Build Better Sleep

Re-learning How To Sleep

  • About Me
    • About Doug Stewart (@BuildSleep)
  • Products/Reviews
    • SleepTracks
    • Zeo Sleep Manager
  • Sleep Basics
    • REM Sleep and Deep Sleep
    • Sleep Hygiene
    • How Sleep Is Structured
  • Subscription
  • Surveys
    • How Did You Get Here?
    • Trazodone
    • What Do You Use?
  • Welcome!

Popular Sleep Bloggers That I Follow

Posted by Doug on May 18, 2012
Posted in: Uncategorized. Leave a Comment

Dashboard 091605
Photo Credit: Just Deon via Compfight

I thought I’d take a moment to give you a short list of some of the people I follow in the sleep world. It’s important not to live in a bubble, and see what other people are doing, experiencing, concluding and writing about…

Hypnagog (Twitter, Blog) been fascinated by sleep since his first episode of sleep paralysis over 20 years ago. He now has a keen interest in sleep monitoring in the home, exploring apnoeas, sleep paralysis, hypnagogia and anything else sleep-related.

Ryan Hurd (Twitter, Facebook) is a Dream researcher, author of Lucid Immersion and Sleep Paralysis. Ryan edits DreamStudies.org  and is a member of IASD.

Even though technically it’s not a single person that writes this blog – it’s several contributors – Psychology Today always has interesting content on their site. They’re all accredited researchers or doctors, and although I have lost a lot of respect of the medical community over the last few years – sometimes they have important things to say.

One of the frequent contributors to Psychology Today is Dr. Michael Breus – he’s calling himself The Sleep Doctor - what great branding! Although much of what he says is old news and common sense, he does touch on some really interesting stuff. He’s active on Twitter, and frequently has online Q&A sessions where guys like me can ask stupid questions.

For a very personal insight into insomnia, there’s a site I stumbled on to a couple of months ago. Although Mike has not posted in the last few months (he’s still out there though), the site has some really interesting content. This is in addition to him being really friendly and responsive to my questions. Mike’s site is Insomnia Simply Sucks – and I wish I had that domain name – it’s perfect!

The last one I’ll mention (there’s several others that I follow) is the Zeo forums. Although it’s incredibly frustrating to use – the comment section makes no sense to me, and there’s no easy way to follow new questions or answers – the content is really insightful (especially for a Zeo user). If you have a Zeo, you should have a look.

What is 5-HTP, and Why Is It Used For Sleep?

Posted by Doug on May 16, 2012
Posted in: Melatonin. Tagged: 5-HTP, melatonin, seratonin. Leave a Comment

A happier Doctor
Photo Credit: Spielbrick Films via Compfight

5-HTP is a naturally occuring, chemical precursor to both seratonin and melatonin. One that we’ve learned how to synthesize and sell as a supplement.

Seratonin and melatonin are both important in the regulation of our sleep, and are seen in synergistic levels during the day – seratonin is pronounced in daylight, and shut down when it’s dark – exactly the opposite of melatonin. Interestingly, seratonin drives the pineal gland where melatonin is produced…

In addition to sleep, 5-HTP is used for depression, anxiety, headaches, fibromyalgia (which is medical terminology for “we have no idea what’s wrong with you”), binge eating, ADHD, and others.

Our interest, though, is the over-the-counter availability of 5-HTP, primarily for sleep, in the UK, the USA, and Canada.

5-HTP acts primarily by increasing seratonin levels in the central nervous system. Since increased seratonin is known to be coincident with sleep, it made sense to try and elevate these levels artificially – enter the supplement.

5-HTP has been shown specifically to increase the amount of REM sleep you can get – although dosage levels seem to be important. Too much 5-HTP can cause vivid dreaming and nightmares, and too little and there’s no effect. About 200mg of 5-HTP before going to bed seems to be the recommended starting dosage.

5-HTP hasn’t been thoroughly, clinically studied, so extra caution with it’s use is warranted. Some of the reported side effects of use include:

  • heart valve damage
  • seratonin syndrome
  • high blood pressure
  • nausea and vomiting
  • EMS

Of particular concern is the interaction between 5-HTP and other medications used for treating other disease. If you have any doubt, ask your pharmacist or doctor.

What Is L-Theanine, And Why Is It Used For Sleep?

Posted by Doug on May 14, 2012
Posted in: Sleep Aids. Tagged: l-theanine, natural supplement, tea. Leave a Comment

Green Tea ~ Explored
Creative Commons License Photo Credit: Theen Moy via Compfight

Theanine is a common amino acid found in green tea, and the particular molecule we’re interested in is commonly referred to as L-Theanine (chemists in the group will understand what the “L” stands for). It was first extracted and isolated from green tea leaves in the 1950’s, and is generally regarded as safe and approved for general population consumption (it’s basically tea!).

Theanine is able to cross the blood-brain barrier, and acts similarly to coffee in many respects. It has been shown to reduce mental and physical stress, as well as increasing focus and cognition.

L-Theanine is one of the premiere active components in green tea (this is partly why green tea is so good for you), and when extracted from tea leaves is now a popular, safe supplement found in both aids to focus and concentration, as well as relaxation and mild tranquilization (ie: natural antidepressants).

It’s these relaxation and tranquilization characteristics that have made L-Theanine a popular addition to many “natural” sleep aids. The one that I use occasionally has a mixture of melatonin (1.5mg), 5-HTP (15mg), and L-Theanine (100mg).

It’s basically harmless, and it could have an impact on your relaxation for sleep, or your concentration for study!

The Quantified Self – Fitness Equipment to Measure Sleep

Posted by Doug on May 11, 2012
Posted in: Zeo. Tagged: FitBit, Jawbone, Smartphone App, Zeo. Leave a Comment

Are you ready???
Photo Credit: Shazeen Samad via Compfight

As the “quantified self” movement/phenomenon rolls forward, I thought it was appropriate to talk about a few different ways to measure sleep. This isn’t an all-inclusive list, but it covers the major “technologies” involved – so if there’s something not talked about here, it will more than likely fall into one of these major categories.

When we talk about measuring sleep, I think we can group these devices into three major categories:

  1. Brainwave monitors that behave like an EEG
  2. Accelerometer  based Smartphone apps
  3. Accelerometer based personal fitness devices

Brainwave Monitors

If you’ve read much on this blog, you’ll know that I’m a big fan of the Zeo Sleep Management System. It’s basically a single channel EEG that monitors your brainwaves during sleep by using a headband that you wear overnight. I’ve got a much more detailed review of the Zeo here, so I’ll not repeat it.

Zeo is like having part of a sleep lab in your bedroom. It won’t monitor your respiration or pulse, but it will tell you (with incredible detail) what stage of sleep you were in at a specific time.

The Zeo Mobile version that I have uses the headband teamed up with an app for your Smartphone. It costs about $100.

Accelerometer Smartphone Apps

These are widely available for any Smartphone with an internal accelerometer (which is most of them these days). They all work pretty much the same way:

  • They rely on a Smartphone app you download from the appropriate app store – usually between $0.00 and $1.99.
  • You plug in the Smartphone so it stays on and charged all night.
  • After turning on the app, which turns on the sensitive accelerometer in the phone, you  place the Smartphone on the bed – normally beside your pillow (where it can detect motion but not interfere with your sleep).
  • When the phone detects motion with the accelerometer (it will require some time to calibrate), it will correlate it with the likely sleep state you are in (you move different amounts based on the sleep state), and display it on the phone.

I’ve used apps for the Andoid and iPhone platforms, and they perform similarly. They are nowhere near as accurate as the brainwave measurement method, but good enough to activate an alarm when you’re in a lighter stage of sleep (and that’s the primary intent). Oh, they cost less than a cup of coffee.

A few of the Smartphone apps are:

  • Sleep As Android
  • Smart Alarm Clock – iPhone
  • SleepMaster – W7 Phone
  • SmartAlarm for BlackBerry

Accelerometer Fitness Devices

This last category covers the newer “wearable” devices. They work by embedding an accelerometer in a device that you wear – clip on to a piece of clothing (FitBit Ultra) or wrap around your wrist (Jawbone Up). Both of these cost $100 as well.

These products are more accurate than the Smartphone based apps, but less than the brainwave devices. They still rely on detecting motion, but not in the “motion of the bed” as the previous apps do, but rather the actual motion of your body.

However, if you are wide awake and perfectly still, these will believe you are sound asleep.

Note that monitoring sleep is just one of several uses for the fitness tracking devices – they can also measure your activity during the day, so they are much more multipurpose than just at nighttime.

My Conclusions

In short, the price point of all these devices is from free (or almost free) to $100.00 – with nothing in between. Their accuracy and utility correlates pretty well with their price. You get basic sleep information with the Smartphone apps, incredible accuracy with the Zeo, and more utility but middle-of-the-road accuracy with FitBit and Jawbone.

All of them will give you some major insight into your life … at least the third of it where you’re asleep.

Sleep Better By Being Cautious With Electronics At Night

Posted by Doug on May 9, 2012
Posted in: Melatonin. Tagged: melatonin. Leave a Comment

Bristol City Centre at Night (HDR)
Creative Commons License Photo Credit: LUKE ANDREW SCOWEN via Compfight

We’re hooked on our electronics – some say the only time they’re off is when we’re in bed, but for some (like me) even that’s not true.

Many of us are hooked on the constant glow of a screen from the moment we get up, until the moment we fall asleep. I have a clock app on my Smartphone that’s on and displaying the time all night long as well.

This creates a problem with our sleep that you’re probably not aware of.

Our natural circadian rhythms (the internal day-night clock we all have) are driven primarily by the sun. When the sun goes away, it’s night-time – and our drive for sleep is strongest. When the sun comes up, the sleep drive goes away. We have a hormone in our bodies that is controlled by the presence of light – melatonin. Normally, nighttime triggers melatonin production, and morning suppresses it.

With the introduction of the lightbulb, we introduced strong artificial lighting into our night-times. It made it possible for us to be far more productive, and we were no longer limited to daylight to get things done. What we unknowingly did was mess up our circadian rhythms, because we now had light far later than normal in our evenings – and bright light at night suppresses the natural melatonin production.

For most of us, this wasn’t a huge issue. The light wasn’t strong enough to have an overall negative impact.

That’s not the case today. When you add up the ambient light in our homes at night, and then add in all the new supplemental light, it’s having a cumulative effect. Think about all this new supplemental light:

  • Television set (often multiple television sets)
  • Computers – desktop and laptop
  • Tablet computers (iPads et al)
  • Smartphones (iPhone, Android, Blackberry)

If you know anything about basic sleep hygiene, we’re always told to turn off extra light an hour or more before we go to bed. It gives your body a chance to adapt to the dark, produce melatonin, and get your circadian rhythms back in sync. The extra “chatter” the electronics may cause when you go to bed – thinking about provocative stuff – doesn’t help either.

It’s good advice to have an electronics-free cool-down period before bed, and it could have a major impact on the quality of your sleep. If you find that you cannot avoid the toys, try some of these options to filter or reduce the light that your eyes intercept:

  • Glasses that block out blue light are expensive, but if you do a lot of work at night, they’re probably worth it. Blue is the most disruptive color of light at night.
  • There’s a program you can install on your Windows, Mac, Linux, iPhone or iPad called F.lux. It changes the light produced by your electronic screen based on the time of day – you tell it where you live, and it know’s when the sun rises and sets and adjusts the computer display accordingly.
  • Dim your lights at night, and if you have to use one, make it red. Red light has a minimal effect on suppressing melatonin production, and causes the least strain on your eyes (this is why people who need night vision use red lights).
  • Get bright sunlight during the day. Make the contrast between day lighting and night lighting huge! Let your body understand the difference between day and night in your world. This is good advice for all of us, all the time.

If you remember to turn down your lights at night, avoid electronics within an hour or two of going to bed, and use some method of reducing essential electronic light you’ll find that your “sleep drive” becomes stronger, sleep comes quicker, and sleep  lasts longer.

All it takes is a little discipline…

 

Is Co-Sleeping With Baby A Good Idea?

Posted by Doug on May 7, 2012
Posted in: Uncategorized. Leave a Comment

This little piggy (EXPLORED)
Creative Commons License Photo Credit: John Ryan via Compfight

If anything is as controversial to new mothers as “breastfeeding in public” it’s the discussion (or is it an argument) about sleeping with your baby.

In many cultures, it’s a given that the baby or infant sleeps with his/her mother for at least a few months. The thinking is that this is better for both overall:

  1. It tends to synchronize mother and baby sleep cycles
  2. It encourages breastfeeding during the night because it’s more convenient
  3. Because of this convenience to nourishing milk, baby will fall back asleep faster during the night – and they end up getting more sleep overall
  4. Co-sleeping adds intimacy back into the relationship between the baby and his/her parents if they are gone much of the day

These all seem to be pretty convincing arguments for co-sleeping. But the major counter-argument is that it might be dangerous – and there are several situations where it is dangerous. This is from Pediatrics (The Official Journal of the American Academy of Pediatrics):

There Are Specific Circumstances in Which Bed-Sharing Is Particularly Hazardous, and It Should Be Stressed to Parents That They Avoid the Following Situations at All Times

The task force emphasizes that certain circumstances greatly increase the risk with bed-sharing. Bed-sharing is especially dangerous when 1 or both parents are smokers (OR: 2.3–17.7)64,65,158,166,167; when the infant is younger than 3 months (OR: 4.7–10.4), regardless of parental smoking status64,66,143,158,168,169; when the infant is placed on excessively soft surfaces such as waterbeds, sofas, and armchairs (OR: 5.1–66.9)62,64,65,143,169; when soft bedding accessories such as pillows or blankets are used (OR: 2.8–4.1)62,170; when there are multiple bed-sharers (OR: 5.4)62; and when the parent has consumed alcohol (OR: 1.66).66,171 There is also a higher risk of SIDS when the infant is bed-sharing with someone who is not a parent (OR: 5.4).62

The net-net of this 2011 article (which should be required reading for all new mothers) is that, while having the infant share a room with you is fine, they shouldn’t share the bed. There’s too much risk of:

  1. Getting tangled up and suffocating on sheets, pillows, comforters, or blankets
  2. Being accidentally ”rolled on” while you’re asleep and unaware

Babies do die every year from this, and it would be a tragedy to let a little convenience trump infant safety.

Any opinions on this? I’d love to hear them!

 

 

Natural Sleep Aids – Sleepsheets or Costco – An Opinion

Posted by Doug on May 4, 2012
Posted in: Melatonin, Sleep Aids, Sleeping Pills. Tagged: melatonin, supplements. 1 comment

SERENA WILLIAMS
Photo Credit: paddynapper via Compfight

There’s been a lot of buzz around Serena Williams, her problems with insomnia, and her involvement with the SleepSheets brand of “natural sleep aid”.

They are basically a dissolvable strip that you place on your tongue – because swallowing or chewing is so inconvenient. Each strip contains:

  • 3mg Melatonin
  • 3mg l-Theanine
  • 1mg Goji Berry Extract
  • 1mg Chamomile Extract

The strips sell in packs of 10 for $5.95, with discounts for orders over $50. So it’s about $0.60 a strip.

In comparison, I can wonder down to Costco, and buy the Webber Naturals brand of sleep aid – Super Sleep. It contains:

  • 1mg Melatonin
  • 100mg Theanine
  • 15mg 5-HTP

The Costco price is $41.49 for 180 tablets, or $0.23 cents a tablet. Oh, it’s also a chewable tablet, so there’s about 5 seconds of chewing involved here too.

The Webber formulation isn’t exactly the same as Sleepsheets, but it’s active ingredients are similar (actually, I’d say there’s more evidence that 5-HTP improves sleep than Goji Berry Extract or Chamomile). Everything in these supplements, other than Melatonin, is mostly anecdotal anyways.

So – what’s my point?

I’d say the only innovation here is the dissolvable strip. There are a thousand different formulations of “natural sleep aids” out there – and they all rely on a few basic components (Melatonin and Theanine seem to be common).

I’d even say that the amount of Melatonin in the SleepSheets is too high – you only need about 0.3-0.5mg of Melatonin to have a therapeutic effect. But that’s nitpicking.

Save your money. You can get stuff just as good for less than half the price. But you won’t have Serena Williams’ support!

National Sleep Foundation – Poll Results

Posted by Doug on May 2, 2012
Posted in: Uncategorized. Leave a Comment

hello?
Creative Commons License Photo Credit: splityarn via Compfight

The National Sleep Foundation commissioned WB&A Market Research to conduct a telephone opinion poll, which averaged a little over 13 minutes per phone-call (so it wasn’t trivial), about sleep.

1500 people were interviewed between the ages of 25 and 55, and the surveyors used samples that ensured minorities were represented. This survey/poll should represent a good approximation of the population as a whole (between those age groups).

I have to say that surveys like this can be fairly accurate on the subjective stuff – like how soft is your mattress, and how important is your pillow, but they tend to hold less weight with me when it enters into the objective arena. Questions like how long did you sleep last night can be horribly miscalculated. So when you consider these results, keep in mind that anything that is measured (like time asleep) is a very subjective answer.

So, on to some of the results:

  • Respondents said that they performed their best, or felt best the next day, when they had on average 7:25 (hh:mm) of sleep the previous night.
  • Over 1/3 of the people surveyed said they needed at least 8 hours of sleep to perform well the next day.
  • Over 40% of respondents said that they did not get enough sleep during the week, and 25% of the people surveyed said this was true during days off or a weekend as well.
  • Men were 10% more likely to receive proper, well rested, weekday and weekend sleep than were women.
  • From those that reported receiving a good, rejuvenating sleep, they spent an average of over an hour extra in bed on weekdays and 2 hours extra on weekends.
  • More than 1 in 5 slept alone each night, while 1 in 10 slept with a child and/or a pet.

They included a lot of questions about the quality of your pillows and mattresses – how they felt, how they smelled, how clean they were. Also questions like “do you sleep better at home or in a hotel?”. Do you live in the city, suburbs or rural?

They never dove into tougher subjects like sleeping pill or alcohol use, amount of exercise, or even “do you wake up at the same time every day” (kind of a staple in sleep management). This, to me, would have provided some stimulating data to analyse.

I guess that all the questions they asked are important, and do round out sleep research, but I find most of the survey kind of “fluffy”.

Overall, it’s interesting in a “US-Weekly” or “People Magazine” kind of way, but I’d hardly call it serious sleep research. Go online to have a look for yourself…

 

 

Seeing A Doctor About Your Insomnia Might Not Be The Right Thing…

Posted by Doug on April 30, 2012
Posted in: insomnia, Sleep Study. Tagged: doctor, insomnia. Leave a Comment

medicaldemo
Creative Commons License Photo Credit: Chuck Patch via Compfight

There are some fascinating results from a British study of insomnia (BMC Family Practice), and the treatment thereof by primary care physicians. Seems that your are more likely to still suffer from insomnia after 12 months if you went and saw a doctor, rather than handling it on your own:

“474 participants reporting insomnia symptoms at baseline were followed up at 12 months. 131(28%) consulted for mood problem(s) or received a relevant prescription. Of these 100 (76%) still had insomnia symptoms at one year, compared with 227 (66%) of those with no contact with primary care for this condition (OR 1.37; 95% CI 0.83, 2.27). Prescription of hypnotics showed some evidence of association with persistence of insomnia at follow-up (OR 3.18; 95% CI 0.93, 10.92).”

The study concludes that more investigation need to be done (they always say that), but that the common prescribing of hypnotics by doctors could be a significant factor in the ongoing insomnia.

I’ve often said on this blog that prescriptions are nothing more than a band-aid. Sooner or later, the actual cause of the insomnia has to be addressed.

Please, help me out…

Posted by Doug on April 26, 2012
Posted in: Uncategorized. Leave a Comment

Survey Results
Photo Credit: Juhan Sonin via Compfight

I’m getting some reasonable traffic, and I would really appreciate it if you could take 5 seconds, click here, and tell me how you found this site.

To Nap or Not To Nap – That Is The Question

Posted by Doug on April 24, 2012
Posted in: nap, Sleep, Sleep Cycle, Sleeptracks. Tagged: brain entrainment, nap. Leave a Comment
Definitely taking a nap:-)

Photo Credit: Kasia via Compfight

Napping is a mundane, very natural thing. It tends to coincide with your natural circadian rhythms – shortly after noon, you get a natural drop in your body temperature and get sleepy. It seems perfectly natural that, if you can, a nap is in order.

But if you ask many professionals (ie: doctors) about napping by those affected with insomnia, you’ll likely be told “don’t do it”.

The thinking is that your body relies on a natural sleep drive that builds up during the daytime. Then, later at night, the momentum of this drive is sufficient to get you to sleep. Napping will destroy this momentum. That’s the theory, anyways.

But the actual, scientific (not the anecdotal, unscientific) evidence of the benefits of napping are starting to add up. Just do a search of “scientific study napping” to see what’s there now – lots.

So I say it’s time to throw out that old advice, and grab some mid-day shut-eye whenever you can. Make it part of your daily schedule if you’re able.

How To Nap

There’s a couple of parameters about your nap that you should pay attention to:

  1. Make it short. The ideal time for a nap seems to be about 20 minutes. Strange as this may seem, that short amount of time can make a huge difference in the rest of your day. Even if you don’t fall asleep (I never do), just the quiet relaxation does wonders for your energy (up) and your stress levels (down). Don’t make the mistake of napping too long – the last thing you want to do is fall into a deep sleep (anything over a half hour carries this risk) and then be woken abruptly – we’ve all been woken from deep sleep and it can ruin your day, not improve it. There are lots of timers out there that can make sure you don’t sleep too long (my friends at Sleeptracks even have a Brain Entrainment Nap Track that wakes you up after about 20 minutes – very restful).
  2. Nap early. The best time for napping seems to be between noon and 4pm. This gives your body a chance to bounce back, and not have the nap affect your sleep at night. As much as you might crave it, that after-dinner-snooze can hamper your sleep later that night.

Most of the equatorial world (where we all came from) have an afternoon siesta. It is wired into our genes. Take a nap and improve you life…

Sleep Deprivation and Insomnia Isn’t Only A First World Problem

Posted by Doug on April 20, 2012
Posted in: insomnia, Sleep Disorders. Tagged: insomnia, sleeplessness. Leave a Comment
The Letter Writer

Photo Credit: Rita Banerji via Compfight

I really thought that insomnia was primarily a first world problem. Everyone is stressed out and can’t arrange enough time in their schedules for proper sleep. And even if they do, there’s so much going on that you can’t sleep anyways.

Well, in addition to all the jobs we’ve exported overseas, it seems we’ve exported the stress as well. Some seventy-eight per cent of Kolkata (Calcutta) workers sleep less than six hours!

This is a short article from Dwaipayan Ghosh, of the Times of India, where he talks about the new stress of a fast-paced life:

KOLKATA: Don’t go by the snoozing para shopkeeper, slow-mo Kolkata is losing sleep like just like fast-paced metros as Mumbai and Delhi. Kolkata’s corporate executives – cutting across 18 sectors like IT, management, media and FMCG – are too stressed to have a good night’s sleep, says a survey conducted byAssocham for World Health Day.

Around 78% of working adults across the country – including Kolkata – sleep far less than what is recommended. Half the people in the City of Joy are sleep deprived, the study says.Women are even worse off.

The result: thousands have sought treatment at specialized clinics in the city over the last one year. Experts believe Kolkata is yet to come to terms with the new work culture that entails longer working hours and an often erratic lifestyle.

What comes as a surprise, though, is the very young age of the corporate executives suffering from sleep disorders. While 55% respondents were in the 20-29-year group, another 26% were in the 30-39 age group.

Among a series of health issues, the Assocham survey has focused on sleep, which, it says, reflects the stress and comfort levels of working professionals. As Assocham secretary general D S Rawat mentioned in the report: “Loss of sleep has wide ranging effects including performance deterioration and increased absenteeism,” Rawat said.

Kolkata has not fared poorly, though. It ranks 8th on the list of sleep deprived metros with Delhi and Mumbai topping the chart. But the figures are still alarming and they are spiralling, warned experts. Seventy-eight per cent sleep less than six hours. This is inadequate, say neurologists. It could affect your performance level and lead to anxiety, irritability and loss of memory.

The ASSOCHAM survey lists nine different concerns respondents mentioned as the major reasons for their sleep deprivation. Topping them are lifestyle factors like excessive use of caffeine, extreme noise and even constant change of temperature (working in an AC environment for hours). Most Kolkata doctors agree.

While age-induced insomnia would be the most common form of sleeplessness till about a decade ago, now it is stress and anxiety which are making younger people lose sleep, according to TK Banerjee, consultant and head of National Neuroscience Centre, Kolkata. “Those in the age-group of 35-50 suffer from insomnia more often than the elderly. Work-related tension, long hours and late nights are responsible. They are indulging in an overdose of stimulants like coffee, tea and alcohol to drive away stress which actually backfire. These might act as temporary stress-busters but they upset your body clock. Sleep is the most obvious casualty and it is taking a heavy toll on both personal and professional lives,” said Banerjee.

Middle-aged professionals form the largest chunk of patients in city sleep clinics. They are stressed, have unhealthy eating habits and erratic schedules, pointed out Suresh Ramasubhan, in-charge of the Apollo Gleneagles sleep laboratory. “Obstructive sleep apnoea (OSA) is still the most common cause but stress, anxiety and depression now run it close. In adolescents, psycho-physiological insomnia or depression-induced sleeplessness is common. In fact, sleeplessness could lead to depression and vice versa. Both are common in Kolkata now,” said Ramasubhan.

Sleep laboratories like the one at Apollo use polisomnography to monitor brain waves during sleep. “We have 16 parameters that help to assess sleeping patterns and identify the cause of insomnia,” added Ramasubhan.

Rajiv Roy, an IT executive, started working late from December. By February, Roy was sleeping just three hours every night. “It came down to just one till I could not get any sleep at all. After about a fortnight I felt I was losing my sanity. My psychiatrist referred to me to a sleep clinic which helped,” said Roy.

Shruti Biswas, a 48-year-old housewife, had mild insomnia when her son went off to Bangalore to study. “I kept worrying about him and started losing sleep. Sleeping pills would be enough, I thought. But it went from bad to worse and after about a month, I couldn’t sleep at all,” she said. Shruti is now under treatment at a specialized neurological centre. There are yet others who complain that they keep sleeping in fits and starts. SK Kapoor, a Kolkata-based executive, sought treatment at a city clinic after years of suffering from insomnia. “I have not slept well for years. I keep tossing and turning in bed. Lack of quality sleep makes me feel tired and I can’t concentrate on my work during the day. My energy level has gone down, too,” said the 37-year-old Kapoor.

So, how much of sleep is enough? Each individual’s needs are different, say experts. For some, five to six hours could be enough, while others may need eight to nine hours of sleep. “The only condition is that you sleep sound. Disturbed sleep is the first indication of insomnia and it should be addressed immediately,” said Ramasubhan.

If you have not been able to sleep well for more than 3-4 weeks, and it is affecting your work, it’s time to consult a doctor says Banerjee.

SleepTracks Reviews – I Think They’re Missing The Point

Posted by Doug on April 18, 2012
Posted in: insomnia, Isochronic, Zeo. Tagged: brainwave entrainment, insomnia, isochronic tones, sleeptracks. Leave a Comment

I’ve read several reviews for Sleeptracks and almost all of them concentrate on the brainwave entrainment part of Yan Muckle’s program. In fact, the reviews spend most of their time talking about whether the isochronic tones embedded in Yan’s entrainment soundtracks help them fall asleep or stay asleep. There seems to be about a 60/40 split between those it helps and those it doesn’t.

Many of the “reviews” are simply marketing sites trying to get an affiliate link (I am too, but not so over-the-top).

I’ve reviewed Sleeptracks before on this site, but I can’t help but comment again about my own experience.

Here’s my point. I found Sleeptracks early in my days of chronic insomnia. I went through the entire program (5 online videos – some longer, some shorter) and listened to all the tracks (5 in total). I figured that if the $69 package resolved the insomnia issue, it would be a bargain.

At first, I really thought the entrainment tracks were helping me – there was one for general insomnia, another for falling asleep, and yet another to play all night. The soundtracks are actually quite soothing, but after a few months of trying every night, and measuring my sleep with a Zeo Sleep Monitor, there was no measurable difference.

But that’s not the point.

My point is that Yan’s program got me up to speed with my insomnia, and the factors that likely affect it, super fast. I now know more about my own condition than anyone should have to. And I credit Sleeptracks for starting me on this journey.

If the brainwave entrainment soundtracks helps you sleep, than this is a home run. If all you do is try and see if they work, and they don’t, then all you gain is a pretty good understanding of your condition and where to go next.

For me, it started the whole process of writing a blog about sleep (thanks for visiting). I think this is a good enough program that I’ve asked to become an affiliate of Yan’s (links are in the text of this post – again, thanks).

In all of my research there is one overwhelming common denominator in conquering my insomnia – knowledge. With SleepTracks, The Zeo Sleep Management System, and reading everything I can about insomnia I can say I have a pretty good handle on my condition, and can manage it (it has never really gone away) quite well…

 

Five Things That The Zeo Sleep Management System Helped Me Figure Out

Posted by Doug on April 16, 2012
Posted in: Sleep Hygiene, Zeo. Tagged: brainwave entrainment, Zeo. Leave a Comment
Zeo Sleep Manager Mobile iOS and Android

The Zeo Sleep Manager - Mobile Version for iOS and Android

I have been using the Zeo system off and on for several months now, and have now entered what I’ll call the maintenance mode of monitoring my sleep.

For the first three months or so, I would diligently wear the Zeo system to bed every night, log the results to my Android smartphone, and update the online journaling ap (from the Zeo website) every morning.

After examining the data every which way I could, including downloading it into my own spreadsheet for even more manipulation (the Zeo user website does a lot of it on it’s own), I came to a few conclusions about my own sleep:

  1. General Sleep Hygiene principals had the greatest affect on my sleep - especially waking up at the same time every day, and eliminating TV/computer use within an hour of going to bed.
  2. I found that actually reading in bed before going to sleep was helpful – I tended to fall asleep much faster than if I didn’t read at all. I read for about 1/2 hour in bed every night (but nothing too stimulating). I know this is one of the “don’t do this” items in the sleep hygiene list, but I did it anyways.
  3. I tried all kinds of supplements and sleeping pills – Valerian tea, melatonin, tart cherry, benzodiazapine, doxylamine succinate, and others, but the only one that seemed to work for me was a calcium/magnesium supplement taken around dinner time.
  4. Try as I might, the brainwave entrainment exercises (Sleeptracks – which I recommend even if the entrainment doesn’t work for you – the sleep knowledge you gain is worth the price of admission) were a big non-starter for me. I found myself anxious when I would think “the isochronic track is almost over and I’m not asleep yet”. For me, it caused more anxiety than it calmed.
  5. The final thing the Zeo helped me figure out was “Data is King”. You are a really bad estimator of your own sleep. You need some help. The Zeo provided me with the data to prove I had slept when I thought I hadn’t. I got way more sleep than I thought (often, hours more). The information I gleaned from the Smartphone-accelerometer apps paled in comparison to the real sleep data I got from the Zeo.

A NIght When I Thought I Had ZERO Sleep

I’m a big Zeo proponent. It provided insight that I couldn’t get any other way. I still don’t know about any other equally priced brainwave analysis device that can give you this kind of EEG-like data. For $100, it’s worth it.

 

Intermezzo – Is This Progress?

Posted by Doug on April 12, 2012
Posted in: insomnia, Sleeping Pills. Tagged: Ambien, Intermezzo. 1 comment
A Sight For Sore Heads

Photo Credit: Bonio via Compfight

I have no idea if Intermezzo is going to look anything like this … it’s being sold as a sub-lingual (under the tongue) middle-of-the-night sleep aid.

Insomnia in North America is on the rise. Some 20% of us report ongoing problems with our sleep. And many (most) of us resort to some kind of pharmaceutical to help us get the sleep we crave. This is kind of a trend in modern medicine – treat the symptom, not the cause.

What Is Intermezzo?

Intermezzo’s creator (well, not really), Transcept Pharmaceuticals, has taken the common sleep drug Ambien (Zolpidem Tartrate) and changed the dosage so it’s eliminated from your bloodstream a bit faster – although Ambien already has the shortest half life (effective life) of all the sleep medications – about 4 hours in most people. Common dosage for Ambien is around 10mg, while dosage for Intermezzo will be between 1.75 and 3.5mg.

Intermezzo will be sold not only in a decreased dosage, but as a sublingual product. The thinking is that when taking a drug sublingually, it enters your bloodstream quicker – and by extension should be eliminated sooner. That’s why Intermezzo is being marketed as a middle-of-the-night drug, to be taken if you awaken more than four hours too early and can’t immediately get back to sleep.

People commonly take half-doses of Ambien in the middle of the night (orally and sublingually) to get the exact same benefit/effect.

This is a breakthrough?

This Is A Huge Marketplace

It’s just marketing. And the people at Transcept Pharmaceuticals know that if you throw enough money at something, you can influence a lot of people.

This is an old drug with a new name. Catchy name, I’ll grant you that – and it seems to go well with the intended use – Intermezzo is both a bridge between two acts or pieces of music and now a bridge between sessions of sleep in the middle of the night.

But the fact of the matter is that Ambien (Zolpidem Tartrate) is a generic drug as of last year. Prices for it now are about $18 for 30 tablets (about $0.60 a tablet). It’s even available sublingually. I’m sure Intermezzo will cost a lot more.

The Marketing Campaign

This, in my opinion, is the scary bit. Trascept has sold the marketing rights to Intermezzo to Purdue Pharma. Trascept is spending $100 Million Dollars over the next 12 months to promote this “new” drug.

Purdue Pharma is the same company that markets OxyContin.

What kind of society are we where a company can re-brand an existing product, spend a huge amount of money marketing it, and then fully expect to make bucket loads of cash in the process?

Gullible.

An eBook About Sleep

Posted by Doug on April 10, 2012
Posted in: eBook, Kindle, Uncategorized. Tagged: eBook, Kindle. Leave a Comment
Evolution of Readers

Photo Credit: John Blyberg via Compfight

I’ve been thinking seriously about taking all of the posts that I have, throw in a little editorializing and updating, and wrapping it all together in an eBook for the Kindle (and the Nook, and the Kobo if I can figure out how to do it).

I really had no idea how much material I’ve accumulated until I tried to put it all into a single document – it’s a bit overwhelming at first.

I got this idea from several of the books I’ve read lately – and none of them came from mainstream publishers – they were all self-published and I got them for my Kindle.

Although they have nothing at all to do with this blog, sleep and insomnia seem to be where my current “expertise” lies. The books I’ve tried recently include:

Life Nomadic
How to Travel Full Time
My Exile Lifestyle

And several others. They cost from $0 to $2.99 each, so buying them was pretty impulsive, and included no guilt at all.

I would have spent more money walking to the produce store to buy a head of broccoli.

So this seems to me a reasonable thing to do – an all-encompassing diatribe on sleep and insomnia that you can read on your Kindle for $0.99 (I want to get something back for the hours it’s going to take).

What do you think – would you spend $0.99 to get the content of a blog in some kind of organized way? Do you buy impulsive ultra-inexpensive books?

Menopause, Bioidentical Hormones and Alternative Therapies

Posted by Doug on April 5, 2012
Posted in: Uncategorized. Leave a Comment

I wrote a post a few weeks ago (actually, a couple of them) about HRT, and I thought this was an interesting article to read as well.

I’ve since seen several TV interviews and news articles about the HRT debate (I don’t know if I’m just more aware or there really is increased attention), but this latest one caught my eye… the article is by Shawn Tassone, MD, and it’s located at Psychology Today.

Families That Sleep Together Stay Together?

Posted by Doug on April 5, 2012
Posted in: Uncategorized. Leave a Comment

tiny foot
Photo Credit: Pawel Loj via Compfight

I’ve thought a lot about this post, as there seems to be two very different camps/opinions on it:

  1. Babies belong in their own bed in their own rooms. It’s well enough to have baby in a basket beside your bed for the first few months, but after that they need to get used to their own room – away from mom. They’re never in the same bed as the parent(s).
  2. Babies belong with their parents, in their bed, for several months at least. They need the comfort and security, and it’s more convenient for mom for feeding and calming the infant.

The two different opinions vary a bit on when baby should moved out of the parent’s room – some say weeks, some months, and some years.

I would propose that (1) above is the safer of the two methods. It’s only a matter of when they have their own room.

First, there’s no chance of an adult rolling onto the child as they sleep. We’re unconscious when we sleep, so we have no idea what we’re doing. This is in addition to the fact that sheets and blankets can get tangled up really easy – and suffocate a small child (especially one who can’t really move yet).

The second point is that the child, sooner or later, has to learn to fall asleep on their own. I’ve got personal experience with a child who gets used to “being soothed to sleep” every night – and it becomes a habit. So that child will not sleep unless they’re soothed by someone in particular. It’s trivial enough when the baby is a one year old. Not so funny when they’re seven!

Now, the matter of their own room. I would suggest that the time for this is as soon as they are able to roll over on their own. I know that’s kind of arbitrary, but the timing seems to be about right. Once they have a room of their own, it’s really important to make sure that they sleep as safely as possible (read the link).

What have you had success with? What’s been a dismal failure?

 

 

Neuro-Linguistic Programming and Sleeping Better?

Posted by Doug on April 3, 2012
Posted in: Meditation. Tagged: NLP. 1 comment

Progress
Photo Credit: Kevin Dooley via Compfight

Often, when we talk about improving our sleep, the topic of Neuro Linguistic Programming (NLP) comes up.

Instead of diving into the “official” definition of NLP (which is easy enough to find in Wikipedia), I’ll give you my interpretation of NLP and it’s use in managing sleep. The two are related, but one is a whole philosophy and therapy, while the other is just a “technique”. We’re interested in the technique.

NLP was very big in the 70′s and 80′s, but has since been put into disrepute – it’s often called pseudo-science or rubbish. I can agree with it’s detractors on the grander claims of this therapy, but for sleep I’ve found that it’s quite effective.

The whole idea about NLP and sleep is to take control of your thoughts. What you say to yourself becomes a reality for yourself. Some of the most powerful sleep enhancement techniques I’ve discovered involve “talking to myself” and changing my own beliefs – note that there’s no “therapist” involved here at all.

Here are some of the prevalent thoughts I had before using this angle on NLP:

  1. The harder I try, the less I sleep.
  2. I’ll be a wreck in the morning if I don’t get to sleep in the next twenty minutes.
  3. This sleep isn’t getting better – it’s getting worse.
  4. I cannot function if I don’t get at least six hours of sleep tonight.

Now here’s what I say to myself today:

  1. If I sleep or don’t sleep, it’s not that big a deal. One or two nights is a non issue.
  2. I will function just fine tomorrow regardless of how much I sleep last night (notice I didn’t say “how little I sleep last night”).
  3. My sleep has continued to improve. I may have ups and downs, but the trend is good.
  4. If all I do is lay here and relax, I’ll perform just fine in the morning.

The secret to success with the NLP-like “training” is to change every negative thought you have about your sleep into a positive one.

Whenever you catch yourself thinking these negative thoughts – change them into  positive ones. If you do this consciously for a couple of weeks, you’ll forget all the negative stuff, and will continue to reinforce the positive ones. And then you’ll find that your sleep improves.

There’s a vicious cycle of “sleep talk” that reinforces itself. Use that same cycle, turn it around, and have it reinforce your positive thinking about sleep.

 

Why Sleeping With Pets Is A Bad Idea

Posted by Doug on March 29, 2012
Posted in: Uncategorized. Leave a Comment

Didja Ever Have One of Those Days . . .
Photo Credit: Faith Goble via Compfight

OK – this is likely a non-negotiable with many of you – myself included (my wife refuses to acquiesce on this). But the bedroom or the bed is no place for your pet – dog, cat, canary, snake, hamster, whatever.

The fundamentals of good sleep aim to get us much closer to a clean, neat, quiet, dark place for an uninterrupted period of time – like eight hours or so. You cannot do this with a pet in your bed or your bedroom.

  • Pets move around and reposition themselves all night.
  • Pets make noise – intentional and unintentional.
  • Most pets shed or have dander on their skin that can be irritating to your airway.
  • The sleep that pets get is different from ours – they are often “half awake” and “alert for danger” during the night. When was the last time you had to wake a pet up to get out of bed in the morning? They’re always ready to go.

The bottom line is that pets disturb your sleep, whether you consciously know it or not.

The best thing for you is to move the pet out of your bedroom to someplace warm (hot hot) and comfortable. Preferably out of earshot of anyone that could be disturbed by them (like you or your neighbors – so outside is a bad idea).

There’s a very good chance that a dog will bark all night long for several nights. Don’t give in. Make sure that the barking doesn’t disturb you or anyone else, and stick with it. After a period of adjustment, the dog will figure out that this might just be permanent – and stop the barking. If the barking never stops, get some help and advice about it – there are lots of techniques to control it.

Most other pets shouldn’t be an issue – cats are generally quiet anyways. Birds tend to settle down once it’s dark. Reptiles – I really have no idea.

Once you can get into this “habit”, and the pet adjusts to it as well, you’ll find that sleeping without pets in the bedroom was one of the best moves you made to improving your sleep…

 

Posts navigation

← Older Entries
  • Search Build Better Sleep

  • Subscription Options:

    Subscribe via RSS Subscribe via Email Subscribe via Twitter Subscribe via Facebook
  • Learn More About Your Sleep

  • Recent Posts

    • Popular Sleep Bloggers That I Follow
    • What is 5-HTP, and Why Is It Used For Sleep?
    • What Is L-Theanine, And Why Is It Used For Sleep?
    • The Quantified Self – Fitness Equipment to Measure Sleep
    • Sleep Better By Being Cautious With Electronics At Night
  • Popular Posts

    • Why Use Calcium and Magnesium Supplements As A Sleep Aid?
    • Eight Natural Cures For Sleep Apnea
    • Zeo Sleep Manager
    • Valerian Root As A Supplement For Sleep and Insomnia
    • What’s The Right Dosage When Taking Melatonin For Sleep?
  • Favorite Sleep Tools

Proudly powered by WordPress Theme: Parament by Automattic.