Sleep and Diabetes

About Diabetes

  • Eight percent of the US population has diabetes (24 million people), a further 57 million are considered pre-diabetic
  • People with diabetes cannot make, or adequately use, the hormone insulin to control the amount of sugar in their blood

Testing for this condition is usually simple and there are many treatments available to help you control your diabetes. Treatment varies from person to person, but may involve changes in diet and use of medication. Diabetics are also at an increased risk of other diseases such as cardiovascular problems and kidney failure.

With good medical care and education, many diabetics manage their disease successfully and live a full life.

About Sleep and Diabetes

Sleep problems are common in people with diabetes. For instance, more than half of all people with diabetes also have sleep apnea (a frequent closing of the throat while sleeping). Most doctors are aware of the link between sleep apnea and diabetes, yet only half routinely test diabetics for sleep problems.

Sleep apnea can also add to the physical problems caused by diabetes. For example, the risk of getting heart disease or stroke increases in those with untreated diabetes and sleep apnea. Vascular disease (problems with arteries and blood circulation) is also more common in people with both disorders.

Other sleep problems are common as well, including restless legs syndrome. This disorder can decrease the amount and quality of sleep. Multiple research studies also suggest that an adequate amount of sleep time and good quality sleep every night is important for the body to keep stable sugar levels. 

  • If you have diabetes, ask your doctor about screening for sleep problems
  • Sleep problems and diabetes will likely decrease your ability to control your blood sugar levels and also lead to further complications and diseases

Managing your diabetes can help sleep problems; managing your sleep problems can help your diabetes – talk to your doctor.

References

DiabetesHealth.com
http://www.diabeteshealth.com/read/2008/09/04/5891.html

WebMd
http://diabetes.webmd.com/news/20050301/sleep-apnea-treatment-may-improve-diabetes

American Diabetes Association
http://www.diabetes.org/diabetes-statistics/prevalence.jsp

Arch Intern Med. 2005 Feb 28;165(4):447-52.
Type 2 diabetes, glycemic control, and continuous positive airway pressure in obstructive sleep apnea.
Babu AR, Herdegen J, Fogelfeld L, Shott S, Mazzone T.

Sleep Breath. 2005 Dec;9(4):176-80.
The effect of continuous positive airway pressure on glucose control in diabetic patients with severe obstructive sleep apnea.
Hassaballa HA, Tulaimat A, Herdegen JJ, Mokhlesi B.

Endocr Pract. 2007 Jul-Aug;13(4):355-62.
Prevalence of sleep apnea in a population of adults with type 2 diabetes mellitus.
Einhorn D, Stewart DA, Erman MK, Gordon N, Philis-Tsimikas A, Casal E.

Am J Respir Crit Care Med. 2002 Mar 1;165(5):670-6.
Obstructive sleep apnea is independently associated with insulin resistance.
Ip MS, Lam B, Ng MM, Lam WK, Tsang KW, Lam KS.

Am J Epidemiol. 2004 Sep 15;160(6):521-30.
Sleep-disordered breathing, glucose intolerance, and insulin resistance: the Sleep Heart Health Study.
Punjabi NM, Shahar E, Redline S, Gottlieb DJ, Givelber R, Resnick HE; Sleep Heart Health Study Investigators.

Arch Intern Med. 2005 Apr 25;165(8):863-7.
Association of sleep time with diabetes mellitus and impaired glucose tolerance.
Gottlieb DJ, Punjabi NM, Newman AB, Resnick HE, Redline S, Baldwin CM, Nieto FJ.

 

Resources

American Diabetes Association

Centers for Disease Control and Prevention

National Institutes of Health

WebMD