Published on Oct 03, 2023 | 11:27 AM
“Springing forward” and “falling back” may feel like a minor inconvenience, but the shift to Daylight Saving Time (DST) can have measurable effects on sleep, cardiovascular health, and overall well-being. Current research continues to link DST—especially the spring transition—to increased rates of insomnia, short-term sleep deprivation, elevated blood pressure, and cardiovascular strain.
As we prepare to move our clocks forward again, it’s worth understanding how this biannual time change affects the body and what steps can help reduce its impact.
Daylight Saving Time (DST) is the practice of advancing clocks by one hour during the warmer months and returning them back one hour during the cooler months. The goal is to maximize exposure to natural daylight during the evening hours of spring and summer.
During DST, sunrise and sunset occur one hour later by the clock. While this provides more evening daylight, it also reduces morning light exposure—an important regulator of the body’s internal clock.
In the United States, DST begins on the second Sunday in March and ends on the first Sunday in November. Not all U.S. regions observe DST. Areas that do not include Hawaii, most of Arizona, Puerto Rico, Guam, American Samoa, the U.S. Virgin Islands, and the Northern Mariana Islands.
.
Yes—evidence consistently shows a connection between DST and sleep disruption. According to sleep medicine research and circadian biology studies, the one-hour time shift can significantly disturb the body’s circadian rhythm, especially during the spring transition.
The circadian rhythm is the body’s internal 24-hour clock that regulates sleep, alertness, hormone release, metabolism, and blood pressure. It is highly sensitive to light exposure, particularly morning light.
When DST begins:
Morning light exposure is reduced
Evening light exposure increases
Melatonin release is delayed
Sleep onset becomes harder
Sleep duration is often shortened
This mismatch between biological time and social schedules can trigger insomnia, fragmented sleep, and daytime fatigue—especially in people already prone to sleep disorders.
Because DST can make falling asleep harder, many people turn to melatonin supplements. While melatonin can be helpful in certain circadian rhythm disruptions, current medical guidance urges caution.
Melatonin is not a sedative, but a hormone that signals sleep timing
Incorrect timing or excessive dosing can worsen sleep quality
Side effects may include vivid dreams, dizziness, grogginess, and next-day sedation
Sleep medicine organizations recommend:
Using the lowest effective dose (often 0.5–3 mg)
Avoiding long-term or nightly use without medical guidance
Taking melatonin earlier in the evening, not at bedtime
For some individuals, improper use can actually prolong insomnia rather than resolve it.
Yes. DST has been associated with short-term increases in blood pressure, heart rate, and cardiovascular stress, particularly in the days following the spring time change.
Blood pressure naturally drops during sleep and rises upon waking
Sleep deprivation shortens the restorative phase where blood pressure lowers
Increased sympathetic nervous system activity raises heart rate and BP
Stimulant use (coffee, energy drinks) often increases with fatigue
For people with hypertension, heart disease, diabetes, or sleep disorders, DST can temporarily increase cardiovascular risk if sleep loss is not addressed.
Shift bedtime and wake time 15–20 minutes earlier for several days before DST
Maintain consistent sleep and wake times—even on weekends
Get outside within the first hour of waking
Open blinds immediately in the morning
Limit bright light exposure at night
If using melatonin or other sleep aids:
Consult a medical professional
Follow recommended dosing
Avoid combining with alcohol or sedatives
Monitor for side effects
Effective options include:
Deep breathing
Meditation
Muscle relaxation
Yoga or Tai Chi
Prayer or quiet reflection
If you have hypertension:
Check blood pressure during the week after DST
Stay hydrated
Limit caffeine late in the day
Maintain medication adherence
Persistent insomnia, fatigue, or blood pressure changes deserve medical evaluation. Telehealth providers can help assess sleep patterns, medication timing, and cardiovascular risk during seasonal transitions.
updated 1/13/2026 by Shelly House, FNP, is a Family Nurse Practitioner and Call-On-Doc’s trusted medical education voice. With extensive experience in telehealth and patient-centered care, Ms. House is dedicated to making complex health topics simple and accessible. Through evidence-based content, provider collaboration, and a passion for empowering patients, her mission is to break down barriers to healthcare by delivering clear, compassionate, and practical medical guidance.
Warning Signs and Symptoms of Prediabetes
More than 1 in 3 Americans—approximately 96 million adults—have prediabetes, and an estimated 80% do not know it. Prediabetes often develops silently, without obvious symptoms, making early detection challenging. Because symptoms are usually mild or absent, many people do not realize they are at risk until blood sugar levels progress to type 2 diabetes.
Understanding what prediabetes is—and how to intervene early—can significantly reduce your risk of developing diabetes, especially if you have a family history or other risk factors.
May 09, 2022 | 10:04 AM
Read MoreWhat to Know About Breast Cancer
According to the American Cancer Society, breast cancer is the second most common type of cancer affecting women in the United States. This guide will explain breast cancer types and reveal what steps you can take for prevention and treatment.
Oct 23, 2022 | 11:47 AM
Read MoreNational Diabetes Awareness Week
Diabetes affects the body’s ability to get energy from glucose. People with this condition are either not able to produce sufficient insulin (Type 1) or are unable to use the insulin their body makes to its full potential (Type 2).
When either of these things occurs, an excess of sugar remains in the blood. Left unchecked, too much sugar in the bloodstream can lead to the development of serious problems like kidney and heart disease, as well as vision loss. Unfortunately, 20% of people with diabetes may never know they have it.
Nov 15, 2022 | 11:19 AM
Read MoreWarning Signs and Symptoms of Prediabetes
More than 1 in 3 Americans—approximately 96 million adults—have prediabetes, and an estimated 80% do not know it. Prediabetes often develops silently, without obvious symptoms, making early detection challenging. Because symptoms are usually mild or absent, many people do not realize they are at risk until blood sugar levels progress to type 2 diabetes.
Understanding what prediabetes is—and how to intervene early—can significantly reduce your risk of developing diabetes, especially if you have a family history or other risk factors.
May 09, 2022 | 10:04 AM
What to Know About Breast Cancer
According to the American Cancer Society, breast cancer is the second most common type of cancer affecting women in the United States. This guide will explain breast cancer types and reveal what steps you can take for prevention and treatment.
Oct 23, 2022 | 11:47 AM
National Diabetes Awareness Week
Diabetes affects the body’s ability to get energy from glucose. People with this condition are either not able to produce sufficient insulin (Type 1) or are unable to use the insulin their body makes to its full potential (Type 2).
When either of these things occurs, an excess of sugar remains in the blood. Left unchecked, too much sugar in the bloodstream can lead to the development of serious problems like kidney and heart disease, as well as vision loss. Unfortunately, 20% of people with diabetes may never know they have it.
Nov 15, 2022 | 11:19 AM
Feedback from our amazing patients!
"I can’t believe I did not know about this kind of service! This was absolutely perfect for my health concern and they were able to provide me with the necessary medication and with such cinch. Completely recommended this service. For minor health concerns, this can save you an unnecessary and costly trip to an urgent care center."
"Amazing!! Easy and fast! I didn’t have to take my 4 year old into an urgent care where only god knows what germs are there. The doctor sent the script right to my pharmacy within minutes!!!"
"I would give 10 stars if I could! CallonDoc is literally the reason I am recovering instead of suffering as I write this. I was skeptical at first, but I’m not kidding when I tell you I got prescribed my antibiotics and picked it up at the pharmacy within 2 hours. So instead of waiting & paying around 300$...I paid 40$!! I’m very pleased."
Want to learn about a specific topic or condition?