Nocturia isn't always a prostate problem! The relationship between insulin resistance and frequent nighttime urination – something every Hong Kong resident should know.

Dr. Eric Berg explained that frequent nighttime trips to the toilet are actually 95% of the time not due to prostate problems, kidney stones, or urethritis, but rather to insulin resistance . Without addressing the root cause, neither medication nor prostate supplements will be effective.

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🧪 Insulin resistance is a major cause of nocturia.

Insulin resistance means that the body's response to insulin is impaired, requiring the pancreas to secrete more insulin continuously. Nocturia is particularly severe in diabetic patients because when blood sugar is high, the body excretes sugar through the kidneys, and this sugar draws water, leading to frequent urination ( polyurea ).

Even with normal blood sugar, the presence of insulin resistance can lead to bladder overactivity. Studies using dogs have shown a significant increase in nighttime urination after insulin injections. Nighttime urination is actually an early warning sign of prediabetes.

Insulin resistance causes the kidneys to over-filter, increasing their workload and is one of the main causes of kidney disease. It can also affect electrolyte balance, raise nighttime blood pressure, and increase cortisol (the stress hormone), leading to more urination.

In women, insulin resistance weakens the muscles at the base of the bladder and in the pelvic floor, leading to decreased bladder control. It can also cause magnesium deficiency, resulting in smooth muscle dysfunction and exacerbating nocturia.

🧬 The relationship between sleep, hormones and nocturia

Insulin resistance can lead to a decrease in testosterone, and as we age, this decrease in testosterone can worsen bladder control. Some people experience improved nocturia after undergoing testosterone replacement therapy because testosterone also helps improve insulin resistance.

🍪 Nighttime eating is the biggest destroyer

Eating at night is one of the most serious factors causing nocturia. Whether it's desserts, snacks, or even healthy foods like blueberries, celery, and grapefruit, eating anything will stimulate insulin secretion.

Drinking water after eating leads to more frequent urination. Furthermore, eating at night can cause bloating and disrupt sleep. Insufficient sleep, in turn, raises cortisol levels , leading to uncontrolled blood sugar , increased appetite , and a vicious cycle of frequent urination at night.

Often, people eat because they are tired, bored, or out of habit. If you really can't give it up, at least choose foods that are low in sugar and have a low insulin response. But the ideal solution is to completely abstain from late-night snacks and establish a habit of "not eating late-night snacks".

🧂 A low-salt diet can worsen nocturia.

Sodium helps the body retain water; too little salt can cause cortisol levels to rise, affecting sleep. It is recommended to consume enough natural sea salt daily, such as Himalayan salt. Sometimes, cravings at night are actually due to a lack of salt in the body.

🥑 The fundamental solution is the ketogenic diet combined with fasting.

During the day, a low-carb diet (less than 30g of carbohydrates per day) is recommended , combined with a healthy ketogenic diet. In addition, intermittent fasting should be used, starting with no snacks at three meals a day, gradually transitioning to two meals a day (lunch + dinner), and completely eliminating late-night snacks.

No need to count calories, just eat until you're full. Quitting snacks is key. Once you successfully quit, you won't get up at night anymore, and you'll wake up in the morning feeling refreshed, energetic, and with a reduced appetite.

An extra 30 minutes of sleep can have a huge impact on the heart, blood sugar, stress, cognition, and creativity.

🌞 Vitamin D + Magnesium helps you fall asleep

Vitamin D helps improve insulin resistance and regulate sleep cycles. It is recommended to supplement with magnesium for even better results. Taking both together can significantly improve sleep quality.

🧾 In conclusion: Don't assume that "nocturia = prostate issues" is as simple as it seems. Understanding how to control insulin is key to real improvement.

Frequent urination at night, poor sleep, and fatigue in Hong Kong people are not necessarily due to aging or prostate problems, but rather unresolved insulin resistance. Starting today, a no-late-night snack habit, a low-carb diet, and one Vitamin D + magnesium tablet will lay a solid foundation for your bladder, kidneys, and sleep!

Don't let the myth that "nighttime urination equals old age" hold you back. True health comes from controlling sugar intake, avoiding certain foods, and getting enough rest! 💪🌙🛌