Daily habits and self-care

Sleep, stress and blood sugar: what research shows

Research summarized by the NIDDK links poor, short or irregular sleep with reduced insulin sensitivity and glucose tolerance, and with prediabetes and diabetes. Studies also link daily stress with higher glucose in people with insulin resistance. A diary that notes sleep and stress next to readings can show your own pattern.

How is sleep linked to blood sugar?

The NIDDK summarizes research showing that many sleep problems are associated with insulin resistance, prediabetes and diabetes. In experiments, people whose sleep was cut short or made irregular had lower glucose tolerance and insulin sensitivity. For someone who already has prediabetes or diabetes, poor sleep can make things worse.

How is stress linked to blood sugar?

When you are stressed, your body releases hormones such as cortisol and adrenaline, which raise blood glucose. In a real-world study, higher momentary stress predicted higher glucose levels in people with insulin resistance.

What can I do about it?

A simple way to see your own pattern

For two weeks, add a one-word note to each day: sleep hours and a stress rating from 1 to 5. Then look at the days with your highest readings. Glycove lets you add notes by voice or text.

Information, not medical advice. Talk to your care team about your own targets and treatment. Never use a converter or a diary entry to work out an insulin or medicine dose.

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Frequently asked questions

Can one bad night of sleep raise my blood sugar?

It can for some people. Research shows insulin sensitivity can fall after only a few nights of short sleep, but individual responses vary.

How does stress affect blood sugar?

Stress triggers hormones such as cortisol and adrenaline that can raise glucose. One study found that daily stress predicted glucose levels in people with insulin resistance.

What should I do if I think sleep or stress affects my readings?

Note it in your diary and tell your care team. They can suggest what to try and check for other causes.

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