Yes, I think mania. Definitely malnutrition doesn't help sleep, but if you are also buzzing around with malnutrition, I'd say you've got a double combo there of things that don't help sleep. I know I had so much trouble sleeping with the ED. I didn't have boundless energy though, I was exhausted but my brain wouldn't shut up.

Though to be honest I have had sleep problems since way before the ED. I only sleep decently now thanks to psych meds and melatonin.