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Below 70? The 15-15 rule

All forDiabetes

Sleepless In Seattle? Learn About Your Risk For Diabetes

All for DiabetesPublished May 7, 20102 min read

Key points

  • Adult-onset diabetes (type 2) has been linked to poor diet and lack of exercise.
  • Results of the study, published in the Journal of Clinical Endocrinology & Metabolism, showed that just one night of short sleep (4 hours) reduced insulin sensitivity by 19 to 25 percent.
  • Insulin is a hormone produced by the pancreas that controls the body’s use of glucose sugar.
  • But the latest study, conducted by Leiden University Medical Center in the Netherlands, shows how just one late night can affect the body’s ability to use insulin the next day.

Adult-onset diabetes (type 2) has been linked to poor diet and lack of exercise. But recent studies have implicated lack of sleep as a major factor in the disease. Earlier this year, U.S. researchers reported that people who slept less than six hours a night were 4.5 times more likely to develop symptoms of diabetes than people who slept longer.

But the latest study, conducted by Leiden University Medical Center in the Netherlands, shows how just one late night can affect the body’s ability to use insulin the next day. They examined nine healthy people, once after eight hours of sleep and the second time, after four hours of sleep.

Results of the study, published in the Journal of Clinical Endocrinology & Metabolism, showed that just one night of short sleep (4 hours) reduced insulin sensitivity by 19 to 25 percent.

“Our data indicate that insulin sensitivity is not fixed in healthy (people), but depends on the duration of sleep in the preceding night,” Ester Donga, Director of the Leiden University Medical Center wrote in the study. “In fact it is tempting to speculate that the negative effects of multiple nights of shortened sleep on glucose tolerance can be reproduced, at least in part, by just one sleepless night.”

Insulin is a hormone produced by the pancreas that controls the body’s use of glucose sugar. When insulin sensitivity levels go down, the pancreas produces more insulin, which causes sugar levels to rise in the body. Over time, high sugar levels can lead to damage of the kidneys, heart, nerves, and major arteries. Damage to the ocular nerves is common.

Further studies, Donga indicated, are needed to determine if improving sleep could help stabilize insulin sensitivity in adults.

Experts recommend 7 to 9 hours of sleep for adults.

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DiabetesNet.com

The content on this site is for information only and is not a substitute for professional medical advice, diagnosis or treatment. If someone with diabetes is confused, unconscious or cannot swallow, call 911 or your local emergency number.

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Low blood sugar

Below 70? Use the 15-15 rule.

Hypoglycemia can happen to anyone who takes insulin or certain diabetes tablets. Treat it straight away. If someone is confused, unconscious or can’t swallow, don’t give food or drink: use glucagon if it is available and call 911 or your local emergency number.

Common signs

  • Shaking or trembling
  • Sweating, clammy skin
  • Fast heartbeat
  • Dizziness
  • Hunger
  • Confusion or irritability
  1. STEP 115 gTake fast-acting sugar4 oz (½ cup) of juice or regular soda, 4 glucose tablets, or 1 tablespoon of sugar or honey.
  2. STEP 215 minWait, then recheckStill below 70 mg/dL? Take another 15 g and check again.
  3. STEP 3SnackOnce back in rangeEat a meal or snack if your next one is more than an hour away.

Based on American Diabetes Association guidance. Your care team may give you a different plan, for example for children or after severe lows. Outside the US, call your local emergency number.