Impact of Sleep Quality on Glycemic Control in Type 2 Diabetes Mellitus

Abstract

Background: Glycemic control is important to reduce the risk of micro ‑ vascular problems among patients with diabetes mellitus. Sleeplimitation leads to increase Hemoglobin A1C (HbA1c) levels; though, slight is known regarding the metabolic impacts of usual sleep limitation.The current study was a hospital‑based cross‑sectional study which performed to evaluate the association between habitual sleep quality withglycemic control and HbA1c fluctuations among contributors in the medical merjan city among Type 2 diabetics. Objectives: The purpose ofcurrent study is to assess sleep quality among Type 2 diabetic patients and to consider the influence of sleep value on glycemic control amongthose patients in Al‑Hilla City. Methods: Our study was “descriptive cross sectional study” to assess the sleep quality using Pittsburgh SleepQuality Index by filling out the questionnaire formats which designed for usage of the study. This study include a “convenient sample” of150 Type 2 diabetic patients who visit the specialist day clinic in diabetic center of merjan medical hospital between the 25th of February tothe end of June, 2018. Verbal approval was attained from each Type 2 diabetic patient, data collection was done through the interviewing ofcontributors by use of structural questionnaire. Results: The mean age of diabetic patients was (53.20 ± 13.53), Male represents (42.7%) andfemale represents (57.3%). Poor sleep quality represent (35.3%). There was a significant increase in level of HbA1c and random blood sugaramong patients with Type 2 diabetics with poor sleep quality and significant decrease of cholesterol and triglycerides levels with increaseduration of diabetes mellitus. Conclusions: Poor sleep was common among diabetic patients. There is close association between sleep qualityand glycemic control, as well as short sleepers have an increased occurrence of diabetes.