India's First Integrated Sleep, Circadian & Metabolic Health Program

Sleep Better. Live Healthier.

"Understanding the science behind your rest"

The powerful connection between sleep, circadian rhythms, diabetes, metabolism, heart health and overall wellbeing addressed under one integrated program.

Sleep is one of the key pillars of health, yet its importance is chronically underestimated. It is fundamental for optimal functioning of all vital organs and cannot be replaced by supplements or sedatives.

The internal timekeeper a tiny organ called the SCN (central pacemaker, located in the hypothalamus) anticipates day well before sunrise. Every organ has a built-in molecular clock, orchestrating every function rhythmically according to the 24-hour day. These are our Circadian Rhythms.

We digest the same food differently at 9 AM versus 9 PM. Insulin receptor function changes between day and night. Timing matters as much as performance.

7–9hrs
Recommended adult sleep
1in 3
Adults with poor sleep quality
40%
Diabetes risk increase from poor sleep
24hrs
Circadian cycle governs all biology

Why it matters

Why Sleep & Circadian Health Matter

Sleep is an active biological process that restores, repairs and regulates nearly every system in your body.

Brain Health

Memory consolidation, cognitive performance and nightly clearance of brain metabolic waste via the glymphatic system.

Metabolic Health

Blood sugar regulation, appetite control and improved insulin sensitivity through balanced leptin and ghrelin.

Heart Health

Night-time heart rate and blood pressure dips that protect cardiovascular function during restorative sleep.

Immune Function

Enhanced disease resistance, accelerated tissue repair and stronger innate immune defences.

Emotional Wellbeing

Stress management, emotional regulation and resilience REM sleep processes emotional memories each night.

Healthy Ageing

Cellular repair processes driven by deep slow-wave sleep that slow biological ageing and reduce chronic disease risk.

Health risks

Poor sleep & circadian disruption are directly linked to

DiabetesObesityHypertensionFatty Liver DiseaseHeart DiseaseDepressionCognitive DeclineCancer Risk
Poor sleep linked to diabetes and metabolic disease

Quick Self-Check

Do you experience any of the following? A single 'yes' may indicate a sleep disorder.

Snore loudly or been told you stop breathing during sleep?
Feel tired and unrefreshed despite a full night's sleep?
Have diabetes with poor or fluctuating sugar control?
Experience excessive daytime sleepiness or drowsiness?
Work rotating or night shifts?
Wake up regularly with morning headaches?
Eat moderately, exercise regularly yet still cannot lose weight?
If you answered yes to any of the above, you may benefit from a sleep evaluation.
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Circadian science

Understanding Circadian Health

Your circadian rhythm is your body's internal 24-hour clock housed within the SCN in the hypothalamus, orchestrating all vital organ functions via hormones and neuronal pathways.

Your biological clock regulates

Sleep and wakefulness
Hormones
Appetite
Digestion
Body temperature
Energy levels
Cellular repair

Harmful to circadian health

Late-night eating
Screen exposure after sunset
Shift work
Irregular sleep schedules

The Four Major Circadian Influencers

Morning LightSynchronises the master SCN clock to each new day and suppresses residual melatonin.
Meal TimingThe liver and gut maintain independent clocks late eating confuses peripheral rhythms.
Physical ActivityExercise timing reinforces circadian phase; morning activity produces the strongest effect.
Evening LightBlue light from screens delays melatonin secretion and shifts the clock later.

Circadian misalignment when your internal body clock is out of sync with your sleep, eating and light exposure significantly increases risk of Type 2 diabetes, obesity, cardiovascular disease and cancer by disrupting glucose metabolism, lipid processing and hormone regulation. This is now recognised as a major independent risk factor for both physical and psychiatric disorders.

Clinical

Conditions We Evaluate

We evaluate and manage the full spectrum of sleep and circadian disorders.

Obstructive Sleep Apnoea (OSA)

Symptoms

  • Loud snoring
  • Choking or gasping during sleep
  • Morning headaches
  • Excessive daytime sleepiness
  • Poor concentration and memory

Associated risks

DiabetesHypertensionHeart diseaseStrokeCardiac arrhythmias
Insomnia

Symptoms

  • Difficulty falling asleep
  • Waking repeatedly through the night
  • Non-restorative sleep
  • Daytime fatigue
  • Irritability or low mood

Associated risks

DepressionAnxietyMetabolic dysfunctionHypertensionImpaired immunity
Circadian Rhythm Disorders

Symptoms

  • Misaligned sleep timing
  • Persistent jet-lag-like fatigue
  • Difficulty waking at required times
  • Mid-afternoon energy crashes

Associated risks

Metabolic syndromeMental health disordersCardiovascular disease
Shift Work Sleep Disorder

Symptoms

  • Insomnia during designated sleep periods
  • Excessive sleepiness on shift
  • Difficulty concentrating at work

Associated risks

Increased diabetes riskCardiovascular diseaseCertain cancers (night shift)

What we offer

Our Services

Comprehensive integrated care combining sleep medicine, circadian science and metabolic health expertise.

Sleep Disorder Evaluation

Comprehensive diagnosis and evidence-based management of all sleep disorders from screening to ongoing care.

Circadian Health Consultation

Precision assessment and optimisation of your biological clock for improved metabolic and sleep health.

Sleep Studies (Polysomnography)

Full overnight assessment recording brain activity, breathing, oxygen levels, heart rate and movement.

Obstructive Sleep Apnoea Care

Snoring and sleep apnoea diagnosis with evidence-based, personalised treatment pathways.

CPAP Support Program

Device selection, mask fitting, compliance monitoring and scheduled long-term follow-up reviews.

Circadian Lifestyle Coaching

Personalised guidance on light exposure, meal timing, exercise and sleep scheduling for circadian alignment.

Integrated care

Sleep & Diabetes

Sleep is a critical, often-overlooked pillar of diabetes management. Our Department works alongside diabetes specialists to deliver fully integrated care.

How Poor Sleep Affects Diabetes

Increases insulin resistance
Raises fasting blood sugar levels
Amplifies appetite and food cravings
Promotes weight gain
Worsens HbA1c control

Benefits of Improved Sleep

Better glucose control
Improved insulin sensitivity
Lower blood pressure
Increased energy levels
Better overall quality of life

Patient resources

Sleep Health Tips

Evidence-based habits to protect and improve your sleep quality starting tonight.

Tip 1

Keep a consistent sleep and wake time every day including weekends.

Tip 2

Get morning sunlight within 30 minutes of waking to anchor your biological clock.

Tip 3

Reduce screen and bright light exposure after sunset to protect melatonin.

Tip 4

Avoid heavy or late-night meals eat your largest meal early in the day.

Tip 5

Exercise regularly, preferably in the morning or afternoon.

Tip 6

Limit caffeine after midday it remains active in your system for 5–6 hours.

Tip 7

Keep the bedroom cool (18–20°C), dark and quiet for optimal sleep.

Common questions

Frequently Asked Questions

Our specialists answer the questions we hear most often.

Dr. Mahalakshmi R Shetty
Dr. Mahalakshmi R ShettySleep & Circadian Health Specialist

Meet our dedicated
sleep specialist

Dr. Mahalakshmi R Shetty is an experienced sleep physician working in close collaboration with Dr. Mohan's diabetes specialists delivering India's first truly integrated sleep, circadian and metabolic care program.

Subspecialty TrainedSleep medicine & circadian science
Integrated CareSleep · Diabetes · Metabolic health
Research-BackedEvidence-based clinical protocols
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Trusted diabetes care at
Dr. Mohan’s Diabetes Specialities Centre

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