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, tackles an under-discussed factor: “Why do my readings sometimes rise even when my food choices seem correct?”

The column explains the hidden impact of stress and sleep on blood glucose levels and offers practical strategies that combine Western medicine with Traditional Chinese Medicine (TCM) insights.
Key Insights from the Column
From a Western medicine perspective, stress hormones such as cortisol can directly elevate blood glucose, while poor or insufficient sleep impairs insulin sensitivity. Dr. Tan recommends aiming for 7–9 hours of quality sleep each night and incorporating simple stress-reduction techniques like short walks or mindfulness practices. Improved sleep and stress routines often lead to better morning glucose readings. Readers are encouraged to seek professional support if stress or sleep problems persist.
From a Traditional Chinese Medicine (TCM) viewpoint, emotional stress is frequently linked to liver Qi stagnation, which can disrupt the spleen and kidney systems. Sleep is seen as essential for restoring Yin and essence. Practices such as Tai Chi, Qigong, acupuncture, or calming herbal teas (used only under qualified guidance) help regulate emotions, calm the mind, and promote restorative sleep. Overwork and excessive worry are viewed as depleting vital energy.
Integration of both approaches: The column advises addressing both the physiological aspects (through Western monitoring and sleep hygiene) and the energetic aspects (through TCM’s focus on balance and gentle movement). Consistent routines combining good sleep habits, light physical activity, and effective stress management can lead to more stable blood sugar control.
“Stress and poor sleep can quietly undermine even the best dietary efforts,” said Dr. Annie Tan. “By understanding these hidden influences and applying both Western strategies and TCM mind-body practices like Tai Chi and Qigong, people with diabetes can achieve steadier glucose levels and better overall energy. Managing stress and sleep is a powerful yet often overlooked part of diabetes care.”
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.