Five things you can address that cause insomnia

November 4, 2015

It seems almost everyone has insomnia these days, including, possibly, you. People either can't fall asleep, they wake up after a few hours of sleep and can't go back asleep, or they aren't able to sleep deeply. The reasons for insomnia vary from person to person, but it's typically not due to a sleeping pill deficiency.


Instead, the reasons behind insomnia or poor sleep can be startlingly straightforward, although addressing them may take some diet and lifestyle changes.

In this article I'll go over often overlooked issues that cause insomnia and poor sleep. Don't assume a powerful sleeping pill is your only answer. Look at the underlying causes first and address those.


Five things that can cause insomnia


Low blood sugar.

Do you wake up at 3 or 4 a.m., racked with anxiety and unable to fall back asleep? That could be caused by a blood sugar crash, which raises stress hormones (hence the anxious wake up). Eating small but frequent meals, never skipping meals, and avoid sugary and starchy foods are important to keep blood sugar stable. Additionally, eating a little bit of protein before bed and at night if you wake up may help.


High blood sugar (insulin resistance or pre-diabetes).

Do you fall asleep after meals yet struggle to fall asleep at night? Do you wake up feeling like you've been run over by a truck, but are wide awake at bedtime? It could be high blood sugar, a precursor to diabetes, is driving your primary stress hormone cortisol and keeping you up. A telltale symptom of high blood sugar is falling asleep after meals, especially starchy meals. Minimizing sugary and starchy foods, not overeating, and exercising regularly can help you rewind insulin resistance and sleep better at night.


Too much blue light.

Are you staring into a computer, phone, tablet, or TV screen right before bed? If so, you're confusing your body's sleep hormone production. The body recognizes blue light as daylight, which suppresses the production of melatonin, our main sleep hormone. Limiting your exposure to blue light at night can help boost your body's production of sleep hormones. Wear orange glasses two hours before bed, use orange bulbs in your nighttime lamps, and limit your evening screen time to boost melatonin.


Inflammation.

If you are chronically inflamed it drives up your stress hormones, which can keep you awake. This is particularly true if you're experiencing inflammation in your brain, which can cause anxiety. One of the most common causes of chronic inflammation is an immune reaction to foods, especially gluten, dairy, eggs, and various grains. Screening for undiagnosed food sensitivities and an anti-inflammatory diet can help you hone in on what's causing your insomnia or poor sleep.


Hormone imbalances.

Hormone imbalances can significantly impact sleep. Low progesterone, which is a common symptom of chronic stress, heightens anxiety and sleeplessness. An estrogen deficiency in perimenopause and menopause has been shown to increase anxiety, insomnia and sleep apnea. In men, low testosterone is linked with poor sleep and sleep apnea. Also, low hormone levels can be inflammatory to the brain, increasing anxiety and insomnia.


Many things can cause insomnia and poor sleep, however these are some of the more common. While you are addressing the underlying factors of your sleep issue, you can aid your ability to sleep with safe and natural compounds, depending on the mechanism. Ask my office for more advice.

July 24, 2026
Living with chronic pain often means thinking differently about everyday tasks. While medical treatment is an important part of pain management, small changes to your home, daily routine, and the tools you use can also make life more comfortable. These practical lifestyle strategies can help reduce unnecessary strain, conserve energy, and make it easier to stay engaged in the activities that matter most.  At Chronic Care of Richmond, we believe that effective chronic pain management is about creating sustainable habits that support your quality of life—not just managing symptoms. Create a Pain-Friendly Home Environment Your home should work for you, not against you. Simple modifications can reduce repetitive movements, awkward bending, and prolonged standing that may aggravate chronic pain. Consider making adjustments such as: Placing frequently used items at waist or shoulder height to minimize bending and reaching Using lightweight cookware and kitchen utensils Installing lever-style door handles that require less grip strength Adding non-slip rugs or removing tripping hazards Choosing supportive chairs with armrests to make standing easier Keeping commonly used items on each level of your home to reduce unnecessary trips up and down stairs If you spend long hours working at a desk, ergonomic adjustments can also make a significant difference. Position your computer monitor at eye level, keep your feet flat on the floor, and use supportive seating that encourages good posture. Work Smarter, Not Harder One of the most valuable skills for people with chronic pain is learning to pace daily activities. Instead of trying to finish everything at once, divide larger tasks into smaller, more manageable steps. For example: Fold one basket of laundry, then rest before putting clothes away. Clean one room each day instead of the entire house. Prepare ingredients for dinner earlier in the day when your energy is higher. Many people find that alternating physical activities with seated tasks helps reduce discomfort throughout the day. This approach—often called activity pacing—can help prevent the "boom-and-bust" cycle, where overdoing activities on a good day leads to increased pain and fatigue afterward. Self-management strategies like pacing are commonly recommended for people living with chronic pain and arthritis. Plan Around Your Best Hours Pain levels often fluctuate throughout the day. Pay attention to when you typically feel your best and schedule more demanding activities during those times. You might: Grocery shop in the morning if you have more energy. Schedule appointments during your most comfortable hours. Save paperwork or computer work for times when physical activity feels more difficult. Keeping a simple journal of your daily pain patterns can help identify routines that support better days. Use Helpful Gadgets That Reduce Strain Modern assistive devices aren't just for people with significant mobility limitations. Many simple tools can reduce stress on joints and muscles while making everyday tasks easier. Helpful options include: Grabber or reacher tools for picking up objects Electric can openers and jar openers Long-handled shoehorns Rolling laundry baskets Shower chairs or handheld showerheads Supportive seat cushions Heating pads or reusable cold packs for temporary symptom relief when appropriate Voice-controlled smart home devices for lights, thermostats, and reminders These small conveniences can reduce repetitive movements that contribute to discomfort while helping you maintain independence. Organize to Minimize Extra Movement A little organization can save hundreds of unnecessary steps each week. Try creating dedicated stations throughout your home: Keep medications in one organized location. Store cleaning supplies on every floor if you have a multi-level home. Keep chargers, reading glasses, and frequently used items within easy reach. Use baskets or rolling carts to transport multiple items in one trip. The less unnecessary movement required, the more energy you can devote to activities you enjoy. Make Rest Part of Your Routine Rest is an important part of managing chronic pain, but staying inactive for long periods can sometimes increase stiffness and reduce mobility. Finding a balance between activity and rest is key. Instead of waiting until you're exhausted, consider scheduling short recovery breaks throughout the day. Examples include: Sitting down for 10 to 15 minutes after completing household chores Stretching gently between work sessions if recommended by your healthcare provider Taking a brief walk around the house after prolonged sitting Practicing relaxation or breathing exercises during scheduled breaks Regular movement paired with planned rest helps many people maintain better function over time. Health organizations recommend staying as active as your condition allows , even if activity is broken into shorter sessions. Build Sustainable Habits There's no single "hack" that solves chronic pain. Instead, lasting improvements often come from combining small, practical changes that reduce strain and make everyday life more manageable. Whether it's reorganizing your kitchen, pacing household chores, using assistive devices, or planning activities around your energy levels, these strategies can help support greater independence and comfort. Self-management techniques, combined with guidance from your healthcare provider, are widely recognized as valuable tools for improving daily function and quality of life for people living with chronic pain. If chronic pain is interfering with your ability to enjoy daily life, the team at Chronic Care of Richmond can work with you to develop a comprehensive, personalized treatment plan that supports your long-term health, mobility, and overall well-being.
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