Let’s Sleep On It

I have been remiss. Thank you to Rick from RDM Concrete (602.695.1789) for laying the concrete under flooring for the library – and come to think of it –  the pad underneath the spa we moved here from Bear’s house.  AND, tada, to Tom and Mark from Tomark Contracting LLC (623.258.5800) for the library, including the handmade window seat.  I am so lucky to keep running into superior people who have delightful personalities and do excellent work. This includes house painter Felix W. Dukepoo and his crew (623.806.5266).

You simply have to give credit where credit is due.  You see you start, the next  person follows your lead, someone else follows their example  and so on and so forth until everyone in the whole world knows (s)he is appreciated.

Of course you’re wondering what this has to do with chronic kidney disease.  I mean I would be by now. Here’s the tie-in: I’ve been reading quite a bit about the importance of sleep with Chronic Kidney Disease. In addition, one of the first things my nephrologist mentioned – after hearing my schedule – when he discussed lifestyle changes was the importance of a minimum of eight hours of sleep per night.

If I’m crowded (you should have seen the hallways, the living room and the family room overflowing not only with books, but book cases.), worried that the 115 degree heat here is making my house paint chalk (which allows more heat in than normal) or wistfully thinking about the screened in porch I was no longer comfortable using (due to heat? CKD? Age?), I am not going to get a good night’s sleep. By the way, that porch is now the library.

These articles will make clear just how important that is. Keep in mind that you are already at higher risk for having a stroke simply because you have CKD.  Add diabetes and/or hypertension and that risk is heightened.

Lack of sleep increases stroke risk

By Janice Lloyd, USA TODAY [yesterday]

The 30% of working adults who routinely sleep less than six hours a night are four times more likely to suffer a stroke, says a new study.

The findings are the first to link insufficient sleep to stroke; they’re also the first to apply even to adults who keep off extra pounds and have no other risk factors for stroke, says Megan Ruiter, lead author of the report. It will be presented Monday at the 26th annual meeting of the Associated Professional Sleep Societies in Boston.

“People know how important diet and exercise are in preventing strokes,” says Ruiter, of the University of Alabama in Birmingham. “The public is less aware of the impact of insufficient amounts of sleep. Sleep is important — the body is stressed when it doesn’t get the right amount.”

Strokes occur when blood to the brain is restricted or cut off.  Stroke is still the fourth-leading cause of death in the USA. Smoking, being overweight and inactivity are key risk factors.

Notice chart from the Centers for Disease Control and Prevention.  You can read the entire article at: http://www.usatoday.com/news/health/story/2012-06-11/sleep-stroke-risk/55506530/1?csp=34news&utm_source=feedburner&utm_medium=feed&utm_campaign=Feed:+UsatodaycomHealth-TopStories+(News+-+Health+-+Top+Stories)

The American Academy of Sleep Medicine seems to agree as noted in EurekAlert today:

Top risk of stroke for normal-weight adults: Getting under 6 hours of sleep

DARIEN, IL – Habitually sleeping less than six hours a night significantly increases the risk of stroke symptoms among middle-age to older adults who are of normal weight and at low risk for obstructive sleep apnea (OSA), according to a study of 5,666 people followed for up to three years.

After adjusting for body-mass index (BMI), they found a strong association with daily sleep periods of less than six hours and a greater incidence of stroke symptoms for middle-age to older adults, even beyond other risk factors. The study found no association between short sleep periods and stroke symptoms among overweight and obese participants.

“In employed middle-aged to older adults, relatively free of major risk factors for stroke such as obesity and sleep-disordered breathing, short sleep duration may exact its own negative influence on stroke development,” said lead author Megan Ruiter, PhD. “We speculate that short sleep duration is a precursor to other traditional stroke risk factors, and once these traditional stroke risk factors are present, then perhaps they become stronger risk factors than sleep duration alone.”

The entire article can be found at:  http://www.eurekalert.org/pub_releases/2012-06/aaos-tro053112.php.

Arizona Kidney Disease and Hypertension Centers is where I see my nephrologist.  Thanks is due to another  of their nephrologists for his continual outpouring of ideas for me.  That’s you, Dr. Jamal Atala. One of his ideas brought me back to Tamara Jensen at their main office in Phoenix.  Tamara is the person responsible for placing What Is It And How Did I Get It? Early Stage Chronic Kidney Disease at the very top of their patient resource list.  She is also the one responsible for implementing Dr. Atala’s suggestion of fliers in each of their 19 centers.  Thank you both! This is the flier:

What Is It and How Did I Get It? Early Stage Chronic Kidney Disease provides basic information for those diagnosed with kidney disease and their loved ones, covering everything from a glossary of medical terms to what to expect at a doctor’s visit, what tests look for, the need for exercise and renal nutrition. An overview of publications offers resources for further reading. In keeping with the spirit of letting newly diagnosed patients know they are not alone, the book describes other patients’ initial reactions to their diagnosis as well as the author’s own experiences.

Chronic Kidney Disease is not a disease that can be cured at this time. The idea is for the patient to retard the progression of the disease as much as possible. Hence, the renal diet, the need for exercise and all those oh-so-necessary blood and urine tests. Somehow, magically, when you understand something, it doesn’t seem as frightening. Helping you understand your diagnosis or that of a friend, family member or loved one and how the disease is treated is precisely what this book does. Knowing you’re not alone in trying to figure this all out can make it easier for you to understand what is happening to you and – possibly – why.


        Available in both print and digital at

    Amazon.com and BarnesandNoble.com


      contact Gail for an autographed copy



Phone: (623) 266-2609
Twitter: WhatHowEarlyCKD
Blog: https://gailraegarwood.wordpress.com
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Until next week,

Keep living your life!