I have a mini-split frío/calor in the bedroom. On very hot days during the summer, I only use it to cool down the room before going to bed.I have an almost silent USB fan that I sometimes use at night to blow air across the bed.
During the winter, on colder nights, when the temperature is forcast to be near freezing, I turn it on just long enough to take the chill out of the air and I turn on the manta térmica which is under the sheet on the top of the mattress. I usually keep it on all night on the lower of two settings.
I also wear two pair of socks and two "ski-skins" aka "termas elásticas" and usually three layers for my torso. I wear a knit cap "Rocky" style 24/7 all winter and I have several, so that I always have one that has been recently washed.
This was a relatively warm winter, with no very "hard" overnight frosts. I only slept with the mattress warmer on the higher setting five or six nighs and it was never so cold in the living room, which serves only as an unheated passageway between the kitchen and the bedroom, to make my face hurt, at least a little.