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I've found that the sweeper was misbehaving and making a lot of mongodb requests. It looks like it was stuck in an infinite loop.
I also realized that some people might not want to have the sweeper running (in my case for example).
So I've added a way to turn off the sweeper by passing a sweeper: false option. The sweeper bug is not fixed by this pull request. The option to bypass it is all i need because I want to expire my sessions separately.
The following graph shows the drop in mongodb requests in a sample application after turning off the sweeper.