Insomnia: Evaluation and Treatment

Anne E. O’Donnell, MD
The Nehemiah and Naomi Cohen Chair in Pulmonary Disease Research
Professor of Medicine
Department of Medicine
Georgetown University Medical Center
Chief; Division of Pulmonary, Critical Care, Sleep Medicine
MedStar Georgetown University Hospital
DOM Grand Rounds 12/8/2022

[@sodas32]

It might also just be metabolic, I was over exercising, under eating and not getting enough carbs which resulted in several nutritional deficiencies after 6 years etc (thought I was being healthy, felt great in the initial years) unknowingly I was putting my body in a catabolic state which will cause the body to stay awake and alert, as it is meant to. Think about what you are doing and what messages you are sending to your central nervous system via the way you eat exercise and live...you might be putting your body in survival mode and its simply doing what its meant to be doing. I cut back and changed the way I exercise opting for more anabolic promoting activities with ample recovery time, ate more frequent balanced meals and also allowed myself to take naps. It has taken a long time for my body to balance out and recover, I now don't even need to bother with or think about sleep hygiene, I get tired and sleep. I hope this helps someone in a similar predicament, the worst part is not knowing what is happening and how to recover.

[@divamisi24]

Thank you for sharing your story and experience.