Assessment of Sleep Quality in Patients with Type 2 Diabetes Mellitus: A Prospective Observational Study from a Tertiary Care Centre (original) (raw)

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.

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.

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.

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.