NOCTEM Health

03/13/2026

This week, we’ve explored how sleep shapes health:
✨Meal timing affects cardiometabolic function
✨Noise impacts REM and deep sleep
✨COMISA increases cardiovascular risk if untreated
✨Small, consistent sleep improvements can extend health span
✨Medication in older adults carries risk without behavioral support

Sleep isn’t just rest. It’s a powerful, actionable determinant of health.

At NOCTEM Health®, we translate sleep science into practical, scalable solutions for clinicians and patients alike.

This Sleep Awareness Week®, let’s commit to helping patients — and ourselves — become our best slept selves, because better sleep isn’t just rest. It’s prevention, performance, and long-term health.

NOCTEM's remote patient monitoring platform effectively multiplies your practice's capacity to treat insomnia, while increasing patient adherence and ensuring alignment with the latest evidence-based practice guidelines. Try our solutions and painlessly scale your practice’s capabilities to manage

03/13/2026

Day 5: Rethinking Sleep Medication in Older Adults

Recent evidence highlights potential associations between sedative-hypnotic use and increased su***de risk in older adults.
While pharmacologic therapy can have a role, default prescribing without integrated behavioral interventions may introduce unintended risk.

For clinicians, this reinforces that CBT-I, circadian optimization, and multidisciplinary approaches should be first-line or adjunctive, ensuring sleep solutions are both effective and safe.

💡Clinical question: How do you balance pharmacologic and behavioral strategies in your older adult patients?

Publication here:

Among older adults, sedative-hypnotic prescription is associated with increased su***de risk and su***de by self-poisoning using such medications. Non-pharmacological treatment for insomnia, such as cognitive-behavioral therapy, is essential for su***de prevention.

03/12/2026

Day 4: Small Sleep Changes, Big Longevity Impact

Recent modeling data suggest that modest improvements in sleep — particularly when combined with healthier diet and physical activity — are associated with meaningful gains in lifespan and healthspan.

The signal is not about perfection.
It’s about incremental, sustained behavior change.
Even small increases in sleep duration and consistency, compounded over time, may influence long-term outcomes at a population level.

For clinicians, this reinforces sleep as a modifiable longevity variable, not merely a symptom to manage.

💡Clinical question: Are sleep consistency and duration framed as preventive strategy in your patient counseling?

Publication here:

Australian National Health and Medical Research Council.

03/11/2026

Day 3: COMISA, and Hearts & Minds Diseases

Comorbid insomnia and obstructive sleep apnea (COMISA) is common and clinically significant.
Evidence shows higher cardiovascular and cerebrovascular risk compared with OSA alone, suggesting additive or synergistic pathophysiology.

For clinicians, this reinforces an important point: treating airway obstruction without addressing insomnia symptoms may leave residual risk and persistent impairment. Integrated behavioral and respiratory management strategies may be essential for optimal outcomes.

💡Clinical question: Is your care pathway structured to address both conditions concurrently?

Publication here:

COMISA was associated with higher long-term risks of several CCVD subtypes, particularly cerebrovascular and thrombotic events, further characterizing COMISA as a high-risk clinical phenotype.

03/10/2026

Day 2: The Hidden Cost of Nighttime Noise

A recent study comparing pink noise and earplugs during intermittent environmental noise exposure found:
• Earplugs better preserved sleep architecture
• Continuous pink noise was associated with reduced REM sleep
This underscores an important clinical distinction: sleep continuity does not equal sleep quality. Protection of REM and deep sleep stages is critical for cognitive and emotional regulation.

For clinicians, environmental history may be more relevant than patients realize.

💡Clinical question: Are you routinely assessing bedroom noise and mitigation strategies as part of sleep evaluation?

Publication here:

Registered at clinicaltrials.gov under "Broadband Sound and Sleep"; https://clinicaltrials.gov/study/NCT05774977; registration # NCT05774977.

03/09/2026

Day 1: Your Metabolism Has a Bedtime, Too

Emerging research suggests that finishing meals ≥3 hours before sleep is associated with improved nocturnal blood pressure patterns, glucose regulation, and autonomic balance.
Meal timing appears to meaningfully interact with sleep and circadian physiology.

For clinicians, this may represent a practical adjunct to care- particularly in patients with OSA, insomnia, hypertension, or metabolic dysfunction.

💡Clinical question: Do you assess evening eating timing as part of your routine sleep history?

Publication here:

BACKGROUND: Time-restricted eating has gained attention for its potential cardiometabolic health benefits. Existing time-restricted eating approaches may have limited adherence and sustainability due to fixed fasting windows with prolonged fasting duration before sleep, or they involve self-selected...

03/09/2026

Happy Sleep Awareness Week®!

This year’s theme, “It’s time to be your best slept self” (hosted by the National Sleep Foundation) highlights the powerful connection between sleep and long-term health, performance, and longevity.

At NOCTEM Health®, we’re marking the week by sharing one research-backed insight each day, translating the science of sleep into practical takeaways you can apply personally and professionally.

Let’s get started.
https://hubs.ly/Q045K76x0

03/06/2026

Losing an hour of sleep isn’t just inconvenient ➡️ it’s a public health issue.

At NOCTEM Health®, we stand with sleep experts in supporting permanent standard time. Seasonal clock changes disrupt circadian rhythms, increase sleep loss, and impact safety, mood, and overall health.

Our biology doesn’t change with the clock. And our policies should reflect that.

Read more from AASM here:

The experts and Americans agree — ending seasonal time changes once and for all will improve our public health, safety, and sleep.

12/31/2025

Propelling Clinicians into the New Year Strong with Insomnia Care 🌙

The new year brings renewed momentum- and at NOCTEM Health®, our focus is clear: supporting providers with smarter, more effective ways to treat insomnia.

COAST® is built to help you move forward with confidence, offering evidence-based, digital insomnia care that fits seamlessly into modern clinical workflows. As demand for sleep care continues to grow, we’re committed to giving providers the tools to deliver meaningful impact without added complexity.

This year is about strength, progress, and better nights for your patients. We’re proud to partner with providers who are shaping the future of sleep health, and we’re excited to keep pushing what’s possible together.

Let’s make this a year of empowered care, measurable outcomes, and real relief from insomnia. 🌙💤

Discover how COAST is helping propel insomnia care forward: https://hubs.ly/Q03YYJcg0

12/29/2025

2025 in Sleep Medicine
Growth, new insights, and clinical advances. NOCTEM Health shares the key takeaways every clinician should know--read on!:

🩺 2 New RTM Codes in 2026
CMS adds 2 new RTM codes for 2026 that will capture patient monitoring for 2-15 monitoring days and 10-19 minutes of management time per month.

⚠️Long-Term Melatonin Use
Adults with chronic insomnia using melatonin 12+ months had higher risks of heart failure, hospitalization, and death. Could chronic melatonin use mask untreated/insufficiently treated insomnia?
Read more- https://hubs.ly/Q03YY88z0

🧠 Sleep for Brain Health
Older adults with chronic insomnia had a ~40% higher risk of cognitive decline or dementia and brain changes on imaging, highlighting the need for effective insomnia treatment.
Read more- https://hubs.ly/Q03YY77l0

💤 Sleep Compression or Wake (sleep) Restriction?
" Less is not always more".... gradual restriction of time in bed (aka, wake restriction, aka "sleep restriction") does not yield better patient compliance and sleep outcomes.
Read more- https://hubs.ly/Q03YY9Qb0

12/22/2025

🌙🎄 NOCTEM Health Holiday Sleep Trivia Series
Holiday cheer or hidden sleep stealers? Test your sleep IQ with NOCTEM Health’s Holiday Sleep Trivia Series below!

💤Trivia #1: Holiday Light Exposure
Q: What type of holiday decoration can unintentionally disrupt your circadian rhythm?
A: B) LED holiday lights
Fun Fact: Bright blue-white LEDs trick your brain into thinking it’s daytime.
Sleep Tip: Dim your holiday lights at least 1 hour before bed to help melatonin production.

💤Trivia #2: Winter Warmth
Q: Which cozy holiday drink is most likely to delay your sleep?
A: D) Eggnog latte
Fun Fact: Seasonal lattes often pack more caffeine than a typical coffee.
Sleep Tip: Caffeine’s half-life is ~6 hours — timing matters for insomnia patients.

💤Trivia #3: Winter Darkness
Q: True or False: People tend to feel sleepier in winter because there’s less daylight.
A: True!
Fun Fact: Less exposure to natural light during winter can shift circadian timing.
Sleep Tip: Daily morning light (even 10 minutes) can help regulate patients experiencing insomnia.

💤Trivia #4: Holiday Stress & Sleep
Q: Which hormone spikes during holiday stress and commonly disrupts sleep?
A: B) Cortisol
Fun Fact: Holiday stress elevates cortisol, making it harder to fall asleep.
Sleep Tip: Brief evening relaxation routines support better sleep initiation.

💤Trivia #5: Santa’s Sleep Schedule
Q: If Santa stayed awake for 24+ hours delivering gifts, which function would be most impaired?
A: A) Memory
Fun Fact: Sleep deprivation impacts attention and memory, similar to alcohol impairment.
Sleep Tip: Maintaining healthy sleep practices is essential, especially during busy seasons.

11/25/2025

This holiday season, we’re reflecting on what truly matters: the people, partners, and progress that make our mission possible.

From the amazing clinicians that trust COAST to transform behavioral sleep care to expanding COAST to 20+ states, Canada, Australia, and beyond, we have so much to be thankful for.

Swipe through to see what we’re celebrating this season and join us in sharing gratitude for better sleep, better health, and the incredible community that makes it all possible. 🌍✨

Wishing you a peaceful, restorative, and joy-filled holiday from all of us at NOCTEM Health. 🦃💤

What are you most thankful for this season — in health, work, or life? We’d love to hear in the comments below.