Hormonal

In men, chronic insomnia combined with objectively measured short sleep duration (<6 hours) is associated with a significantly increased risk of all-cause mortality, independent of common comorbidities like hypertension and diabetes.

If you are a man with chronic insomnia and you objectively sleep less than 6 hours per night, your risk of death is significantly higher than men who sleep normally, even after accounting for high blood pressure, diabetes, and other factors. This risk is driven by physiological stress (HPA axis activation). You should seek objective sleep assessment (like a sleep study) rather than relying on how you feel, and prioritize treating the insomnia as a serious medical condition.