypertension must control their blood pressure below 130/80mmHg; Patients with insomnia caused by gastroparesis and neuropathic bladder have a good treatment effect of combining 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 more serious, if necessary, add Western drug sedatives (alprazolam, sulazepam, etc.
), but it must be short-term and small;
4.
If the sleep quality is affected by apnea caused by obesity, it is necessary to go to the otolaryngology department for examination, diagnosis, and then treatment
by surgery or other methods.
5.
Work and rest on time, nap time should not be too long, soak feet with 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 very good for
improving patients' sleep.
To sum up
.
Insomnia is closely related
to glucose metabolism disorders.
If diabetic patients do not sleep well for a long time, they must attach great importance to early intervention, otherwise, it is likely to lead to uncontrolled blood sugar and deterioration
.
Where can I see more clinical knowledge about endocrinology? Come to the "Doctor Station" and take a look 👇
