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Lack of Sleep
  Sleep, Lack Of
 Signs, symptoms, indicators
 Conditions that suggest it
 Contributing risk factors
 Conditions suggested by it
 It can lead to...
 It could instead be...
 Treatment recommendations
 


When a lack of sleep is suspected, it may require a determined effort to get more. The effort, however, is worth it since life is more enjoyable when you feel refreshed. If a sleep deficit is chronic, it may take many weeks of adequate sleep to fully recover. Causes & Development


Lack of sleep can occur a number of ways. Total sleep deprivation is complete absence of sleep. Partial is insufficient sleep night after night. Sleep can also appear to be sufficient in amount yet be poor in quality. This occurs with sleep apnea, marked by heavy snoring and occasional gasps for air - the person is awakened often hundreds of times a night without knowing it, gulping air due to a closed airway in the throat.

Signs & Symptoms
Sleep deprivation symptoms include irritability, fatigue, blurred vision, slurring of speech, memory lapses, and inability to concentrate. In extreme stages bizarre behavior and hallucinations can occur.

Diagnosis & Tests
A common measure of sleep deficit uses the Epworth Sleepiness Scale. Score your answers to the eight questions below as follows:

0 = no chance of dozing
1 = slight chance of dozing
2 = moderate chance of dozing
3 = high chance of dozing
  • Sitting and reading
  • Watching TV
  • Sitting inactive in a public place (e.g. a theater or a meeting)
  • As a passenger in a car for an hour without a break
  • Lying down to rest in the afternoon when circumstances permit
  • Sitting and talking to someone
  • Sitting quietly after a lunch without alcohol
  • In a car, while stopped for a few minutes in traffic
...and add the total score.

If your score is 1-6, you are getting enough sleep; 7-8 is common but 9 or more means you should think about seeking the advice of a sleep specialist.





Signs, symptoms & indicators of Lack of Sleep:
Symptoms - Head - Eyes/Ocular  Dark areas under eyes
 Fatigue will add to the problem of dark circles under the eyes.

  Bags under eyes
 Being tired will add to the problem of bags under the eyes.

Symptoms - Mind - General

  Having trouble concentrating
  Short-term memory failure
  Poor/reduced mental clarity
  Being indecisive

Symptoms - Muscular

  (Severe) eyelid twitching

Symptoms - Sleep

  Difficulty getting out of bed
  Drowsiness
  Unsound sleep
  Being a light sleeper
  (Often) taking naps

Conditions that suggest Lack of Sleep:
Allergy  Baggy or Droopy Eyes

Laboratory Test Needed

  Elevated Insulin Levels
 A study found that people who do not get enough sleep on a regular basis may become less sensitive to insulin which, over time, can raise the risk of obesity, high blood pressure and diabetes. Chronic sleep deprivation (under 6.5 hours per night) had the same effect on insulin resistance as aging.

Mental

  Anxiety

Metabolic

  Susceptibility to Hangovers
 Lack of sleep increases susceptibility to hangovers.

Risk factors for Lack of Sleep:
Diet  Caffeine Intoxication
 It almost goes without saying that coffee decreases the quality of sleep and is one of the leading causes of sleep disturbance. Coffee drinkers are sleepier and groggier than non-coffee drinkers when they get up in the morning, causing them to depend on coffee to get them going. This grogginess may be the result of their entering caffeine withdrawal during the night, or that drinking coffee kept them from sleeping well in the first place, or both.

Symptoms - Sleep

  Sleeping less than necessary

Counter-indicators:
  Sleeping more than necessary

Lack of Sleep suggests the following may be present:
MetabolicCounter-indicators:
  Hypersomnolence

Lack of Sleep can lead to:
Laboratory Test Needed  Elevated Insulin Levels
 A study found that people who do not get enough sleep on a regular basis may become less sensitive to insulin which, over time, can raise the risk of obesity, high blood pressure and diabetes. Chronic sleep deprivation (under 6.5 hours per night) had the same effect on insulin resistance as aging.

Lack of Sleep could instead be:
Mental  Schizophrenia
 In extreme stages bizarre behavior and hallucinations can arise from lack of sleep.

Recommendations and treatments for Lack of Sleep:
Diet  Caffeine/Coffee Avoidance

Habits

  Increased Sleep


KEY
Weak or unproven link
Strong or generally accepted link
Proven definite or direct link
Strongly counter-indicative
Highly recommended


GLOSSARY

Apnea
Cessation of breathing.

Chronic (Chronicity)
Usually referring to chronic illness: Illness extending over a long period of time.

Diabetes Mellitus (Diabetes, Diabetic, Diabetics)
A disease with increased blood glucose levels due to lack or ineffectiveness of insulin. Diabetes is found in two forms; insulin-dependent diabetes (juvenile-onset) and non-insulin-dependent (adult-onset). Symptoms include increased thirst; increased urination; weight loss in spite of increased appetite; fatigue; nausea; vomiting; frequent infections including bladder, vaginal, and skin; blurred vision; impotence in men; bad breath; cessation of menses; diminished skin fullness. Other symptoms include bleeding gums; ear noise/buzzing; diarrhea; depression; confusion.

Hallucination (Hallucinations)
A false or distorted perception of objects or events, including sensations of sight, sound, taste, smell or touch, typically accompanied by a powerful belief in their reality.

Hangover (Hangovers)
A commonly used nonmedical term for the disagreeable physical effects following excessive consumption of alcohol (or the use of other drugs).

Insulin
A hormone secreted by the pancreas in response to elevated blood glucose levels. Insulin stimulates the liver, muscles, and fat cells to remove glucose from the blood for use or storage.




Last updated: Apr 13, 2008


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