Menopause does not cause uncontrolled diabetes. Lack of sleep cannot directly cause uncontrolled diabetes. However, depression (which is more common in diabetics) can both cause lack of sleep and contribute to poor control of diabetes. Without a complete history and examination, it is difficult for me to guide you specifically about what changes to make for better diabetes control, but I can give some general advice.
1. At present, she needs urgent consultation with a good psychiatrist, and proper medication. Inderal and Stresnil may not suffice.
2. She should get her thyroid function (T4, TSH) tested, if not done in the
past 1 year.
3. She should get her renal function (serum creatinine, urinary microalbuminuria) tested, if not done in the past 1 year.
4. In addition, she needs proper evaluation by a good diabetologist / physician, and some additional tests:
a. Glycosylated haemoglobin to give the average blood glucose over the past 8-12 weeks, to be done now and every 4-6 months.
b. Lipid profile: ie cholesterol, triglycerides, LDL and HDL cholesterol: at least once every year.
c. Retina examination: at least once every year.
d. ECG: at least once every year.