
Sleep and diabetes are closely linked. Diabetes can cause sleep disturbances, and sleep disturbances can increase the risk of developing diabetes. People with diabetes often experience poor sleep habits, including difficulty falling asleep or staying asleep. Some people with diabetes sleep too much, while others struggle to get enough sleep. Sleep apnea, restless leg syndrome, and peripheral neuropathy are all common sleep disorders in people with diabetes. Changes in blood sugar levels can also disrupt sleep, with high blood sugar levels causing frequent urination and increasing the risk of developing diabetes. Poor sleep habits can affect blood sugar levels, weight, the immune system, and brain function, all of which are connected to diabetes.
| Characteristics | Values |
|---|---|
| Fatigue | Extreme tiredness is a common symptom of diabetes. |
| Sleep Disorders | Sleep apnea, restless leg syndrome, and peripheral neuropathy are common sleep disorders in people with diabetes. |
| Blood Sugar Levels | Changes in blood sugar levels can disrupt sleep. High blood sugar can increase urination and thirst, while low blood sugar can cause shakiness, dizziness, and sweating. |
| Medication Side Effects | Certain medications for diabetes, such as corticosteroids and beta-blockers, can cause fatigue. |
| Emotional Factors | Living with diabetes can impact mental health, leading to feelings of frustration and worry, which may affect sleep. |
| Lifestyle Factors | Factors such as a high-stress job, family issues, and physical inactivity can contribute to sleep disturbances. |
| Weight | Obesity is a risk factor for both diabetes and sleep apnea, and inadequate sleep can increase the risk of weight gain. |
| Hormonal Changes | Sleep deprivation can alter hormones that control appetite and metabolism, such as leptin and cortisol, which can impact blood sugar levels. |
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What You'll Learn
- Sleep apnea, a common sleep disorder in diabetics, involves pauses in breathing during sleep
- High blood sugar levels can cause frequent urination, thirst, and hunger, interrupting sleep
- Low blood sugar at night can cause daytime sleepiness and irregular sleep patterns
- Dehydration caused by high blood sugar can disrupt sleep with the need for regular water
- Restless leg syndrome, common in diabetics, is a disorder causing an urge to move legs, disrupting sleep

Sleep apnea, a common sleep disorder in diabetics, involves pauses in breathing during sleep
Sleep apnea is the most common sleep disorder in people with diabetes. It occurs when your breathing repeatedly stops and starts throughout the night. These pauses in breathing are called apneas, which are caused by an obstruction of the upper airway. Obstructive sleep apnea (OSA) is the most common type of sleep apnea, with the soft tissues at the back of the throat collapsing and blocking the airway. OSA is associated with obesity, with excess weight constricting the air passages. However, OSA can also occur in people who are not obese.
The prevalence of sleep apnea is significantly higher among individuals with diabetes, even when controlling for other factors. Research shows that more than half of people with type 2 diabetes experience OSA, and it is also common in those with type 1 diabetes. Sleep apnea can influence glucose levels, change how the body responds to insulin, and contribute to diabetes complications. It can lead to insulin resistance, promoting higher blood sugar levels, which is detrimental for diabetics. Sleep apnea can also affect metabolism, increasing the risk of cardiovascular events and mortality.
The relationship between sleep apnea and diabetes appears to be bidirectional. Sleep apnea can worsen diabetes, and poorly managed diabetes can lead to inadequate sleep. This creates a challenging cycle, as a lack of quality sleep can impact food intake, weight, and blood sugar levels, further complicating diabetes management. Additionally, fatigue and tiredness associated with sleep apnea can make it difficult for diabetics to engage in physical activity, maintain a healthy diet, and properly manage their diabetes.
Treatment for sleep apnea in diabetics is crucial to managing both conditions effectively. Continuous positive airway pressure (CPAP) therapy is often recommended, involving the use of a mask that provides air pressure to prevent airway collapse during sleep. Weight loss may also be suggested to reduce pressure on the chest cavity and the likelihood of fat blocking the airway. Addressing sinus and allergy issues that interfere with breathing can also help improve sleep apnea symptoms. By managing sleep apnea, individuals with diabetes can improve their overall health and reduce the risk of cardiovascular complications.
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High blood sugar levels can cause frequent urination, thirst, and hunger, interrupting sleep
Sleep problems are common for people living with diabetes, and high blood sugar levels can be a significant factor in disrupting sleep. Diabetes is a condition in which the body is unable to produce insulin properly, resulting in elevated blood glucose levels. When blood sugar levels are high, individuals may experience frequent urination, thirst, and hunger, all of which can interrupt sleep.
Frequent urination is a well-known symptom of high blood sugar. The need to urinate multiple times throughout the night can disrupt sleep patterns and make it challenging to get a full night's rest. This symptom is particularly troublesome for people with diabetes, who may already be at risk of sleep disturbances due to other factors associated with the condition.
High blood sugar can also cause increased thirst, which can lead to individuals waking up multiple times during the night to drink water. This interruption in sleep can leave individuals feeling tired and fatigued during the day. Additionally, dehydration caused by high blood sugar levels can further exacerbate the problem, as the body attempts to rehydrate by drinking more water.
The relationship between high blood sugar and hunger can also contribute to sleep disturbances. When blood sugar levels surge, the body may interpret this as a need for more glucose, triggering hunger cravings. This can result in individuals waking up hungry during the night or experiencing intense hunger shortly after waking up, impacting their overall sleep quality.
It is important to note that the relationship between sleep and blood sugar levels is complex and bidirectional. While high blood sugar can disrupt sleep, inadequate sleep can also impact blood sugar levels. Sleep deprivation can lead to insulin resistance, causing blood sugar levels to rise. This creates a challenging cycle where managing blood sugar levels becomes increasingly difficult, further affecting sleep quality.
To break this cycle, it is crucial for individuals with diabetes to maintain their blood sugar levels within a safe range. This may involve seeking medical advice, making lifestyle changes, and adopting diabetes management strategies such as regular exercise and a healthy diet. By improving sleep quality and managing blood sugar levels, individuals with diabetes can reduce the impact of symptoms on their sleep and overall well-being.
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Low blood sugar at night can cause daytime sleepiness and irregular sleep patterns
Sleep problems are common for people living with diabetes, and getting a good night's rest can be challenging. Diabetes is a condition in which the body is unable to produce insulin properly, causing elevated levels of glucose (sugar) in the blood. Changes in blood sugar levels can play a significant role in disrupting sleep for people with diabetes.
Low blood sugar at night, known as hypos (short for hypoglycaemia), can affect people living with type 1 diabetes and lead to reduced sleep quality. Those with other types of diabetes who take insulin or other glucose-lowering medications may also experience low blood sugar levels during the night. Having low blood sugar at night can cause daytime sleepiness and irregular sleep patterns, such as falling asleep at different times. Experiencing low blood sugar at night can lead to a cycle of disrupted sleep and increased fatigue.
Additionally, diabetes complications such as neuropathy (nerve damage) and foot pain can make it difficult to fall asleep or maintain restful sleep. Obstructive sleep apnea, a common sleep disorder in people with diabetes, can also contribute to sleep disruption. It involves pauses in breathing during sleep, often caused by airway obstruction, and can lead to frequent arousals throughout the night.
Furthermore, high blood sugar levels, known as hypers (short for hyperglycaemia), can impact sleep. They can increase the frequency of urination, thirst, and hunger, leading to interruptions in sleep. Managing blood sugar levels within a safe range can help minimise these symptoms and improve sleep quality.
It is important to note that the relationship between sleep and blood sugar levels is complex and bidirectional. While sleep can affect blood sugar levels, blood sugar levels can also impact sleep quality. Poor sleep has been associated with insulin resistance and increased blood sugar levels, contributing to the development of diabetes. On the other hand, high blood sugar levels can disrupt sleep, creating a challenging cycle.
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Dehydration caused by high blood sugar can disrupt sleep with the need for regular water
Diabetes is a condition in which the body is unable to produce insulin properly, causing elevated levels of glucose (sugar) in the blood. While having diabetes does not always mean that you will experience sleep disturbances, certain symptoms can affect your rest. For example, if your blood sugar is high at night, you may wake up several times to use the bathroom or get a drink.
To bring blood sugar levels back down to a safe level, it is important to rehydrate by drinking water and other hydration beverages. However, it is important to be wary of hydration fluids that contain sugar, such as Gatorade and Pedialyte, as they may cause blood sugar levels to rise further. Instead, it is recommended to drink water when you feel thirsty.
In addition to dehydration, other factors can contribute to sleep disturbances in people with diabetes. These include sleep apnea, restless leg syndrome, peripheral neuropathy, pain or discomfort, and increased nighttime urination. Sleep apnea is the most common sleep disorder in people with diabetes, characterized by pauses in breathing during sleep. Obesity is a major risk factor for both sleep apnea and type 2 diabetes, as excess weight can constrict air passages. Restless leg syndrome is a constant urge to move the legs, typically in the evening, making it challenging to fall or stay asleep. Peripheral neuropathy, or nerve damage in the feet and legs, can cause a loss of feeling or sensations such as tingling, numbness, burning, and pain.
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Restless leg syndrome, common in diabetics, is a disorder causing an urge to move legs, disrupting sleep
Restless leg syndrome (RLS) is a neurological condition characterised by an intense urge to move one's legs. It is often accompanied by other sensations in the legs, such as tingling, pulling, or pain. The urge to move the legs is usually caused by these uncomfortable and unpleasant sensations in the legs. This makes it difficult for people with RLS to fall asleep or stay asleep, and they may experience sleepiness and less refreshing sleep.
RLS is a common sleep disorder in people with diabetes, especially those with type 2 diabetes. It is often accompanied by other conditions such as diabetic neuropathy, a chronic microvascular complication of diabetes. Diabetic neuropathy includes peripheral sensorimotor and autonomic nervous dysfunction, which can cause symptoms such as intermittent or continuous burning, stabbing, tingling, and numbness in the legs and feet. The nerve damage caused by diabetic neuropathy can lead to a loss of feeling in the legs and feet, as well as sensations of tingling, numbness, burning, and pain.
The relationship between RLS and diabetes is complex. On the one hand, RLS can be a side effect of certain medications used to treat diabetes, such as diuretics, which can cause dehydration and frequent urination, disrupting sleep. On the other hand, RLS can also contribute to the development of diabetes. Sleep deprivation caused by RLS can lead to insulin resistance, resulting in high blood sugar and diabetes. Additionally, inadequate sleep can affect hormones that control appetite, leading to increased food intake and weight gain, which are risk factors for type 2 diabetes.
The management of RLS in people with diabetes involves both pharmacological and non-pharmacological approaches. Pharmacological treatments include anticonvulsants such as pregabalin and gabapentin, and dopaminergic agents such as pramipexole, ropinirole, and rotigotine. Non-pharmacological approaches include improving sleep hygiene, avoiding caffeine, alcohol, and nicotine, discontinuing certain medications, and engaging in regular exercise.
It is important for diabetes care professionals to be aware of RLS as a potential co-morbidity when evaluating and treating patients with diabetes and diabetic neuropathy. Screening for RLS in patients with diabetes can help ensure timely and appropriate management of this disruptive sleep disorder.
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Frequently asked questions
Sleeping a lot could be a symptom of diabetes fatigue or extreme tiredness, which is a common symptom of diabetes. This could be the result of high blood sugar levels, medication side effects, or other diabetes complications such as neuropathy and foot pain.
High blood sugar levels can increase the need to urinate, causing sleep interruptions. They can also cause symptoms such as thirst, headaches, and dizziness, making it harder to fall back asleep.
Diabetes can affect sleep through various symptoms and complications. These include frequent urination, increased thirst, and discomfort in the limbs, hands, and feet. Sleep apnea, a common sleep disorder in people with diabetes, can also disrupt sleep.
Maintaining blood sugar levels within a safe range can help minimize sleep disruptions. Treatments for sleep problems in people with diabetes include weight loss, continuous positive airway pressure (CPAP), and medication for pain management.











































