Kuala Lumpur, Malaysia – March 27, 2026 – In the latest edition of the popular weekly health column “Living Well with Diabetes”, Dr. Annie Tan, Malaysian endocrinologist and certified Traditional Chinese Medicine (TCM) physician, addresses a frequent concern: “Why do my morning readings spike after a poor night’s sleep?”
The column explains the strong connection between sleep quality and blood glucose control and offers practical strategies that combine Western and Traditional Chinese Medicine (TCM) approaches.
Key Insights from the Column
From a Western medicine perspective, insufficient or fragmented sleep impairs insulin sensitivity, increases stress hormones such as cortisol, and can elevate fasting blood glucose as well as overall A1C levels. Poor sleep also influences food choices and reduces energy for physical activity. Dr. Tan recommends aiming for 7–9 hours of quality sleep each night. Effective strategies include maintaining a consistent bedtime routine, limiting screen time before bed, and seeking treatment for conditions like sleep apnoea if present.
From a Traditional Chinese Medicine (TCM) viewpoint, sleep is essential for restoring Yin and essence, particularly kidney and liver Yin, which are often depleted in diabetes (known as “Xiao Ke”). Insomnia or restless sleep may result from heart-kidney disharmony, liver Qi stagnation, or internal heat. To support better sleep, TCM suggests practices such as Qigong, gentle evening walks, and calming herbal teas (used only under professional guidance). Warm, light dinners and avoiding late-night stimulation also help support spleen and kidney function.
Combined approach: The column advises prioritising good sleep hygiene from Western medicine while incorporating TCM mind-body routines for deeper restoration. Better sleep quality often leads to steadier blood glucose levels, fewer cravings, and improved daily energy. Dr. Tan encourages readers to treat sleep as a core pillar of diabetes management.
“Many people with diabetes notice higher morning blood sugar after a bad night’s sleep,” said Dr. Annie Tan. “Improving sleep quality through consistent routines, stress reduction, and gentle mind-body practices can make a significant difference in glucose control and overall wellbeing. Good sleep is not a luxury — it is an important part of effective diabetes management.”
This column is part of the ongoing 20-week series “Living Well with Diabetes”, which provides practical, everyday guidance by blending Western clinical guidelines (including the Malaysian Clinical Practice Guidelines on Management of Type 2 Diabetes Mellitus) with TCM principles.
About Sante Wellness TCM Pte Ltd
Sante Wellness TCM Pte Ltd is a wellness centre specialising in Traditional Chinese Medicine services, including meridian therapy and holistic care. For more information, visit www.sante-wellness.com.
About Fu Neng Yuan Sdn Bhd
Fu Neng Yuan Sdn Bhd is associated with innovative health solutions, including Low Frequency Pulse Therapy. For more details, visit fnyglobal.asia.
The full column is now available in print and digital editions. Readers are encouraged to follow the weekly series for more useful advice on living well with diabetes.
The column is for informational purposes only and does not replace personalised medical advice. Readers should always consult their doctors or qualified registered TCM practitioners for individual care.

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