Symptoms, conditions and causes

Why do I wake up in the middle of the night?

Waking up in the middle of the night whether to urinate or for some other reason can be discomforting, especially if you can’t get back to sleep. Normally, the human body should be able to sleep through the night.

Cause #1: High blood sugar / high insulin

Diabetes, pre-diabetes and even insulin resistance are tightly connected to having high blood sugar. Consuming carbs and sweets will increase blood sugar. As a result of having high blood sugar you can wake up to urinate at night.

Insulin is a hormone that lowers your blood sugar levels. This hormone also has a connection to your ability to hold the bladder.

The solution to this is to reduce the intake of carbs.


  • Avoid snacking

  • Avoid carbohydrates/sweets

  • Intermittent fasting

  • Healthy Keto®

(Note: if you have diabetes or pre-diabetes, consult with your doctor prior to applying the above remedies.)

Cause #2: High cortisol

Cortisol is a stress-regulating hormone. If you don’t feel rested after sleeping or you wake up in the middle of night and are not able to go back to sleep this could be due to being exposed to long-term stress.


  • Take vitamin B1 (nutritional yeast)

  • Improve sleep (take naps if needed)

  • Take long walks

  • Avoid things/people that stress you out

  • Take vitamin D3

Cause #3: Caffeine

Caffeine is a stimulator which can keep you up at night and cause you to have poor sleep. It takes time for the liver to detoxify such stimulants. Too much caffeine from coffee and tea will prevent the body from fully relaxing.


  • Gradually cut the tea/coffee consumption

  • Try to take caffeine in the first part of the day only

  • You may want to cut this down to 1 small cup in the a.m.

Cause #4: Too much artificial light

If you are sitting at a computer all day, staring at the LED screen is not good for the activation of certain hormones that help you sleep at night.


  • Try to not use electronic devices for few hours before going to bed

  • During the day: get natural sun, go for a walk, and allow the sunlight to hit your face

Cause #5: Vitamin B1 deficiency

B1 is directly involved in breathing. If you’re deficient in B1, you’re going to have a hard time breathing at night. The solution would be to increase the B1 intake and to get rid of reasons why you’re deficient in B1. In many cases, people are depleted of B1 because of a high-carb diet.


  • Take B1 (nutritional yeast)

  • Avoid carbohydrates

Cause #6: Altered pH (too-acid or too-alkaline body)

Your body may be too alkaline or too acidic. Let’s look at the symptoms of being too alkaline (alkalosis) or being too acidic (acidosis) as both of them can potentially cause sleep problems.

Alkalosis: If you’re too alkaline, your muscles are going to be tense and tight, which can cause cramping at night and in general.


  • Take apple cider vinegar (1 to 2 teaspoons stirred into about a cup of water)

  • Take betaine hydrochloride

  • Take vitamin D3

Acidosis: If you’re too acidic, you can have air hunger or a higher pulse rate and you also may feel restless. These can cause difficulty with sleeping through the night. The solution is to alkalize the body.

  • Take calcium

  • Take magnesium

  • Take potassium

  • Avoid apple cider vinegar and betaine hydrochloride

Last updated: Dec 29, 2023 08:53 AM