Sleep is one such time when people usually are expected to lie down still and get rest. However, we have all heard of sleepwalking, a condition where a person walks during the sleep. Though it may sound strange, there is a deeper explanation for it both from a causative point of view and from managing it.

Things you should know?

Sleepwalking happens when a person moves back from a deep sleep to a light sleep or awakening state.
The person who is sleepwalking is usually not aware of it.
Activities may range from simply getting up and sitting up in bed to walking around the room. They could also open the door and walk out to the neighbourhood. Moving furniture, changing dresses or driving a car, may also be some of the actions Most of these activities happens completely without their knowledge.
Mostly happens in children up to the age of 12, but can be seen in adults also, where it assumes a more severe form.
The person who is sleepwalking has a fixed stare with glassy eyes. They may appear dazed and lost when they are awakened.
They may not respond when they are actually sleepwalking, or respond very slowly
They can be brought back to bed and put back to sleep without being disturbed. Most children would go back to sleeping when this is done
Though the parents can be very worried when they see children sleepwalking, reassurance is required, as it usually disappears as they cross teenage.
There could be chances of small injury like tripping or fall during the sleepwalking episode
Sleepwalkers may be more restless compared to other children during their waking hours
Bedwetting is also quite common in children who sleepwalk
Causes

Inappropriate sleep pattern with lack of sleep for prolonged periods is one of the main reasons for sleepwalking
Stress
Excessive drinking
Medical conditions like heart rhythm problems, acidity, gastric reflux, and seizures
Psychiatric conditions like panic attacks and post-traumatic stress disorder can also lead to sleepwalking
Management

For a parent to see their child walking around in their sleep can be quite disturbing.
Reassurance is required stating that it is just a temporary phase and will not stay beyond the teenage years
Most people do not require any intervention unless accompanied by severe symptoms like going out of the house or driving
Once established, it is advisable to avoid by not drinking too much alcohol, avoiding stress and anxiety and taking precautions like extra-secure locks to prevent sleepwalking and/or other side effects.

Sleepwalking - 11 Things You Must Know!

For diabetics, healthy eating is essential. This can be the most important tool available in managing diabetes and blood sugar fluctuations. This is because what a person eats has a direct effect on their blood sugar levels. When food is digested, it is broken down into a form of sugar known as glucose. This powers the body and acts as an energy source. For this, the body needs insulin. In the case of diabetics, insulin does not function the way it should or is not present in the required amounts. This causes the glucose to remain in the blood and in turn spikes blood sugar levels. The good news is that diabetes can be controlled. This is where the person s diet plays an important role.

Not all food causes an increase in blood sugar levels. The effect of a food item on a diabetic depends on how it affects the body s ability to process glucose. Processed foods, fatty foods, food with added sugar etc. can cause a spike in blood sugar levels. However, fruits and vegetables do not have the same effect. Foods that have a high glycemic index do not keep a person satiated for long but cause blood sugar fluctuations. On the other hand, foods with a low glycemic index do not cause blood sugar fluctuations and keep hunger satiated for longer. Hence, the former should be avoided as far as possible. Replace processed grains with whole grains, red meat with lean meat or fish and add plenty of beans and legumes to your diet. Trans fats should also be avoided.

Eating right can also help with weight management. Being overweight puts additional pressure on the insulin available which leads to frequent blood sugar fluctuations. Eating right accompanied by regular exercise is crucial to weight management. Keeping your weight under control can even help prevent diabetes especially in cases, where a person has a high genetic risk of developing diabetes. This can also help reduce the risk of further complications.

When it comes to diabetes, eating at the right time is as important as eating the right food. Diabetics should not leave long gaps between their meals. This is because having a gap of more than 3 hours can destabilize blood sugar levels and be dangerous for the patient. Hence, a diabetic should eat smaller, more frequent meals. It is also a good idea for a diabetic to monitor sugar levels before going to sleep and after waking up.

Importance Of Diet Management In Diabetes!

Sleep apnoea is a kind of disease that can affect people of any age and is basically a kind of sleep disorder. The person suffering from sleep apnoea may feel extremely tired and fatigued even after having a full night s sleep and his snoring may become extremely loud which is again a serious problem.

What are the symptoms of sleep apnoea?

There can be many cases where the symptoms of central sleep apnoea and complex sleep apnoea may be overlapping which makes it a bit difficult to get diagnosed properly. But, there are certain very basic symptoms of sleep apnoea.
Very loud snoring is a basic characteristic of patients with sleep apnoea.
The patient may suffer from regular episodes of cessation when they are sleeping as might be pointed out by other people.
The patient may awaken from sleep regularly due to shortness of breath and problems in the sleeping order.
The patient suffering from sleep apnoea may wake up from sleep with a very dry mouth and or a sore throat.
The patient may suffer from a bad headache often and in many unfortunate cases, the patients may also suffer from insomnia which is the problem of sleeplessness.
Patients of sleep apnoea suffer from intense problems of irritability and bouts of morning sleepiness.
Shortness of breath may intensify in a patient so much so that the person may get awakened from sleep gasping for air as if choking.
Excessive bouts of daytime sleeping may cause a person to perform very poorly in his work as well.
It is at these times when a patient should immediately consult a doctor for a proper treatment and further solution to this problem.

Causes of sleep apnea

Obstructive sleep apnoea is caused when the muscle in our throat starts relaxing. It is this muscle that gives support to the triangular piece of tissue that hangs from the uvula which is the soft palate and the side walls of the tongue. Basically, when this muscle relaxes, the airways in the body gets narrowed as a result of which the blood does not get enough oxygen which is required for proper breathing. It is then that the brain starts sending signals to get up from sleep so that the nasal passage can be reopened for sufficient amount of oxygen.
There can also be cases where the brain is unable to send a proper signal to the muscles that help us to breath as a result of which a person does not breathe for a certain period of time. This, in turn, makes the patient awaken abruptly from sleep with shortness of breath and the patient finds it difficult to fall asleep.


Sleep Apnea - Know The Common Signs Of It!

Getting a good night s sleep is essential for mental and physical wellbeing. Ideally, one should get at least 8 hours of continuous sleep every night. However, some people find this hard to achieve. They may have trouble going to sleep, wake up frequently or have a very poor quality sleep. 

Here are a few tips to help you improve your sleep: 

Set a sleep schedule: Like children, adults also need to go to sleep and wake up at the same time every day. This should be followed for at least 6 days a week. Having a sleep in the day may seem like a good idea but this can affect your ability to go to sleep in time at night and make you wake up the next morning feeling tired. Hence, train your body to sleep and wake up at the same time every day.
Avoid stimulants after sunset: Nicotine and caffeine can be very detrimental to your sleep cycle. The effects of these substances can often last for hours. Caffeine not only makes it difficult to fall asleep but can also make a person wake up frequently at night. Alcohol can make a person seem sleepy initially but can make him or her wake up earlier than usual and hence, disrupt the sleep schedule. So, avoid these substances for at least a few hours before going to bed. Instead, you could drink a cup of calming chamomile tea to soothe the nerves and help you sleep well.
Create the right sleep atmosphere: Ban the television, tablet and other mobile screens from your bedroom. The light from these devices makes it difficult to fall asleep and the material being seen can play on your mind for hours and make you toss and turn. Make your room as dark as possible to make it easier to fall asleep. Using blackout curtains can be a good idea. Also, make sure the noise and temperature levels are conducive to sleep.
Exercise: Exercise has many benefits. This includes better sleep quality. A workout tires the body and reduces the chances of waking up in the middle of the night. However, timing your exercise routine is very important. The ideal time for a workout is in the early morning or early evening. Do not work out just before going to bed as this can have a stimulating effect on the mind.
Limit naps: Avoid napping through the day. While this may seem like a good way to catch up on sleep, it can have a detrimental effect on the quality of your night sleep. If you must nap in the afternoon, keep it short. Training your body to associate sleep with darkness can make it easier for you to fall asleep at night.
Hence, if you are also having any sort of troubles with your sleep, immediately apply the above discussed tips in your daily life and you will see the results within a few days.

Suffering From Sleep Problems - 5 Tips To Help You Get Over Them!

Sleep apnea is a potentially dangerous sleep disorder in which you stop and start breathing frequently while you are sleeping. Symptoms of sleep apnea often include loud snoring and fatigue even if you sleep uninterrupted through the night. Obesity and age are the common risk factors of sleep apnea.

The most common type of sleep apnea is obstructive sleep apnea, in which the throat muscles contract and relax while you are asleep. The other type of sleep apnea, called central sleep apnea, usually occurs in people who have been diagnosed with brain tumors, infections or heart failure, or have had a stroke.

Treatment of sleep apnea includes:

CPAP: The Continuous Positive Airway Pressure (CPAP) device is generally recommended in the treatment of sleep apnea. CPAP is a breathing machine that stops your airways from getting blocked when you are sleeping. The CPAP device is normally the size of a tissue box. It comes with a mask that you put over your mouth and nose. The machine attached to the mask pumps a continuous flow of air that keeps your airways clear as you sleep.
BPAP: The Bilevel Positive Airway Pressure (BPAP) device is used as an alternative to the CPAP device, if you find it hard to adjust to the CPAP. If you have a weak pattern of breathing, the BPAP can be helpful.
ASV: The Adaptive Servo-ventilation (ASV) device is used to treat both central and obstructive sleep apnea.
Treatment for other medical conditions: Sometimes sleep apnea can be caused by underlying health conditions. Problems such as rhinitis (nasal passage inflammation) and hypothyroidism (underactive thyroid gland) can cause sleep apnea. In such cases, your doctor needs to diagnose these conditions first before treating your sleep apnea.
Lifestyle changes: Excessive weight sometimes can cause sleep apnea; so losing excessive weight should be a priority. Also, alcohol and tobacco can contribute to your symptoms, so try avoiding those.
Medication: Usually, doctors do not prescribe any medicine, since sedatives and sleeping pills actually worsen sleep apnea. But, in case of sleep apnea in children, doctors typically suggest intra nasal corticosteroid medicine to treat the symptoms.
Surgery: Surgeries to increase the size of your airway or to remove your adenoids, tonsils or extra tissues in the rear of your throat or your nose can prove helpful.

Sleep Apnea - 7 Ways it Can Be Treated!

Sleep-Wake Disorder is a very uncommon syndrome which causes irregular sleeping patterns without any real schedule.

Causes
Persons with brain malfunctioning and those who do not have a regular routine during the day experience such disorders. People with changing work shifts often experience such disorder. Also, travellers who often move from one country to another with different time zones may also have these symptoms.
There's no cure for this disorder, but treatments, including hormones, medicine, and light therapy, can help get you closer to a normal sleeping pattern.

Symptoms

Symptoms may include any of the following:

Sleeping or napping more than usual during the day
Trouble falling asleep and staying asleep at night
Waking up often during the night
Exams and Tests
A person must have at least three abnormal sleep-wake episodes during a 24-hour period to be diagnosed with this problem. The time between each such episode varies from 1 to 4 hours. The doctor may advise you to go ahead with a device called actigraph in case the diagnosis is unclear. The device looks like a wristwatch, and it can tell when a person is sleeping or awake.

Treatment
Though there is no simple cure for irregular sleep-wake syndrome, however, several therapies and lifestyle changes may help a person return to a normal sleep-wake cycle. These include:

A regular daytime schedule of activities and mealtimes need to be fixed.
You should not stay in bed during the day for long.
Use bright light therapy in the morning like those from computer screens and television. The period of exposure should also be increased. Exposure to blue light should be minimized at night.
You should take melatonin at bedtime. This is a hormone that controls the sleep-wake cycle. By taking doses at the right times, you might be able to shift your body clock earlier or later.
Make sure to make the room dark, quiet, and as comfortable as possible at night.
Also one should try to minimize the amount of noise in the sleep environment.
Add more structure to the patient s day by scheduling social interaction, exercise, and other activities.
Your doctor may prescribe drug to control the timing of the sleep-wake cycle.
Finally, you should take proper care of yourself. Make positive changes in your lifestyle. You can even ask your boss to make your work schedule a bit flexible.

The ultimate goal of these lifestyle changes is to help the person sleep longer at night and make him feel active and awake during the day. Most people have sleep disturbances on occasion. But you need to see your doctor if such sleep disorders occur regularly.


Sleep Wake Disorder - Irregular Sleeping Patterns

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