{"id":1009,"date":"2019-11-23T06:05:47","date_gmt":"2019-11-23T00:35:47","guid":{"rendered":"http:\/\/www.wecreatedesign.co\/dev\/WP\/fitterfly\/?p=1009"},"modified":"2024-03-06T18:06:46","modified_gmt":"2024-03-06T12:36:46","slug":"why-better-sleep-equals-better-blood-sugar-8-simple-secrets","status":"publish","type":"post","link":"https:\/\/www.fitterfly.com\/blog\/why-better-sleep-equals-better-blood-sugar-8-simple-secrets\/","title":{"rendered":"Why Good Sleep is Important for Diabetes?"},"content":{"rendered":"<p>Having trouble sleeping? And then waking up to find your blood sugar has gone haywire?<\/p>\n<p>You&#8217;re definitely not alone!\u00a0<span style=\"box-sizing: border-box; margin: 0px; padding: 0px;\">A lot of us might not know that<strong><a href=\"https:\/\/www.niddk.nih.gov\/health-information\/professionals\/diabetes-discoveries-practice\/the-impact-of-poor-sleep-on-type-2-diabetes#:~:text=A%3A%20Yes.,sleep%20will%20worsen%20the%20condition.\"> poor sleep can negatively affect diabetes<\/a>.<\/strong><\/span><strong>\u00a0<\/strong>No, you don\u2019t need to jump to these sleeping pills. Getting a good night\u2019s sleep is possible without any medications.<\/p>\n<p>First, let\u2019s understand the simple science behind why sleeping better can help you <a href=\"https:\/\/www.fitterfly.com\/blog\/how-to-control-diabetes-lifestyle-modification-and-diet-tips-to-keep-your-blood-sugars-in-control\/\">manage your diabete<\/a>s\u00a0better.<\/p>\n<p>And just as we\u2019re getting into this, here\u2019s something we want to share. If you\u2019ve been feeling stuck in a tough or stressful phase, consider a 1:1 online session with our expert psychologists. It\u2019s designed to help you clear your mind and regain your mental peace. Fill out the form below, and let\u2019s take the first step toward your mental wellness!<\/p>\n<p><span data-sheets-root=\"1\">\n        <div class=\"cta-image-banner\">\n            <div class=\"cta-body\">\n                <a class=\"cta-link\" href=\"https:\/\/fitterfly.typeform.com\/to\/dUSsQH2o?utm_source=organic&utm_medium=blog&utm_campaign=psy_consult\" target=\"_blank\">\n                    <div class=\"desktop-cta-image\">\n                        <img decoding=\"async\" data-src=\"https:\/\/www.fitterfly.com\/blog\/wp-content\/uploads\/2025\/01\/Psychologist-Consultation-Desk.webp\" alt=\"psychology consultation banner\" title=\"Psychology Consults Form\" src=\"data:image\/gif;base64,R0lGODlhAQABAAAAACH5BAEKAAEALAAAAAABAAEAAAICTAEAOw==\" class=\"lazyload\" style=\"--smush-placeholder-width: 1650px; --smush-placeholder-aspect-ratio: 1650\/370;\" \/><noscript><img decoding=\"async\" data-src=\"https:\/\/www.fitterfly.com\/blog\/wp-content\/uploads\/2025\/01\/Psychologist-Consultation-Desk.webp\" alt=\"psychology consultation banner\" title=\"Psychology Consults Form\" src=\"data:image\/gif;base64,R0lGODlhAQABAAAAACH5BAEKAAEALAAAAAABAAEAAAICTAEAOw==\" class=\"lazyload\" style=\"--smush-placeholder-width: 1650px; --smush-placeholder-aspect-ratio: 1650\/370;\" \/><noscript><img decoding=\"async\" src=\"https:\/\/www.fitterfly.com\/blog\/wp-content\/uploads\/2025\/01\/Psychologist-Consultation-Desk.webp\" alt=\"psychology consultation banner\" title=\"Psychology Consults Form\" \/><\/noscript><\/noscript>\n                    <\/div>\n                    <div class=\"mobile-cta-image\">\n                        <img decoding=\"async\" data-src=\"https:\/\/www.fitterfly.com\/blog\/wp-content\/uploads\/2025\/01\/Psychologist-Consultation-Mob-Banner.webp\" alt=\"psychology consultation banner\" title=\"Psychology Consults Form\" src=\"data:image\/gif;base64,R0lGODlhAQABAAAAACH5BAEKAAEALAAAAAABAAEAAAICTAEAOw==\" class=\"lazyload\" style=\"--smush-placeholder-width: 750px; --smush-placeholder-aspect-ratio: 750\/572;\" \/><noscript><img decoding=\"async\" data-src=\"https:\/\/www.fitterfly.com\/blog\/wp-content\/uploads\/2025\/01\/Psychologist-Consultation-Mob-Banner.webp\" alt=\"psychology consultation banner\" title=\"Psychology Consults Form\" src=\"data:image\/gif;base64,R0lGODlhAQABAAAAACH5BAEKAAEALAAAAAABAAEAAAICTAEAOw==\" class=\"lazyload\" style=\"--smush-placeholder-width: 750px; --smush-placeholder-aspect-ratio: 750\/572;\" \/><noscript><img decoding=\"async\" src=\"https:\/\/www.fitterfly.com\/blog\/wp-content\/uploads\/2025\/01\/Psychologist-Consultation-Mob-Banner.webp\" alt=\"psychology consultation banner\" title=\"Psychology Consults Form\" \/><\/noscript><\/noscript>\n                    <\/div>\n                <\/a>\n            <\/div>\n        <\/div>\n    <\/span><\/p>\n<h2><strong>What is the Connection Between Sleep and Blood Sugar Levels?<\/strong><\/h2>\n<p>To understand this, let\u2019s first talk about how insulin and blood sugar work together.<\/p>\n<ul>\n<li>When we eat, our body turns the food into glucose, a kind of sugar that gives us energy for everything we do, like standing, talking, moving, or even just sitting.<\/li>\n<li><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK560688\/\">Insulin<\/a>, a hormone, helps move this sugar from our blood into our body\u2019s cells so it can be used as energy.<\/li>\n<li>But sometimes, our body doesn\u2019t respond well to insulin, making it harder for sugar to get into the cells. This is called insulin resistance and can cause blood sugar levels to rise too high.<\/li>\n<\/ul>\n<h2><b>How Does Sleep Help You Control Your Blood Sugar Levels &amp; Diabetes?<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">A good night\u2019s sleep makes our body listen to insulin better. When we&#8217;re well-rested, the cells in our body are more willing to let sugar in, which ultimately helps keep our blood sugar at a healthy level. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">That&#8217;s why sleeping well is important for controlling blood sugar and managing diabetes. <\/span><span style=\"font-size: 12pt;\">However, this process gets disturbed when we don&#8217;t get enough sleep.<\/span><\/p>\n<p style=\"text-align: center;\"><img decoding=\"async\" class=\"aligncenter wp-image-18349 size-full lazyload\" title=\"Did You know- Lack of Sleep makes you feel hungrier and less full\" data-src=\"https:\/\/www.fitterfly.com\/blog\/wp-content\/uploads\/2019\/11\/Did-You-know-Lack-of-Sleep-makes-you-feel-hungrier-and-less-full.webp\" alt=\"Did You know\" width=\"600\" height=\"600\" data-srcset=\"https:\/\/www.fitterfly.com\/blog\/wp-content\/uploads\/2019\/11\/Did-You-know-Lack-of-Sleep-makes-you-feel-hungrier-and-less-full.webp 600w, https:\/\/www.fitterfly.com\/blog\/wp-content\/uploads\/2019\/11\/Did-You-know-Lack-of-Sleep-makes-you-feel-hungrier-and-less-full-300x300.webp 300w, https:\/\/www.fitterfly.com\/blog\/wp-content\/uploads\/2019\/11\/Did-You-know-Lack-of-Sleep-makes-you-feel-hungrier-and-less-full-150x150.webp 150w\" data-sizes=\"(max-width: 600px) 100vw, 600px\" src=\"data:image\/gif;base64,R0lGODlhAQABAAAAACH5BAEKAAEALAAAAAABAAEAAAICTAEAOw==\" style=\"--smush-placeholder-width: 600px; --smush-placeholder-aspect-ratio: 600\/600;\" \/><noscript><img decoding=\"async\" class=\"aligncenter wp-image-18349 size-full\" title=\"Did You know- Lack of Sleep makes you feel hungrier and less full\" src=\"https:\/\/www.fitterfly.com\/blog\/wp-content\/uploads\/2019\/11\/Did-You-know-Lack-of-Sleep-makes-you-feel-hungrier-and-less-full.webp\" alt=\"Did You know\" width=\"600\" height=\"600\" srcset=\"https:\/\/www.fitterfly.com\/blog\/wp-content\/uploads\/2019\/11\/Did-You-know-Lack-of-Sleep-makes-you-feel-hungrier-and-less-full.webp 600w, https:\/\/www.fitterfly.com\/blog\/wp-content\/uploads\/2019\/11\/Did-You-know-Lack-of-Sleep-makes-you-feel-hungrier-and-less-full-300x300.webp 300w, https:\/\/www.fitterfly.com\/blog\/wp-content\/uploads\/2019\/11\/Did-You-know-Lack-of-Sleep-makes-you-feel-hungrier-and-less-full-150x150.webp 150w\" sizes=\"(max-width: 600px) 100vw, 600px\" \/><\/noscript><\/p>\n<h2>Can Poor Sleep Increase Your Blood Sugar Levels?<\/h2>\n<p><span style=\"font-weight: 400;\">YES! Less sleep or poor quality sleep can totally affect your blood sugar level and, therefore, your Diabetes. How?\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">So, when you don\u2019t get enough hours of sleep, or your sleep is very disturbed, it makes your body less sensitive to insulin.<\/span><\/p>\n<p><span style=\"font-weight: 400;\"> And when insulin is not able to do its job well it is not able to move the glucose in our bloodstream to the cells &#8211; which means more sugar remains in the blood. And <strong>more sugar in the blood <\/strong><\/span><strong>= high blood sugar levels.<\/strong><\/p>\n<p><span style=\"font-weight: 400;\">This is why<\/span><b> poor sleep is often linked to an increased risk of type 2 diabetes.<\/b><\/p>\n<p><iframe title=\"Diabetes affects sleep &amp; sleep affects diabetes - know why!\" width=\"640\" height=\"360\" data-src=\"https:\/\/www.youtube.com\/embed\/v_Ogpkp_Vbo?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen src=\"data:image\/gif;base64,R0lGODlhAQABAAAAACH5BAEKAAEALAAAAAABAAEAAAICTAEAOw==\" class=\"lazyload\" data-load-mode=\"1\"><\/iframe><\/p>\n<p><span style=\"font-weight: 400;\">And high blood sugar and <\/span><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/24458353\/\"><span style=\"font-weight: 400;\">poor sleep\u00a0 <\/span><\/a><span style=\"font-weight: 400;\">are like a vicious cycle. One leads to the other. So, the best way to break this cycle is by doing something simple &#8211; <strong>SLEEP WELL!<\/strong><\/span><\/p>\n<p><span style=\"font-weight: 400;\">Here are 8<\/span><b>\u00a0clinically validated strategies to help you sleep better at night:<\/b><\/p>\n<h2><strong>8 Easy Steps for Better Sleep<\/strong><\/h2>\n<p><span style=\"font-weight: 400;\">There are simple and easy techniques that fall under Sleep Hygiene, a collection of practices aimed at ensuring good nighttime sleep quality and full alertness during the day. You can give it a try once:<\/span><\/p>\n<h2><b>1. Creating a Healthy, Restful Routine &#8211; Dinner Time Habits<\/b><\/h2>\n<ul>\n<li><span style=\"font-weight: 400;\">Set regular dinner times.<\/span><\/li>\n<li><span style=\"font-weight: 400;\">Make mealtime a family time.<\/span><\/li>\n<li><span style=\"font-weight: 400;\">Enforce a \u2018no devices at the dining table\u2019 rule for everyone.<\/span><\/li>\n<li><span style=\"font-weight: 400;\">Engage in communication, sharing, and laughter.<\/span><\/li>\n<\/ul>\n<h2><b>2. The Bedroom: Remember the 3 C&#8217;s &#8211; Cool, Comfortable, and Clean<\/b><\/h2>\n<ul>\n<li><span style=\"font-weight: 400;\">Adjust your bedroom temperature to what feels best for you, considering the weather.<\/span><\/li>\n<li><span style=\"font-weight: 400;\">Ensure mattresses and pillows are firm, supportive, yet comfortable.<\/span><\/li>\n<li><span style=\"font-weight: 400;\">Keep the bedroom clutter-free and smelling fresh, using essential oils or air humidifiers if needed.<\/span><\/li>\n<\/ul>\n<h2><b>3. Lighting<\/b><\/h2>\n<ul>\n<li><span style=\"font-weight: 400;\">Switch to dim or warm lighting in the evenings. Bright lights can disrupt your circadian rhythm, making it hard to sleep at the ideal time.<\/span><\/li>\n<\/ul>\n<h2><b>4. Minimize Screen Exposure<\/b><\/h2>\n<ul>\n<li><span style=\"font-weight: 400;\">Disconnect from devices at least 30 minutes before bedtime. Screens can keep your brain alert, preventing it from transitioning to rest mode. <\/span><\/li>\n<li><span style=\"font-weight: 400;\">Set your alarm for the next day, then set your phone aside and practice relaxation techniques.<\/span><\/li>\n<\/ul>\n<h2><b>5. Limit Alcohol and Caffeine Intake<\/b><\/h2>\n<ul>\n<li><span style=\"font-weight: 400;\">Avoid caffeine 1-2 hours before bedtime, as it can keep you awake.<\/span><\/li>\n<\/ul>\n<h2><b>6. Engage in Physical Self-Soothing<\/b><\/h2>\n<ul>\n<li><span style=\"font-weight: 400;\">Taking a bath or washing your face, feet, and hands 30 minutes before bedtime can help you cool down and relax.<\/span><\/li>\n<\/ul>\n<h2><b>7. Relaxation Techniques<\/b><\/h2>\n<ul>\n<li><span style=\"font-weight: 400;\"><strong>Breathing Exercises:<\/strong> Try deep breathing, diaphragmatic breathing, or box breathing before bed to regulate breathing, calm the nervous system, and reduce stress.<\/span><\/li>\n<\/ul>\n<p>Watch this video to learn how practising deep breathing before bed can greatly improve your sleep quality and overall well-being.<\/p>\n<p><iframe title=\"Why Should You Practice Deep Breathing Before Sleeping?\" width=\"640\" height=\"360\" data-src=\"https:\/\/www.youtube.com\/embed\/W47dX8FIrzg?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen src=\"data:image\/gif;base64,R0lGODlhAQABAAAAACH5BAEKAAEALAAAAAABAAEAAAICTAEAOw==\" class=\"lazyload\" data-load-mode=\"1\"><\/iframe><\/p>\n<ul>\n<li><span style=\"font-weight: 400;\"><strong>Progressive Muscle Relaxation:<\/strong> Helps relax your muscles and control stress and anxiety.<\/span><\/li>\n<li><span style=\"font-weight: 400;\"><strong>Humming:<\/strong> Relax facial, neck, and shoulder muscles to fall asleep faster.<\/span><\/li>\n<\/ul>\n<h2><b>8. Sleep Journal<\/b><\/h2>\n<ul>\n<li><span style=\"font-weight: 400;\">Keeping a sleep journal to note your sleep duration and disturbances can help identify what affects your sleep quality. Use this information to better manage your sleep.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">At Fitterfly, one of the key focus areas in our <a href=\"https:\/\/www.fitterfly.com\/fitterfly-diabetes-care-plan?utm_source=Organic&amp;utm_medium=blog&amp;utm_campaign=diabetes\">Diabetes Prime Program<\/a> is <strong>Sleep Management<\/strong>. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">From our experience, maximum members have reported that improving sleep quality, coupled with a proper diet and exercise routine, has significantly impacted their blood sugar level, fasting blood sugar levels, and over time, these positive changes are reflected in the HbA1c levels.<\/span><\/p>\n<h3><b>Need One More Reason to Sleep Well?<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">When people don&#8217;t sleep well enough, they often feel tired and might eat more sugary foods to get energy. This can lead to <\/span><a href=\"https:\/\/www.sleepfoundation.org\/physical-health\/weight-loss-and-sleep\"><span style=\"font-weight: 400;\">weight gain leading to obesity<\/span><\/a><span style=\"font-weight: 400;\">, which increases the risk of diabetes.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Now, don\u2019t steal those desserts from your fridge during the night!!<\/span><\/p>\n<h2><b>How Much Sleep Do You Really Need?<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">Figuring out how much sleep you need can be tricky. Most adults need between 7 to 9 hours of sleep. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">But it can depend on each individual. What matters more than the sleep hours itself is the <strong>QUALITY OF SLEEP<\/strong>. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">So, rather than counting your sleep hours, aim at getting good quality, undisturbed sleep for 7-9 hours every night. This is all the more important if you have pre-diabetes or diabetes or are trying to lose weight.<\/span><\/p>\n<h2><b>How Can Technology Improve Your Sleep and Diabetes Management?<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">Before talking about this, just ask yourself if that one more episode of your favourite web series is more important than your health.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">We know your answer!<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Technology, specifically <\/span><a href=\"https:\/\/www.fitterfly.com\/blog\/your-cgm-guide-continuous-glucose-monitoring\/\"><span style=\"font-weight: 400;\">Continuous Glucose Monitors (CGM)<\/span><\/a><span style=\"font-weight: 400;\"> and fitness bands, significantly enhances diabetes and sleep management. CGMs offer real-time blood sugar monitoring for immediate lifestyle or diet adjustments.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\">Meanwhile, fitness bands track sleep patterns, identifying disruptions and guiding towards better sleep habits. Together, these tools provide a holistic view of your health, empowering you to make informed decisions for improved well-being.<\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\">Skipping that extra episode for more rest or fine-tuning your daily habits can have a <b>HUGE IMPACT<\/b> on managing diabetes effectively.<\/li>\n<\/ul>\n<p>We hope this article helped you understand the importance of sleep, especially if you are controlling diabetes.<\/p>\n<p><span style=\"font-weight: 400;\"> Do follow our tips and reach out to us on <\/span><b><a href=\"tel: 08068507599\">08068507599<\/a> <\/b>t<span style=\"font-weight: 400;\">o know more about our programs and how they can help you.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Happy Sleeping \ud83d\ude42<\/span><\/p>\n<p>We&#8217;ll take a quick pause here to remind you\u2014there\u2019s no bravery in simply \u2018going through\u2019 a mentally stressful phase. True bravery lies in reaching out, opening up, and talking to someone who can help. Book a 1:1 consult with our expert psychologists\u2014it might just be the best thing you do for yourself.<\/p>\n<p><span data-sheets-root=\"1\">\n        <div class=\"cta-image-banner\">\n            <div class=\"cta-body\">\n                <a class=\"cta-link\" href=\"https:\/\/fitterfly.typeform.com\/to\/dUSsQH2o?utm_source=organic&utm_medium=blog&utm_campaign=psy_consult\" target=\"_blank\">\n                    <div class=\"desktop-cta-image\">\n                        <img decoding=\"async\" data-src=\"https:\/\/www.fitterfly.com\/blog\/wp-content\/uploads\/2025\/01\/Psychologist-Consultation-Desk.webp\" alt=\"psychology consultation banner\" title=\"Psychology Consults Form\" src=\"data:image\/gif;base64,R0lGODlhAQABAAAAACH5BAEKAAEALAAAAAABAAEAAAICTAEAOw==\" class=\"lazyload\" style=\"--smush-placeholder-width: 1650px; --smush-placeholder-aspect-ratio: 1650\/370;\" \/><noscript><img decoding=\"async\" data-src=\"https:\/\/www.fitterfly.com\/blog\/wp-content\/uploads\/2025\/01\/Psychologist-Consultation-Desk.webp\" alt=\"psychology consultation banner\" title=\"Psychology Consults Form\" src=\"data:image\/gif;base64,R0lGODlhAQABAAAAACH5BAEKAAEALAAAAAABAAEAAAICTAEAOw==\" class=\"lazyload\" style=\"--smush-placeholder-width: 1650px; --smush-placeholder-aspect-ratio: 1650\/370;\" \/><noscript><img decoding=\"async\" src=\"https:\/\/www.fitterfly.com\/blog\/wp-content\/uploads\/2025\/01\/Psychologist-Consultation-Desk.webp\" alt=\"psychology consultation banner\" title=\"Psychology Consults Form\" \/><\/noscript><\/noscript>\n                    <\/div>\n                    <div class=\"mobile-cta-image\">\n                        <img decoding=\"async\" data-src=\"https:\/\/www.fitterfly.com\/blog\/wp-content\/uploads\/2025\/01\/Psychologist-Consultation-Mob-Banner.webp\" alt=\"psychology consultation banner\" title=\"Psychology Consults Form\" src=\"data:image\/gif;base64,R0lGODlhAQABAAAAACH5BAEKAAEALAAAAAABAAEAAAICTAEAOw==\" class=\"lazyload\" style=\"--smush-placeholder-width: 750px; --smush-placeholder-aspect-ratio: 750\/572;\" \/><noscript><img decoding=\"async\" data-src=\"https:\/\/www.fitterfly.com\/blog\/wp-content\/uploads\/2025\/01\/Psychologist-Consultation-Mob-Banner.webp\" alt=\"psychology consultation banner\" title=\"Psychology Consults Form\" src=\"data:image\/gif;base64,R0lGODlhAQABAAAAACH5BAEKAAEALAAAAAABAAEAAAICTAEAOw==\" class=\"lazyload\" style=\"--smush-placeholder-width: 750px; --smush-placeholder-aspect-ratio: 750\/572;\" \/><noscript><img decoding=\"async\" src=\"https:\/\/www.fitterfly.com\/blog\/wp-content\/uploads\/2025\/01\/Psychologist-Consultation-Mob-Banner.webp\" alt=\"psychology consultation banner\" title=\"Psychology Consults Form\" \/><\/noscript><\/noscript>\n                    <\/div>\n                <\/a>\n            <\/div>\n        <\/div>\n    <\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Explore how sleep impacts diabetes, how poor sleep raises blood sugar, and discover 8 practical tips for better sleep to improve blood sugar management.<\/p>\n","protected":false},"author":1,"featured_media":18350,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"wds_primary_category":1,"footnotes":""},"categories":[1,402],"tags":[],"acf":{"reviewed_by":false,"references":null,"author":[46],"table_content":null,"medically_reviewed":9563,"show_updated_date_in_post":"Yes","faq_list":null,"custom_schema":"{\r\n  \"@context\": \"https:\/\/schema.org\",\r\n  \"@type\": \"VideoObject\",\r\n  \"name\": \"Diabetes affects sleep & sleep affects diabetes - know why!\",\r\n  \"description\": \"Did you know sleep & diabetes have a strong connection & they both equally affect each other? 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