Diabetic and sleep I am affected how about you.

Every night I get tired around 10:00pm and am in bed sleeping by about that time, but I don't stay asleep.  It doesn't seem to matter if I have had a snack before bed or if I have not.  The same thing occurs nightly.  I wake up and can not get to sleep.  It probably happens at least 4 or 5 times throughout the night.

I have been talking to my doctor about the problem of sleeplessness, and I have really been in what you might call a quandary of sorts.  I have been told that not sleeping well can be affecting my blood sugar and at the same time having high blood sugar could be causing my sleeping problems.  Hmm, what do I do?

So after thinking about it for a few days I decided the best thing to do was research it myself and find out why I am going through this and what is really happening to my body.  Here is the information I found and I hope it helps others to understand what is happening to them.

According to Mahowald, the body's reaction to sleep loss can resemble insulin resistance, a precursor to diabetes. Insulin’s job is to help the body use glucose for energy. In insulin resistance, cells fail to use the hormone efficiently, resulting in high blood sugar. At night when we are supposed to be sleeping if our sugar is high most likely our kidneys are active and trying to get rid of the excess that is in our bodies making us urinate frequently.  This is one source of our sleeping issues.  On the other hand sleeping issues raise our blood sugars so what can we do about these things.
Source:  http://www.webmd.com/sleep-disorders/excessive-sleepiness-10/diabetes-lack-of-sleep

“In general, people with diabetes have to be very careful about sleep because anything that throws off their routine can make them feel a lack of energy and fatigue,” says Zafarlotfi. “The more fatigued they feel, the more their motor is running, and the more likely they are to develop insulin deficiencies.
“Proper sleep is as important as diet for people with diabetes,” she says.
Source:  http://www.webmd.com/sleep-disorders/excessive-sleepiness-10/diabetes-lack-of-sleep?page=2

In some of our cases we may even obtain a problem called sleep Apnea.  If you are Diabetic and overweight this is something that can cause some other severe issues besides just our Diabetes risks increase.  Those problems can be hand in hand with both our sleep Disorder (Apnea), and our Diabetes.

Sleep apnea can prevent a person from getting a good night sleep, which can worsen diabetes or perhaps increase the risk of developing diabetes. In sleep studies, you are monitored while you sleep for sleep disorders such sleep apnea.
Source:  http://www.webmd.com/sleep-disorders/excessive-sleepiness-10/diabetes-lack-of-sleep?page=2

Sleep woes -- not getting enough sleep or poor quality of sleep -- can have serious consequences. "Not having enough good sleep is linked to the major health problems of our time: hypertension, heart disease, stroke, diabetes, weight gain, and dementia," Shives says.
Source:  http://www.webmd.com/sleep-disorders/excessive-sleepiness-10/sleepy-all-the-time

There are a many good sources out there that have information on sleep issues and Diabetes.  There are also many articles out there on how you can get better sleep and ways you can manage the stresses that may cause sleep issues.  For us as Diabetics we must learn better ways of keeping our sugar under control.  We need to eat as good as we can and sleep as good as we can so we can stay as healthy as we can.

Its up to each one of us to get informed and share what we know with others who are Diabetic or caretakers of Diabetics.  If you have an idea for a blog or information to share or would like to be a guest blogger, contact me at diabetic.day2013@gmail.com. 

Hormones and Menopause affects on Diabetes

I went to the doctor today.  She is a lovely woman who is very concerned with the affects that my menopause is having on my Diabetes.  I did not really coordinate the two going hand in hand on some of the things that have been plaguing me lately.  Now I have a little more understanding of what is going on with my Diabetes that I did not understand before.

Changes in blood sugar level. The hormones estrogen and progesterone affect how your cells respond to insulin. After menopause, changes in your hormone levels can trigger fluctuations in your blood sugar level. You may notice that your blood sugar level is more variable or less predictable than before. If your blood sugar gets out of control, you have a higher risk of diabetes complications.
Source:  http://www.mayoclinic.com/health/diabetes/DA00038

Weight gain in the menopausal  woman can create a need to increase our Insulin or our Diabetic Medications.  Our bodies fluctuation in hormones and the imbalances create a need for adjustments in our medications sometimes.

Often when we are post menopausal a drop in the estrogen that our body produces creates a better environment to bread bacteria such as candida or yeast, which creates yeast infections and options for Uti's or Urinary Tract Infections which if left untreated can cause kidney infections, this becomes very dangerous but along with that it also creates instabilities in in our blood glucose levels.  It is important to watch our sugars and also maintain good hygiene and keep well hydrated.

I am to frequently aware of , the lack of sleep do to night sweats, hot flashes which you just can not sleep through very well.  It makes our blood sugar hard to maintain and keep in control.  Our body is under stress not only from the lack of the hormone but because our body is in need of good rest and hydration.  I keep a large water bottle right next to my bed and I drink at least 36 ounces during the night.  Sleep is difficult but you can find great over the counter supplements and exercise that will help you manage some of this along with some social activities and relaxation programs will help you get better rest.  Remember the less stress the better we manage our Diabetes.

Seek help for menopausal symptoms. If you're struggling with hot flashes, vaginal dryness, decreased sexual response or other menopausal symptoms, remember that treatment is available. For example, your doctor may recommend a vaginal lubricant to restore vaginal moisture or vaginal estrogen therapy to correct thinning and inflammation of the vaginal walls (vaginal atrophy). If weight gain is a problem, a registered dietitian can help you revise your meal plans. For some women, hormone therapy is an option.
Source:  http://www.mayoclinic.com/health/diabetes/DA00038/NSECTIONGROUP=2

Its not easy for women with regular menopause, but it is even harder for us women with Diabetes.  Make sure to discuss this with your health care professional.  Let him/her know the changes and take time to journal the changes so that your doctor will have record of what you are going through.  Life changes can be difficult but managed when you keep up with your disease.

We are a community affected with something that is hard to live with but together we are a community getting healthier and living longer and better lives.  The more information we share and learn about, the better communication and understanding of Diabetes the better off we will be.  So share information and communicate with one another.

If you are interested or have an interesting topic or would like to be a guest blogger on Diabetic Day feel free to connect with me Gwen Johnson @DiabeticDay or diabetic.day2013@gmail.com.

Blah, Blah, Blah...Depression and Diabetes

I hate those days when I just feel really down in the dumps.  I wake and say hurray its another day.  I don't always mean that.  I feel like since I have had Diabetes that Depression can plague me quite often, probably not every single day but enough that it becomes bothersome. 

Its really hard to know what to do about it because I was told that my sugar could be causing it.  I was told that by so many people including a couple of doctors.  When I asked how I really got a vague explanation so I of course want to know more.  What I have found I am sharing with you.  Maybe together we can understand this plight of Depression and Diabetes.

I was amazed to find out that most people with Diabetes do not have Depression.  However being a Diabetic we have a much greater risk of having it because of our Diabetes.  They say that there is no easy answer as to why this is true. 

They say that a few of the factors could be that managing Diabetes is a daunting task and it takes so much extra work that we could find ourselves set apart from our friends who don't have it.  Complications such a nerve damage, not being able to keep your blood sugar managed could cause stress and tension between you and your health care providers. Feeling like you cant get your Diabetes under control can cause worry and depression. 

Depression can spiral into a vicious cycle.  It can cause you to not manage your Diabetes carefully, missing meals, over eating, self care, loss of energy and even being anxious or having anxiety.  Lack of sleep and maybe sleeping all the time lack of exercise. 

Here are some Signs and Symptoms of Depression:

1.  Loss of Pleasure.  You no longer take interest in doing the things that brought you pleasure before. 
2.  Early to Rise.  You no longer sleep you wake up and can not go back to sleep. 
3.  Change in Appetite.  You eat more or less then you usually do which leads to rapid weight gain or
     weight loss.
4.  Trouble Concentrating.  You cant watch T.V., Visit, Read, Do Crafts or Work without other
     thoughts getting in the way.
5.  Loss of Energy.  You feel tired all of the time.
6.  Guilt.  You feel you cant do anything right or that you are a burden to others.
7.  Morning Sadness.  You feel worse in the morning than any other time of the day.
8.  Suicidal Thoughts.  Wanting to end your life or thinking of ways to do self harm.
If you have three or more of these symptoms, or if you have just one or two but have been feeling bad for two weeks or more, it's time to get help.
Source:  http://www.diabetes.org/living-with-diabetes/complications/mental-health/depression.html

Sometimes other things can be the cause of why you might be feeling some of these things like medication side affects, Thyroid issues, or maybe a drug or alcohol issue.  Always talk to your doctor if you are feeling any of these signs or symptoms.  Your doctor can help see you through it.  There is always the Suicide Prevention lines as well to use. Need help? In the U.S., call 1-800-273-8255National Suicide Prevention Lifeline.

Causes underlying the association between depression and diabetes are unclear. Depression may develop because of stress but also may result from the metabolic effects of diabetes on the brain. Studies suggest that people with diabetes who have a history of depression are more likely to develop diabetic complications than those without depression. People who suffer from both diabetes and depression tend to have higher health care costs in primary care. Source: http://psychcentral.com/lib/diabetes-and-depression/0001380

This is a very good site to help with the recovery from Depression.  It is a self help site.  It can be hard but will be much worth the effort if you can bring yourself out of your depression a small step at a time. 
Source:  http://www.helpguide.org/mental/depression_tips.htm

• The road to recovery
• Supportive relationships
• Negative thinking
• Taking care of yourself
• Exercise
• Healthy diet
• Getting additional help

Dealing with Diabetes and its complications are never easy.  It can be a struggle daily just to get up out of bed and many times I even hear myself saying Why Bother.  I find the bother just isn't about my life but about my family and my friends as well.  It is hard, but we can do it if we stick together as a Diabetic community and Caregivers of those that are Diabetic.

If you have any information you wish to share, a blog you wish to write or just would like to chat contact me at diabetic.day2013@gmail.com.