The combination of fatigue and difficulty sleeping are the signs of adrenal fatigue. You will need to find a natural practitioner who can run the appropriate labs and provide nutritional support to rebuild your adrenals. Until you find a good practitioner,you can begin the process of rebuilding adrenals by avoiding caffeine drinks and sugar which both drive the adrenals to exhaustion. Replace these toxic foods with: 1.Proteins and healthy fats (raw nuts, cheese, avocados) 2.Eating a healthy protein anchored meal every 2 hours so that your adrenals are not asked to provide the energy your body needs for day to day task.