If you’re lying awake at 3 a.m. watching your blood sugar numbers while the rest of the world sleeps, cognitive behavioral therapy for insomnia (CBT-I) is your most effective first step. This structured, non-medication approach directly addresses the thought patterns and behaviors keeping you awake, and leading medical organizations including the American Academy of Sleep Medicine now recommend it as first-line treatment for chronic insomnia in 2026.
For people managing diabetes, insomnia isn’t just frustrating. It creates a vicious cycle: poor sleep drives insulin resistance higher, blood sugar becomes harder to control…








