Do you find yourself waking up multiple times during the night to use the bathroom? If so, you may be experiencing a condition called nocturia, or frequent urination at night. Nocturia can significantly disrupt your sleep and affect your overall quality of life. Let’s delve into this common issue and explore some possible causes and potential remedies.

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Nocturia Explained

Nocturia can occur due to various factors. One primary cause is an overproduction of urine during the night. This can happen when the kidneys produce more urine than usual, leading to an increased urge to urinate. Another possibility is reduced bladder capacity, where the bladder cannot hold as much urine as it should, causing frequent trips to the bathroom.

Nocturia can lead to:


Blood sugar problems 

Carb cravings 

Increased cortisol (which affects your mood)

Issues with your cognitive function 

Frequent urination causes 

This problem happens equally in men and women. Frequent urination in women is often thought to be caused by a urinary tract infection, and frequent urination in men is often thought to be caused by an enlarged prostate. But, while these could be factors, there is something else that is more common. 

Diabetics nearly always have problems with urinary frequency. People who have diabetes have high blood sugar levels and high levels of insulin (unless they have type 1 diabetes). In a study related to dogs, it was found that when insulin was administered to the dogs, they had significant urine output. Insulin inhibits the adrenal hormones that hold urine.

High levels of insulin are also nearly always found in people who have overactive bladder syndrome.  Doctors never seem to test insulin levels. But, I believe the most likely situation that causes urinary frequency is high levels of insulin. Snacking at night is a big cause of high insulin throughout the night. Even a low-carb snack will raise insulin.

What you can do for nocturia:

  • Stop snacking at night (don’t eat or drink after 6:30 pm)
  • Consume less than 30g of carbs per day (Healthy Keto diet) 
  • Do intermittent fasting 
  • Pelvic floor exercises: Strengthening your pelvic floor muscles through exercises like Kegels may improve bladder control and reduce nocturia episodes.


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