acheter viagra

Is it ADHD or Sleep Apnea? How to know the difference in kids (Part III)

First Lady of Sleep Lisa Mercurio concludes her interview with Dr. Daniel Barone regarding sleep apnea, the warning signs not just for children, but for adults too.


LM: How are poor sleep and eating connected and why are we hearing so much about weight gain due to a bad night's sleep?


DB: For instance, Leptin, Grehlin.  These are hormones that control our hunger.  When you are not sleeping well from apnea or some other problem, these hormones might go out of whack and these receptors are not as sensitive.  In essence, we develop a resistance and the brain and body don’t have the signals that say, “I’ve had enough to eat.”  These people end up eating a lot more.  As a result, they are gaining weight and the cycle just continues.


LM: Our nutritionist, Gayle Reichler, has covered a lot about sugars.  When you are tired, one seems to reach for the fast processing carbs.  In fact, a woman came up to me at a symposium and she said, “I eat, matzoh and butter in the middle of the night.” I told her to change her “Go To” food, or perhaps try and figure out why she’s waking up at 2 pm.  Keep midnight snacks in the low calorie range.


DB: You want to set yourself up with good nutrition as a further part of good sleep habits.  Don’t go to bed too full but don’t go to bed hungry either.


LM: I’ve had active dreams that say, “hungry Lady…get up and eat.”


DB:  Absolutely, if need be, a small snack like a banana or nuts before bed would be fine.


LM:  What about the Ambien that makes people get up and eat?


DB: That’s a problem.  That’s sleepwalking and if that happens I would take them off the Ambien.  In the medical literature, it is reported less than 1% of the time.


LM: Any words of wisdom for our next generation?  I think we’ve not yet seen how bad the issue of sleep deprivation will be for the next generation and it worries me.


DB: It’s very troubling.  Add the obesity, and use of blue-light technological gadgets, and lack of putting importance on sleep into the fact that we’re a 24-hour society downing energy drinks left and right and it’s not a good long-term prognosis. Please put sleep on a priority basis.


LM: I do think that I’ve seen in teens the acceleration of anxiety from lack of sleep.  A teen should not be getting behind the wheel of a car, (nor should anyone) --- if they haven’t had enough sleep.


DB: That’s absolutely right.  They’ve done studies on people that haven’t slept demonstrating errors in judgment despite feeling ok. And then highest rates of motor vehicle accidents are amongst young males due to testosterone, etc. and that they have a lesser ability to see things to the end.


LM: These brains are not finished developmentally…


DB: Correct.  And, because they don’t have the ability to make good decisions and you add to that lack of sleep – the frontal lobe controls are reduced and executive decision- making is less intact.  Seriously, if you add lack of sleep to the inability to make good decisions, sleep deprived people on the whole can be more impaired than those that are legally drunk.


LM: Something as basic as sleep really needs to be a higher priority.


DB: One thing I want to mention that when people hear the term sleep apnea they might think it means they’re going to choke and die in their sleep.  No. It doesn’t really mean that.   The problem is that your body wakes you up in some cases many times per hour, and over time, it can lead to many problems including poor sleep quality.


LM: At the end of the day, you cannot ignore your sleep.


DB: There is a reason why we spend a third of our lives doing it.


LM: Either give into the idea that you need to sleep and sleep well or suffer the consequences, right?.


DB: Trying hard to sleep is not something I would recommend.  We have to allow ourselves to sleep.  And we do that by putting ourselves in the best position to sleep.


LM: I would however, recommend that if you or someone you love is having trouble sleeping, try seeing Dr. Dan Barone.


Thank you for your time.  Always revelatory and always comforting, we look forward to speaking to you again.