Can lack of sleep cause break through hives?

I have chronic idiopathic urticaria. I take Benadryl before bed and it works for about 10 hours. Well for some reason the past few days, I start getting hives again maybe 4-5 hours after taking it. It's not working like it should

Could lack of sleep be an issue? I also keep getting this tingly feeling like I have tiny bugs crawling on parts of my body, and then feel itchy. No bugs though