Global Assessment of the Impact of Type 2 Diabetes on Sleep through Specific Questionnaires. A Case-Control Study (original) (raw)

Sleep Quality in Patients With Type 2 Diabetes Mellitus

Journal of Clinical Medicine Research

Background: This study aims to evaluate the sleep quality in patients with type 2 diabetes mellitus (T2DM), and to assess the relevance of other factors to sleep quality. Methods: A cross-sectional study was carried out at the National Center for Diabetes, Endocrinology and Genetics (NCDEG) in Amman, Jordan, during the period from October 1, 2015 to December 31, 2015. A total of 1,211 (540 male and 671 female) patients with T2DM were recruited. Data were collected using the Pittsburgh sleep quality index (PSQI) to assess the sleep quality with a cutoff point of PSQI ≥ 8. Participants' demographic background data were also recorded. Statistical analysis was conducted using SPSS version 22. Results: The mean age of our patients was 58.8 ± 9.74 years. Mean body mass index (BMI) was 32.67 ± 6.1 kg/m 2 , and mean duration of diabetes was 10.3 ± 7.38 years. The mean PSQI score was 10.2 ± 3.10. In the present study, poor sleep quality was reported in 81% of participants. Multivariate logistic regression analysis revealed that poor sleep quality was significantly associated with high HbA1c, female gender, smoking, unemployment, and insulin use. The study showed that subjective sleep quality and quantity, night sleep disturbance, and daytime dysfunction were risk factors for poor glycemic control. Conclusions: In our series, patients with T2DM (81%) have poor sleep quality. Females, smokers, unemployed individuals, insulin users and patients with uncontrolled diabetes seem to be significantly at higher risk of poor sleep quality.

Assessment of Sleep Quality in Patients with Type 2 Diabetes Mellitus: A Case-control Study

Eastern Journal Of Medicine, 2021

Sleep disorders increase risk for impaired glucose tolerance, insulin resistance, and type 2 diabetes mellitus through changes in hormone release involved in energy homeostasis; on the other hand, complications occurring in patients with type 2 diabetes mellitus also lead sleep disorders. In the present study, it was aimed to assess sleep quality in patients with type 2 diabetes mellitus. The study included 40 patients (aged 18-65 years) diagnosed as type 2 diabetes mellitus (21 women; 19 men) and 42 healthy controls (26 women; 16 men). The data were collected using demographic data sheet, Pittsburgh Sleep Qua lity Index (PSQI) in this case-control study. In patients with type 2 diabetes mellitus, total PSQI score and component scores for sleep duration, sleep disturbance, use of sleep medication and daytime dysfunction were significantly higher when compared to controls. In addition, the proportion of patients with poor sleep quality was significantly higher in the patients with type 2 diabetes mellitus compared to controls (82.5% vs. 59.5%;  2 = 5.224, p=0.022). The age and body mass index were higher in patients with type 2 diabetes mellitus compared to controls. It was found that sleep quality was poorer in patients with type 2 diabetes mellitus. It is important to identify problems that may result from sleep disorders and adverse effects of type 2 diabetes me llitus on sleep quality. To achieve glucose control in patients with type 2 diabetes mellitus, it is essential to improve sleep quality in addition to current approaches used in clinical practice.

Sleep Quality in Individuals with and Without Diabetes Mellitus- a Case Control Study

Journal of Evolution of Medical and Dental Sciences, 2018

BACKGROUND Diabetes Mellitus (DM) is one of the common chronic medical conditions affecting approximately 422 million people worldwide. Studies have shown that upto one-third of patients with DM suffer from concomitant sleep difficulties. Numerous studies have recognised diabetes as a novel risk factor for sleep disorders via peripheral neuropathy or endocrine-metabolic pathway. Aim-The present study was undertaken to compare the sleep quality in type 2 diabetes patients and non-diabetic patients. MATERIALS AND METHODS 100 cases of type II diabetes mellitus and 100 non-diabetic age matched controls including both males and females were assessed for sleep quality. Sleep quality was assessed by Pittsburgh Sleep Quality Index (PSQI). RESULTS Demographic data was not significantly different between cases and controls. Sleep quality was significantly lower in cases when compared to controls. CONCLUSION The seven components of PSQI scored less for diabetics, which indicates that the sleep quality in diabetics is significantly lower in comparison to non-diabetic patients.

Quality of Sleep and Blood Glucose of Type 2 Diabetes Mellitus

International Journal of Public Health Excellence (IJPHE)

Diabetes Mellitus is a serious problem with a rapidly increasing incidence. Almost all groups of people around the world are attacked by this disease. High blood sugar levels interfere with concentration to sleep well, due to the frequent urge to urinate at night and excessive thirst. The study was to determine the relationship between the quality of sleep and blood glucose levels in patients with type 2 diabetes mellitus. The study was a descriptive correlative with a cross-sectional approach. Seventy-seven respondents were involved in this study and were selected by accidental sampling. Data were collected using The Pittsburgh Sleep Quality Index to determine the quality of sleep and blood glucose levels were measured using Nesco Multicheck. Data were analyzed using chi-square. The results showed that there was a significant relationship between the quality of sleep and blood glucose levels with a p-value of 0.001. It can be concluded that the quality of sleep is related to the pa...

Influence of Diabetes on Sleep Quality: A Literature Review (Atena Editora)

Influence of Diabetes on Sleep Quality: A Literature Review (Atena Editora), 2023

This study aims to analyze the relationship between sleep disorders, such as insomnia, excessive daytime sleepiness and sleep apnea, and diabetes. Through clinical trials and statistical data, the impacts of these disorders on the quality of life and glycemic control of individuals with diabetes were investigated. The results revealed that insomnia is associated with a higher risk of developing type 2 diabetes and interferes with glycemic control in diabetic patients. Excessive daytime sleepiness has been shown to be related to insulin resistance and higher prevalence of type 2 diabetes. Sleep apnea has been identified as a significant risk factor for the development of type 2 diabetes and negatively affects glycemic control in already diagnosed patients. The pathophysiological mechanisms underlying this relationship include hormonal changes, chronic low-grade inflammation, insulin resistance, and endothelial dysfunction. These factors act in concert, contributing to the onset and progression of diabetes. Early identification and adequate treatment of sleep disorders in patients with diabetes are essential to improve quality of life and reduce the risk of complications. In this context, therapeutic approaches such as cognitive behavioral therapy, the use of appropriate medications, and continuous positive airway pressure therapy have been shown to be effective in improving symptoms and controlling diabetes in patients with sleep disorders. The adoption of a healthy lifestyle, including regular physical activity, balanced diet, and stress management, also plays a crucial role in the management of these conditions. Given this evidence, it is critical that healthcare professionals are aware of the relationship between sleep disorders and diabetes in order to take an integrated approach to the care of these patients. Investments in further research are needed to deepen our understanding of the pathophysiological mechanisms involved and to develop more effective prevention and treatment strategies aimed at improving the quality of life and clinical outcomes of individuals with diabetes and sleep disorders. Keywords: Sleep disorders, insomnia, excessive daytime sleepiness, sleep apnea, diabetes, glycemic control, quality of life.

ASSESSMENT OF INDIVIDUAL SLEEP DISTURBANCES IN TYPE-2 DIABETES MELLITUS: AN INTERVENTIONAL STUDY

Background: Diabetes mellitus is a widespread disease, associated with rapid social and cultural changes, such as aging of population, urbanization, dietary changes, reduced physical activity, and unhealthy behaviours, leading to lower quality of life and decreased survival of affected individuals. This study aims to evaluate the sleep quality in patients with type 2 diabetes mellitus (T2DM), and to assess the relevance of other factors to sleep quality. Methods: A cross-sectional study was carried out at the Government general hospital, Ananthapuramu, during the period from December 2020 to May, 2021. A total of 384 patients with T2DM were recruited. Data were collected using the Pittsburgh sleep quality index (PSQI) and ESS to assess the sleep quality with a cutoff point of PSQI ≥ 8. Participants' demographic background data were also recorded. Statistical analysis was conducted by using graph pad prism. Results& discussion: Using Scale scores with cutoff point global PSQI ≥ 8 for sleep evaluationin our study, we found that 77.6% of T2DM patients suffer from poorsleep quality.Our study found that poor sleep quality was higher in employed diabeticpatients, as compared to unemployed patients.This study showed that diabetic patients on insulin treatment were 2.17times more likely to complain of poor sleep quality compared to patients receiving OHA only. Conclusions: Effectiveness of patient counselling by clinical pharmacist which improves the sleep quality. Thus patients reporting with sleep difficulties should be screened for diabetes. Type 2 diabetes patients with poor glycaemic control should be assessed for sleep disorders and if present it should be corrected to achieve optimum control of blood sugar levels.

Poor Sleep Quality and Its Predictor Among Type 2 Diabetes Mellitus Patients

2022

Introduction Type 2 diabetes mellitus (DMT2) is a global health threat because it causes persistent hyperglycemia, resulting in various complications, one of which is sleep quality disorders. Sleep quality is related to a person's quality of life because it is related to health, psychological, sociodemographic, and lifestyle conditions and is influenced by various factors. Knowing the factors that affect sleep quality in T2DM patients can improve their quality of life by conducting early detection and intervention. This study aims to identify factors affecting sleep quality in T2DM patients. Methods This cross-sectional study was conducted on DMT2 patients who came to the Endocrine and Neurology Clinic at Hasan Sadikin Hospital Bandung from January to June 2022. All subjects were examined by the Pittsburgh Sleep Quality Index (PSQI) to measure sleep quality. Statistical analysis was conducted to compare the characteristics and risk factors. Results During the study period, 92 patients met the criteria with a mean age of 55±9 years, and most of them were female (n=59/92; 58.5%). There were 57 subjects (61.9%) suffering from poor sleep quality. Obesity (OR 2.33, 95% CI: 1.00 – 5.41) and diabetic neuropathy (OR 2.79 95% CI: 1.16 – 6.70) affect sleep quality. Conclusion Most DMT2 patients suffer from sleep disturbances. Obesity and diabetic neuropathy are factors that affect sleep quality in T2DM patients. Keywords Diabetes mellitus, sleep quality, PSQI

Prevalence of sleep disorder in type 2 diabetes Mellitus patients and it's related factors

Journal of Research & Health, 2015

There are some evidences for the decrease of sleep quality among diabetic patients. Because of negative impact of blood glucose on sleep disorders, we aimed at investigating The prevalence of sleep disorders in patients with type 2 diabetes and its related factors. This cross-sectional study was carried out on 507 patients with type 2 diabetes. For data collection valid and reliable questionnaire and the Pittsburgh sleep quality questionnaire were used. The data were analyzed by software SPS-20 and descriptive statistics. The prevalence of sleep disorders in this study was 50.7%. 65% of participants were women, and mean (standard deviation) age of patients were 57.37 (12.15). Sleep disorder score significantly higher in women than men, and the marital status, education, occupation, daily glibenclamide, a significant relationship was observed in other diseases, and improve sleep program.In this study the prevalence of sleep disorders in patients with diabetes was high. So it seems ne...

Subjective Sleep Quality in Type-2 Diabetics

2019

Background: Poor sleep can challenge normal glucose homeostasis in type-2 diabetics and usually is under-diagnosed. The study aimed to assess subjective sleep quality and duration among diabetics. Methods: A cross-sectional study was carried out in a tertiary care center in Visakhapatnam during the period from January 2018 to April 2018. A total of 444 type-2 diabetics, aged 18 years were recruited. Subjective sleep quality was assessed using Pittsburgh Sleep Quality Index (PSQI) with cut off value >5 indicating poor sleep quality. Participant’s demographic features, co-morbid conditions, body mass index and glycemic profile were collected. Results: Subjective sleep quality was poor in 54.95% of diabetic patients. The mean global PSQI score was 6.08±2.84. Pain was the highest reported sleep-related problem followed by nocturia. The Multivariate Logistic Regression analysis showed that females, physical inactivity, duration of DM >5 years, co-morbid conditions and poor glycemic...