Think back — did you get up to eat in the middle of the night?

“Occasional episodes are common, but frequent wake ups really fit a pattern that means you really want to work on better meal balance, stress reduction and sleep regularity,” said Dr. Kwame Akoto, an adult medicine physician with Kaiser Permanente, in Baltimore County, Maryland.

He said evening meals that are high in refined carbohydrates can cause a rapid spike and crash in blood sugar, “which will then leave you waking up hungry.”

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