How Does Sleep Apnoea Affect Diabetes?

From healthline.com

The impact of sleep apnoea goes far beyond leaving you feeling tired in the morning. For people with diabetes, sleep apnoea can influence your glucose levels at all times of day, change how your body responds to insulin, and play a part in diabetes complications later in life.

In the general population, an estimated 6 to 17 percentTrusted Source of adults experience some form of sleep apnoea. But among those with diabetes, that number is dramatically higher with more than halfTrusted Source of people with type 2 diabetes experiencing obstructive sleep apnoea. Research shows it’s also quite high in those who live with type 1 diabetes.

Read on to learn more about the relationship between diabetes and sleep apnoea, how it can impact your diabetes management and what you can do to address this breathing disorder that impacts sleep.

WHAT IS SLEEP APNOEA?

Sleep apnoea happens when a person stops breathing while they are sleeping.

Unlike disrupted sleep, which can be caused by poor sleep hygiene or various physical or mental conditions, sleep apnoea is a breathing disorder.

Signs of sleep apnoea include the following:

• loud snoring
• gaps in breathing
• choking or gasping for air
• falling asleep during the day

Sleep apnoea leaves the body deprived of oxygen which, in turn disrupts how the heart functions, blood pressure, and metabolism. These effects can be severe and make it crucial for people with diabetes to understand and treat sleep apnoea when it occurs.

Of the three types of sleep apnoea (central, obstructive, and complex), obstructive sleep apnoea (OSA) is most common. With OSA the soft tissues at the back of the throat collapse, blocking the airway and interrupting the person’s breathing. OSA is associated with obesity but also happens in those who are not obese.

WHY IS SLEEP APNOEA MORE COMMON IN TYPE 2 DIABETES?

A symbiotic relationship has been observed between sleep apnoea and type 2 diabetes. One seems to worsen the other, when left unaddressed.

Sleep apnoea deprives the body of oxygen, which has a direct negative effect on glucose levels and insulin resistance. Its effect can be dramatic, promoting insulin resistance and changing glucose metabolism to the extent that OSA is associatedTrusted Source with the development of type 2 diabetes.

Obesity is a recognized comorbidity of type 2 diabetes, and that comorbidity increases the likelihood or developing OSA. Fat deposits in the neck can impinge on the airway and abdominal fat can compress the chest wall—both constricting breathing while lying down or sleeping.

DOES SLEEP APNOEA IMPACT BLOOD SUGAR?

Yes, it does.

When the body is deprived of oxygen the amount of carbon dioxide in the bloodstream increases. In this state insulin resistance increases leading to higher levels of glucose in the blood. Over time these persistently higher glucose levels lead to a higher A1CTrusted Source.

Beyond its effect on glucose levels, sleep apnoea and other disruptions to sleep can negatively affect the progression of diabetes and the development of complications. The oxygen deprivation associated with poor quality sleep raises blood pressure and aggravates heart function. It’s associated with high blood pressure, heart disease, and stroke.

HOW TO MANAGE SLEEP APNOEA WITH DIABETES?

Following the standard practices of effective diabetes management — keeping glucose levels in range, healthy food choices, exercising regularly, and taking medications as prescribed) — is a good starting point for managing sleep apnoea. However, there is more that can be done.

• Begin with addressing any sinus or allergy issues that interfere with breathing clearly. This might include taking medication to keep the sinuses open and uncongested.
• Being overweight or obese is another condition to address in treating sleep apnoea. By reducing weight there is less pressure on the chest cavity and less likelihood of fat in the airway passage. Addressing both of these decreases the likelihood of unobstructed breathing while sleeping.
• A continuous positive airway pressure (CPAP) machine can be prescribed, before or after an overnight sleep study is completed. The person wears a mask while sleeping. Attached to that mask is a hose and a device that delivers pressurised air. The pressurized air keeps the airway open, stopping disruptions to the person’s breathing.
• Surgery is also an option. These surgeries involve removing or shrinking the tissue at the back of the back of the mouth or top of the neck. By removing this soft tissue there is less likelihood that the airway will be obstructed while sleeping.

USING FITNESS TRACKERS FOR MONITORING SLEEP QUALITY

A medical diagnosis of sleep apnoea requires a formal sleep study where the person sleeps with sensors attached to their body and is monitored through the night.

But with the availability of fitness trackers and mobile apps, it’s become more common for people to track and record the quality of their sleep. This can be especially helpful when sleep apnoea is suspected.

Importantly, a sleep or fitness tracker does not replace a medical professional’s diagnosis of sleep apnoea. But it can help identify sleeping patterns to discuss with a medical professional.

Fitness trackers use a combination of sensors that measure body movement (restlessness), heart rate, and breathing rate to track sleep quality. These readings are then analysed and reported in their app.

What the app reports varies by device, but can include things like:

• How long it took to fall asleep
• How long the person remained asleep
• How many times the person woke up through the night
• How long they stayed awake before going back to sleep
• How long the person stayed in various stages of sleep (light, deep, and REM)

These individual readings are often combined into a composite score that reflects the overall quality of sleep (poor, fair, good, excellent).

The apps often also include information on how to improve overall sleep. This can include advice on improving sleep hygiene and notifications to reinforce a standard bedtime and daily routine for winding down.

Among the most popular fitness trackers, Fitbit, Apple Watch, Amazon Halo, and Oura Ring all offer some ability to track sleep. They all report on the amount of time the person is sleeping and the overall quality of that sleep.

TAKEAWAY 

Because of the negative effects sleep apnoea can have on glucose levels it’s particularly important for people with diabetes to pay attention to the quality of their sleep. Left unaddressed, what seems like inconsequential snores in the night can lead to elevated A1Cs, high blood pressure, and heart problems.

Thankfully, we do have tools and treatments to identify and then address sleep apnoea—ultimately avoiding the most serious complications.

https://www.healthline.com/health/diabetes/sleep-apnea-and-diabetes 

UK: Do you have insomnia? Doctors will prescribe an app now instead of sleeping pills

From easterneye.biz

Up to 800,000 people could benefit from using Sleepio in England 

AS MANY AS 800,000 people in England could benefit from a new digital app projected as an effective alternative to sleeping pills for insomnia patients, the national institute for health and care excellence (NICE) has said. 

Now, NHS doctors can prescribe the Sleepio app, which uses artificial intelligence to provide people with cognitive behavioural therapy for insomnia instead of sleep medications, reports said.

Medicines such as zolpidem and zopiclone can be dependency forming and aren’t intended for long-term use.

According to reports, the app provides a digital six-week self-help programme involving a sleep test, weekly interactive CBT-I sessions and keeping a diary about sleep patterns.

The NICE said that the module, which costs NHS £45 per person, was more cost-effective as it led to fewer doctor’s appointments and prescriptions of sleeping pills.

Jeanette Kusel, acting director for MedTech and digital at NICE, has said that the new method will also reduce people with insomnia’s reliance on dependence forming drugs.

The effectiveness of the Sleepio app, compared to sleep hygiene and sleeping pills, was proved in twelve randomized controlled trials, the health agency claimed. 

The Sleepio programme is designed to be completed in six weeks, but people have full access for 12 months. People can complete sessions at their own pace and revisit sessions, a statement said.

The sessions focus on identifying thoughts, feelings and behaviour that contribute to the symptoms of insomnia. Cognitive interventions aim to improve the way a person thinks about sleep and the behavioural interventions are designed to promote a healthy sleep routine.

According to the NHS, most people experience problems with sleep in their life, and a third of Brits will have episodes of insomnia at some point.

The causes can include physical conditions, psychological conditions (such as depression or anxiety) or a combination of both.

https://www.easterneye.biz/do-you-have-insomnia-doctors-will-prescribe-an-app-now-instead-sleeping-pills/

Better Sleep Is Good For Your Well-being: Here's How To Practice Better Sleep Hygiene

From thehealthsite.com

Poor sleep can be bad for your health and lead to several problems. Here's how you can address the problem and induce better sleep

When we look at overall health, the checklist of things to do usually includes a combination of physical exercise and nutrition. Lesser thought about, however, is the importance of sleep this, despite it being known to play an important role in a person's ability to stay healthy, alongside exercise and nutrition.

The benefits of sleep are numerous and include helping to conserve energy, supporting the immune system's ability to heal and repair damaged tissues, and regulating neurocognitive abilities. In fact, studies have found that the repercussions of inadequate sleep may be more perilous than we think, including mental distress, among other health conditions. According to the recent ResMed Sleep Survey, it was noted that 72 per cent of Indians have emotional distress due to poor sleep.

Consequences Of Poor Sleep Quality

One of the most common misconceptions about sleep is the belief that getting 4 to 6 hours a day is sufficient once your body gets accustomed to it. However, poor sleep has been found to cause significant fatigue and elevate the risk for serious health problems, like memory loss, diminished motor skills, errors in judgement, and even negative changes in diet and appetite.

There are also several stages of sleep that scientists have identified to be important throughout the night, including light sleep, deep sleep, and REM (rapid eye movement) sleep. Sleeping too little also means that you would not have achieved the full sleep cycle required to properly recharge your body and mind, the benefits of which include improving overall mood and productivity.

In fact, according to a recent ResMed survey, 28 per cent of Indians face difficulties to achieve a balanced work-life, and 51 per cent of Indian need to carry a tracker during the night sleep. Because sleeping well should not be considered a one-night phenomenon, here are some tips to improve your sleep each night.

Steps To Practising Better Sleep Hygiene

1. Refrain from smoking and consuming excessive caffeine and alcohol: Avoid smoking, alcohol, tea, soda, coffee, and even chocolate in the hours before you go to sleep. These cause sleep latency, and alcohol disrupts the quality of sleep.
2. Create a bedtime routine. This can help regulate your biological clock, and you tend to feel sleepy automatically as you approach your routine rest time. For example, taking a shower, stretching, or reading a physical book can help your brain wind down and get into sleep mode. A routine can also help you wake up on time as well.
3. Avoiding bright lights or mobile devices before bed can also help prepare your body to fall asleep. While commonly mistaken for stress relief, electronic devices (online entertainment especially) particularly detract from sleep quality and quantity. The lack of brightness in the room or blue light from lack of gadget usage helps your body shift away from the active mode of the day into sleep mode.
4. Instil some relaxation before bedtime by practising activities that help relax your mind, including doing exercises like meditation or writing to-do lists for work or personal commitments you have for the next day.

Sleeping Better Means Feeling Better

Sleep is an inseparable aspect of our life and is closely tied to mental well-being. Understanding its implications on our overall health will go a long way. While everyone might experience a lousy night of sleep occasionally, it is important to be aware of how sleep can affect our health, so we can take action to get a better night's sleep, every night. Our study found that those who had a good night's sleep tended to be more productive at work the next day (23 per cent), had more patience for others (21 per cent) or were more likely to spend more time with their children (20 per cent).

For those who have tried these steps or actions but continue to struggle with proper sleep, you may wish to start a conversation with your family doctor and share your sleep concerns. It may help you better understand your risk of having a sleep disorder like sleep apnoea or insomnia. This could help you take control of your sleep issues and may ultimately improve your overall health.

In the end, understanding how you can get a better night's sleep means providing your body with the ability to take a restorative journey to prepare itself for the new day. So, take that first step to have a healthy mind and well-rested body by improving your sleep today.

(The article is contributed by Dr Sibasish Dey, Head - Medical Affairs, South Asia, ResMed)

https://www.thehealthsite.com/news/better-sleep-is-good-for-your-well-being-heres-how-to-practice-better-sleep-hygiene-884075/

 

5 Natural Remedies for Pregnancy Insomnia

From verywellhealth.com

Pregnancy insomnia refers to trouble falling asleep, staying asleep, or both when pregnant. Sleepless nights are a common occurrence during pregnancy. It is estimated that up to 78% of pregnant people experience sleep disturbances throughout pregnancy.

There are several possible causes of pregnancy insomnia, including hormonal changes, physical discomfort, and mood disorders. It is not recommended to use regular sleep medications while pregnant.

This article will provide an overview of pregnancy insomnia and describe natural remedies to address it. 

Justin Paget / Getty Images

What Is Pregnancy Insomnia?

Pregnancy insomnia is a common condition involving trouble falling asleep, staying asleep, or both while pregnant. Most people experience sleep disturbances at some time during their pregnancies. 

One study found that early intervention is important because insomnia may raise the risk of complications during pregnancy and childbirth. It is estimated that women who sleep less than six hours per night during pregnancy are more likely to have long labours. They also are 4.5 times more likely to require a caesarean section (C-section), a surgical procedure to deliver the baby through incisions made in the abdomen and uterus.

A lack of sleep during pregnancy may also raise the risk of preeclampsia (a complication causing high blood pressure and high levels of protein in the urine, which indicate kidney damage) and gestational diabetes (diabetes that develops during pregnancy).

Causes

Sleep disturbances in pregnancy may be related to hormonal, physiologic, metabolic, and psychological changes. These changes can raise the risk of conditions that lead to insomnia. These pregnancy-related conditions may include anxiety and mood disorders, breathing-related sleep disorders, and restless legs syndrome (RLS).

The changes throughout pregnancy contribute to sleep disturbances in different ways. During the first trimester, a spike in the hormone progesterone causes:

• Daytime sleepiness
• Urinary frequency
• Nausea
• Vomiting
• Gastroesophageal reflux (GERD)
• Back pain

All of these new symptoms can contribute to sleep disturbances at night. An increased progesterone level can also increase the risk of sleep apnoea and snoring.

It is possible to feel and sleep better during the second trimester. However, by the third trimester, sleep disturbances can return. The growing foetus can lead to heartburn, muscle aches, urinary frequency, and extra pressure on the diaphragm in the third trimester. Oestrogen levels increase in the third trimester, leading to rhinitis (nasal congestion, a runny nose, and sneezing) and obstructive sleep apnoea (muscles in the back of the throat relax and disrupt breathing).

Most healthcare providers do not recommend regular sleep medications during pregnancy because of the risk of birth defects and health complications. Most medications for sleep and RLS have risks to a developing foetus. Sleep medications may also raise the risk of preterm labour, low birth weight, C-section, and neonatal abstinence syndrome (withdrawal symptoms experienced by the baby from drugs exposed to when in the womb).

Natural Remedies

Because sleep medications are usually not recommended during pregnancy, many pregnant individuals turn to natural remedies for sleep. It’s important to remember that not all natural remedies are considered safe during pregnancy. Talk with your healthcare provider about which methods to try. 

Acupuncture

Acupuncture is used for a variety of pregnancy-related concerns. It is generally considered safe during pregnancy for the treatment of:

• Low-back pain
• Pelvic pain
• Headaches
• Heartburn
• Nausea
• Vomiting
• Anxiety
• Depression
• Insomnia

A study found that acupuncture can significantly improve sleep quality in pregnant women. This may be due to its effect on melatonin in the body. Melatonin is a hormone naturally secreted in the body that helps us relax and fall asleep. Research shows that acupuncture can increase the serum concentration of melatonin in the body. 

In addition to improving sleep quality, increased melatonin levels may also benefit the baby. Melatonin crosses the placenta and plays an important role in foetal brain development.

Yoga

If you have been experiencing disturbed sleep during pregnancy, consider trying a prenatal yoga class. A review found that starting a regular yoga practice during the second trimester decreased the number of night-time awakenings and time spent awake in bed for study participants. Individuals who began yoga in their second trimesters experienced more benefits in sleep quality than those who started in their third trimesters.

Exercise

A regular exercise program may benefit those experiencing pregnancy insomnia. A review found that pregnant people who engaged in regular physical activity experienced significant improvements in their sleep quality. They also experienced a reduction in anxiety symptoms. Regular exercise was especially helpful in treating pregnancy insomnia in the third trimester.

Massage

Massage therapy positively impacts stress, mood, and sleep in pregnant women. A review found that pregnant individuals who took part in a massage and relaxation program reported fewer sleep disruptions.

Cognitive Behavioural Therapy

Stress reduction is an important way to improve sleep. Cognitive behavioural therapy (CBT) teaches individuals to recognize and change negative thought patterns and behaviours. 

A clinical trial found that CBT led to significant improvements in sleep quality and insomnia symptoms in pregnant individuals. Study participants reported less time lying awake in bed and fewer anxiety symptoms after participating in a CBT program. The participants were also less likely to require sleep medication than those in the control group.

Starting CBT during pregnancy may also reduce the risk of postpartum mood disorders like depression and anxiety.

In addition to prescription sleep aids, over-the-counter medications to avoid during pregnancy include:

• Advil or Motrin (ibuprofen)
• Aleve (naproxen) 
• Sudafed (phenylephrine or pseudoephedrine)
• Pepto-Bismol (bismuth subsalicylate)

Prevention

While it may not be possible to prevent pregnancy insomnia completely, there are steps that you can take to reduce your risk. Most healthcare providers consider sleep hygiene the first-line treatment of pregnancy insomnia. Sleep hygiene refers to setting up an environment that supports good sleep quality. It can improve pregnant individuals' quality of life significantly.

Consider trying one or all of the following sleep hygiene techniques:

• Keep your bedroom cool and dark, and use only a dim nightlight in the bathroom.
• Remove any screens from your room and avoid looking at them before bed. 
• Try to go to bed and wake up at the same time each day.
• Avoid eating spicy or fried foods in the evenings. Start restricting fluids in the evening as well.
• Aim to exercise for 30 minutes per day at least four to six hours before bedtime.
• Avoid caffeine and nicotine. 
• Schedule your daytime naps for earlier in the day. 
• Position yourself lying on your left side with your knees and hips bent. Keep a pillow between your legs to prevent hip or low back pain. 

Summary

Pregnancy insomnia is a common condition during pregnancy and refers to trouble falling asleep, staying asleep, or both. Pregnancy insomnia may be caused by the hormonal, physiologic, metabolic, and psychological changes during pregnancy. Regular use of sleep medication is not advised in pregnancy. Five natural remedies that have been proven to improve sleep quality during pregnancy are acupuncture, yoga, exercise, massage, and cognitive behavioural therapy. 

A Word From Verywell

Most new parents expect to give up sleep once their baby is born, but insomnia can cause sleepless nights even before the baby arrives. Pregnancy insomnia may increase the risk of serious complications, and early treatment is essential. Talk with your healthcare provider about your sleep disturbances and ask about your treatment options. Just because pregnancy insomnia is common does not mean you have to live with it. Several natural sleep options may provide relief. 

FREQUENTLY ASKED QUESTIONS

• Can you take melatonin while pregnant?

  There is not enough evidence to determine if melatonin is a safe supplement to take during pregnancy. If you have trouble falling or staying asleep while pregnant, talk with your healthcare provider. 
  

• When does pregnancy insomnia start?

  Pregnancy insomnia can start during pregnancy and often begins in the first trimester. 
  

• When does pregnancy insomnia end?

  Pregnancy insomnia usually resolves at the time of childbirth. However, it is common to experience postpartum insomnia after birth due to night-time feedings, physical discomfort, and mood changes.

• https://www.verywellhealth.com/natural-remedies-for-pregnancy-insomnia-5220964
  

 

Suffering From Insomnia? Best Breathing Techniques To Induce Sleep

From thehealthsite.com

Have you not been able to sleep properly? Here are some breathing exercises you can try that can help induce sleep

Insomnia is one of the most common sleep disorders that affect people and can lead to chronic trouble sleeping or staying asleep. Whether it's difficulty going asleep or sleeping soundly, insomnia can be a real pain! Waking in the middle of the night isn’t exactly anybody’s favourite. It's like you want to sleep, but your brain wants to do everything but that. Fortunately, there are ways to tackle insomnia that can help you fight the problem. Scroll down to know the breathing techniques that might help you. While the following breathing exercises can help induce sleep, it is better to consult a doctor to know what’s good for you.

Bhramari Pranayama

As per a study published in the Nepal Medical College Journal, Bhramari Pranayama helps reduce breathing and heart rate, which helps you feel calm and prepare your body for sleep. For this technique, you start by closing your eyes and breathing deeply in and out. Now, cover your ears with your hands. Now put one of your index fingers above each brow and the rest of your fingers over your eyes. After that, gently press the sides of your nose and concentrate on your brow area. Close your mouth and slowly exhale through your nose, generating the "Om" humming sound. Repeat the process five times.

Diaphragmatic Breathing

Diaphragmatic breathing not only relaxes you and helps you sleep, but also strengthens your diaphragm, which is a vital muscle for getting the most out of each breath. Start by sitting up in a chair or lying down on your back with pillows under your knees. One hand should be flat on your heart, while the other should be on your stomach. Deepen your breathing by inhaling deeply through your nose and feeling your chest and stomach rise and fall with each breath. For around 5 minutes, breathe slowly through slightly pursed lips.

4-7-8 Breathing

This is another breathing technique that can help you catch some ZZZs! Gently part your lips and exhale, making a sighing sound. Now, inhale through your nose for 4 seconds and keep your lips closed. Hold your breath for 7 seconds and exhale out for 8 seconds through the mouth. Repeat the process 4-8 times.

Buteyko Breathing

Some people don’t realize that they are hyperventilating, which is rapid or deep breathing caused by anxiety or panic. Buteyko breathing helps calm you down and bring your breathing back to normal. Sit up in bed and close your mouth gently. Breathe normally through your nostrils for about 30 seconds. Then, deliberately breathe through your nose. Pinch your nose shut gently while keeping your mouth shut. Carry on like this until you need to take a breath. Take another deep inhale through your nose after releasing your grip. Repeat the process a few times more.

Three-part Breathing Exercise

This breathing exercise is super easy to do and a favourite of many! Start by taking long and deep breaths. Breathe out while focusing on your body and how it feels as you breathe. Slow your exhale each time you perform this. Now, repeat until your exhale is twice as long as your inhale.

https://www.thehealthsite.com/photo-gallery/suffering-from-insomnia-best-breathing-techniques-to-induce-sleep-883630/sleep-schedule-2-883680/

 

How to avoid insomnia and feel awake in the morning?

From med.news.am

Physiologist Vasily Orlov told SOLENKA.INFO in an interview how to avoid insomnia and feel awake in the morning.

The specialist noted that quality and adequate sleep is very important for our health. The fact is that during the night rest our body recovers from a long day of work.

According to a specialist, to understand how well a person had a night's rest is possible to understand his/her state of health in the morning and during the day. He noted that one of the most important factors determining the quality of sleep is a sufficient amount of the hormone melatonin, which is produced only in the dark. The less a person sleeps during the dark hours of the day, the less melatonin he or she has.

Deficiency of this hormone increases the likelihood of developing infectious diseases, cardiovascular diseases and other pathologies. Melatonin is a powerful antioxidant that protects the human body from the damage that free radicals cause.

The physiologist gave some tips, the observance of which will help to get rid of insomnia and feel awake after waking up:

1. Try to go to bed at the same time. It is better if it happens between 10 p.m. and 11 p.m.
2. Before going to bed, turn off any lights in the room and draw the curtains.
3. One hour before going to bed, give up watching TV, telephone and computer.
4. Monitor the temperature of the air in the room. It should be slightly cool. This will stimulate the production of melatonin.
5. Minimize the amount of stress, don't abuse caffeine and alcoholic beverages.
6. Be outdoors more during the day and don't forget sunbathing.
7. Drink water purified from fluoride, as it disrupts the epiphysis.
8. Take glycine before going to bed. This amino acid is beneficial for serotonin production.

https://med.news.am/eng/news/31595/how-to-avoid-insomnia-and-feel-awake-in-the-morning.html

 

You Can Now Treat Your Insomnia Through an App

From healththoroughfare.com

About 70 million people in the US suffer from insomnia every year. But thanks to medicine, there are a few efficient ways to tackle the problem of not being able to fall asleep while you’re lying in your bed.

Working out, simply relaxing an hour before going to bed, or just taking some pills are some of those ways to get yourself able to fall asleep while your brain wants something else. But today we’re glad to propose to you a more technological way to solve the issue.

The Sleepio app might be the key

 The National Institute for Health and Care Excellence in the UK (NICE) recommends people to use the Sleepio app to get rid of their insomnia. Instead of relying on sleeping pills, the app-based treatment is a worthy alternative, according to the institute. And last but not least, using the app can also save you some money. 

The Sleepio app inflicts tailored digital cognitive behavioural therapy for overcoming insomnia by using AI. The software will be on the lookout for whatever may be causing a person to have trouble falling asleep – certain thoughts, behaviours, or feelings. If that’s not convincing enough for you that the developers of the app know what they’re doing to get you rid of your insomnia, you should keep in mind that the app provides a self-help program that lasts for six weeks. That involves weekly interactive CBT-I sessions.

Jeanette Kusel from MedTech and NICE said:

Our rigorous, transparent and evidence-based analysis has found that Sleepio is cost saving for the NHS in primary care compared with sleeping pills and sleep hygiene. It will also reduce people with insomnia’s reliance on dependence forming drugs such as zolpidem and zopiclone.

This is a good example of where a digital health technology can help the NHS. The evidence has shown using Sleepio reduces the number of GP appointments people with insomnia need and will also cut the number of prescriptions for sleeping pills delivered by pharmacists.

You can already find Sleepio in Apple’s App Store.

https://www.healththoroughfare.com/science/you-can-now-treat-your-insomnia-through-an-app/47659