Publication: Association of Subjective Sleep Quality and Glycemic Level in Patients with Type 2 Diabetes Mellitus: A cross sectional study
Date
2020
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Kathmandu University
Abstract
ABSTRACT
Background
Sleep disorders are considered as one of the important risk factor which have a great
impact on patients with type 2 diabetes mellitus.
Objective
The objectives of this study was to determine the effect of sleep quality on the
glycemic level among type 2 diabetic patients.
Method
This was a cross sectional study done in 208 type 2 diabetic patients visiting
Kathmandu Medical College Public Limited from July 2019 to December 2019. Data
regarding sleep quality was collected by using Pittsburgh Sleep Quality Index taking
global cut off score ≥ 8 as poor sleeper. Glycated hemoglobin level ≥ 7 was considered
as poor glycemic control. Chi square test was used to compare parameters between
good sleeper and poor sleeper. Independent sample t test compared the means
of Pittsburgh Sleep Quality Index factors and glycemic contol. A logistic regression
analysis of Pittsburgh Sleep Quality Index factors and glycated hemoglobin was done.
Values of p ≤ 0.05 were considered statistically significant.
Result
The study findings revealed that 62 % had poor glycemic control and 58.7 % were
poor quality sleeper. There was a significant association of sleep quality with glycemic
control and duration of diabetes. Logistic regression analyses showed that subjective
sleep quality was risk factor for poor glycemic control. The odds ratio for subjective
sleep quality was found to be 4.59 (2.13-9.91).
Conclusion
Poor sleep quality was common in type 2 diabetic patients. This study showed that
the risk factors for poor subjective sleep quality include poor glycemic control and
longer duration of diabetes mellitus.
KEY WORDS
Diabetes mellitus, Glycemic level, Sleep
Description
Khakurel G,1 Shakya D,2 Chalise P,3 Chalise S4
1Department of Physiology,
2Department of Medicine
3Department of Psychiatry
4Department of Pathology
Kathmandu Medical College,
Duwakot, Bhaktapur, Nepal
Keywords
Diabetes mellitus, Glycemic level, Sleep