Why Am I So Tired? Focusing on Sleep Hygeine

In the hus­tle and bus­tle of our busy lives, sleep often takes a back­seat. We sac­ri­fice pre­cious hours of rest to squeeze in a few more tasks, scrolling through our screens long into the night, and toss­ing and turn­ing as we try to shut our minds off. But, the truth is, the con­se­quences of not mak­ing sleep a pri­or­i­ty can have a detri­men­tal impact on your health.

We spoke to Imran Shaikh, MD, Inter­nal Med­i­cine physi­cian with Quin­cy Med­ical Group (QMG) who spe­cial­izes in sleep and obe­si­ty med­i­cine. Dr. Shaikh is also a mem­ber of the Amer­i­can Acad­e­my of Sleep Med­i­cine Pub­lic Aware­ness Com­mit­tee and was recent­ly elect­ed to be a social media ambas­sador to help pro­mote aware­ness. He said sleep should be pri­or­i­ty for every­one to improve over­all health. With­out prop­er sleep and a focus on sleep hygiene, near­ly all oth­er med­ical issues can worsen.

Sleep is one of the three pil­lars of a healthy lifestyle along with good nutri­tion and reg­u­lar exer­cise. Anoth­er crit­i­cal com­po­nent is man­age­ment of mood dis­or­ders, anx­i­ety, and stress,” he shared.

Dr. Shaikh offers the fol­low­ing infor­ma­tion to help you on the path to bet­ter sleep.

What is Sleep Hygiene?
Sleep hygiene is a series of healthy sleep habits that can improve your abil­i­ty to fall asleep and stay asleep. These habits can help improve your sleep health and help resolve feel­ings of fatigue.

Sleep is essen­tial; it is one of the crit­i­cal com­po­nents of a healthy lifestyle along with nutri­tion and exer­cise,” Dr. Shaikh shared. Healthy sleep improves your health and qual­i­ty of life in a vari­ety of ways. Healthy sleep involves mak­ing the right choic­es to pri­or­i­tize and pro­tect sleep.”

Impor­tance of Sleep Health
When you have healthy sleep, you can expe­ri­ence the following:

  • Low­er your risk for seri­ous health prob­lems, includ­ing Type 2 dia­betes and heart disease;
  • Pre­vent and man­age men­tal health problems;
  • Get sick less often;
  • Improve brain health and help pre­vent Alzheimer’s disease;
  • Max­i­mize immu­ni­ty from vaccines;
  • Main­tain a healthy weight;
  • Improve mood; and/​or
  • Make bet­ter decisions.

Steps to Healthy Sleep Habits

  • Keep a con­sis­tent sleep sched­ule. Get up at the same time every day, even on week­ends or dur­ing vacations;
  • Set a bed­time that is ear­ly enough for you to get at least 7 – 8 hours of sleep;
  • Wait until you’re tired. Don’t go to bed unless you are sleepy;
  • If you don’t fall asleep after 20 min­utes, get out of bed. Go do a qui­et activ­i­ty with­out a lot of light expo­sure. It is espe­cial­ly impor­tant to not get on electronics;
  • Estab­lish a relax­ing bed­time routine;
  • Use your bed only for sleep and sex; and
  • Make your bed­room qui­et and relax­ing. Keep the room at a com­fort­able, cool temperature.
  • Lim­it expo­sure to bright light in the evenings;
  • Turn off elec­tron­ic devices at least 30 min­utes before bedtime;
  • Don’t eat a large meal before bed­time. If you are hun­gry at night, eat a light, healthy snack;
  • Exer­cise reg­u­lar­ly and main­tain a healthy diet;
  • Avoid con­sum­ing caf­feine in the after­noon or evening;
  • Avoid con­sum­ing alco­hol before bed­time; and
  • Reduce your flu­id intake before bedtime.

Signs You’re Not Get­ting Enough Healthy Sleep
You might not think you need more sleep, but your body is prob­a­bly telling you some­thing dif­fer­ent if you:

  • Feel a need to drink caf­feine through­out the day to stay alert and energized;
  • Fall asleep eas­i­ly dur­ing TV shows, car rides, or oth­er activ­i­ties before bedtime;
  • Over­sleep on week­ends (to catch up from the week);
  • Have trou­ble con­trol­ling your appetite or los­ing weight;
  • Find it dif­fi­cult to focus and concentrate;
  • Don’t have as much ener­gy for exer­cise or play­ing with chil­dren; and/​or
  • Have less inter­est in sex.

When to Seek Med­ical Help
Dr. Shaikh said if you’re hav­ing dif­fi­cul­ty sleep­ing or want to improve your sleep, you should try the steps list­ed in this arti­cle. If your sleep prob­lem per­sists, you should con­sult your physi­cian or seek med­ical atten­tion if feel­ings of fatigue start to affect or inter­fere with:

  • Mood;
  • Enjoy­ment of life;
  • Relation­ships with others;
  • Dai­ly activ­i­ty; and/​or
  • If you think feel­ings of fatigue are a result of your med­ica­tion, please con­sult your physician.

Dr. Shaikh added that oth­er health con­cerns can be con­tribut­ing fac­tors to poor sleep. One of those health issues is weight.

The cor­re­la­tion between obe­si­ty and weight dis­or­ders and sleep is often neglect­ed, and poor sleep can lead to dif­fi­cul­ty in get­ting weight off and weight gain,” he explained.

Poor sleep habits/​hygiene are usu­al­ly a con­tribut­ing fac­tor, but there are many sleep dis­or­ders such as obstruc­tive sleep apnea, insom­nia, jet lag, and shift work that can con­tribute. There are also many oth­er med­ical con­di­tions, vitamin/​nutrient defi­cien­cies, and mood dis­or­ders that can con­tribute to fatigue.

Many sleep dis­or­ders such as sleep apnea are not being treat­ed ade­quate­ly because patients have not tol­er­at­ed treat­ment in the past, Dr. Shaikh explained.

There have been sig­nif­i­cant advance­ments recent­ly and there are now sev­en FDA approved treat­ments for obstruc­tive sleep apnea,” he said. Patients who have failed treat­ment before real­ly should get eval­u­at­ed by a sleep spe­cial­ist to see if there are any fur­ther options for man­age­ment. The tech­nol­o­gy around CPAP and masks have changed sig­nif­i­cant­ly and the new nov­el treat­ments such as Inspire (hypoglos­sal nerve stim­u­la­tor) real­ly have changed our abil­i­ty to man­age sleep disorders.”

Learn More
If you have ques­tions about your sleep health, QMG offers mul­ti­ple resources for sleep includ­ing the QMG Sleep Cen­ter. If you have ques­tions or con­cerns, con­tact your pri­ma­ry care provider or con­tact our Sleep Med­i­cine team at (217) 222‑6550, ext. We have mul­ti­ple resources for sleep and if there are any issues, please reach out to your pri­ma­ry care provider to or the sleep cen­ter at Quin­cy Med­ical Group.

Oth­er resources include:

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