You're possibly setting yourself up for Alzheimer's. It's been known for a long time that buildup of amyloid plaques is worsened by lack of sleep and vice versa. (Sleep issues show up long before other symptoms of Alzheimer's). This provide a mechanism by showing how the plaques are regularly removed by good sleep.
For extra fun, sleep is also when myelin-repairing oligodendrocytes kick into gear. You probably won't develop MS from not sleeping, but it isn't good for your long-term health, as that function is necessary to the survival of brain cells. This impacts mood, memory, and moral judgement.
Oh, and then there's the fact that lack of sleep disrupts the ratio of leptin and ghrelin in your body, making you far hungrier when awake. This is part of the reason that lack of sleep is correlated with obesity. You also have lower testosterone (impacting your virility) & higher cortisol levels (wrecking your memory and weakening your immune system). Other hormone changes put you at higher risks of type 2 diabetes.
In short, you're killing yourself. Seek help if this isn't voluntary. Prioritize getting more sleep.