Abstract
Recent cohort studies have proven the association between sleep deprivation and adverse glycemic control (GC). The aim of this study was to assess the prevalence of excessive daytime sleepiness (EDS), a subjective measure of sleep deprivation, among type 2 diabetic mellitus (T2DM) patients and its association with GC. This cross-sectional study was conducted between July 2015 and June 2016 in five diabetes clinics in the district of Erode, Tamil Nadu, India. An equal number of consenting patients with T2DM was recruited consecutively from each of the centers, and EDS was measured subjectively using the Epworth sleepiness scale (ESS), whereas GC was assessed using HbA1c levels. In all, 126 patients were screened and 102 were found eligible for the study. The prevalence of EDS was 17.5% (95% confidence interval 10.13-24.87). The association between ESS scores and HbA1c levels was analyzed using linear regression after adjusting for age, dietary intake, inflammatory markers (erythrocyte sedimentation rate), depression (Patient Health Questionnaire-9 score) and stress (Perceived Stress Scale score): for every unit increase in the ESS score, HbA1c increased by 0.143 g/dL (P < 0.001). Subjective EDS was seen in approximately one-quar...Continue Reading
References
Dec 1, 1991·Sleep·M W Johns
Dec 1, 1983·Journal of Health and Social Behavior·S CohenR Mermelstein
Apr 1, 1994·Diabetes Research and Clinical Practice·G R Sridhar, K Madhu
Sep 15, 2001·Journal of General Internal Medicine·K KroenkeJ B Williams
Aug 6, 2003·Medicine and Science in Sports and Exercise·Cora L CraigPekka Oja
Nov 1, 2003·Sleep Medicine·Suresh KumarM Behari
Nov 1, 2003·Sleep Medicine·Arthur S WaltersUNKNOWN International Restless Legs Syndrome Study Group
May 29, 2004·Sleep·Sanjay R PatelFrank B Hu
Dec 17, 2004·PLoS Medicine·Shahrad TaheriEmmanuel Mignot
Sep 30, 2005·American Journal of Respiratory and Critical Care Medicine·Kevin J ReichmuthTerry Young
Jun 9, 2007·Movement Disorders : Official Journal of the Movement Disorder Society·Klaus Berger, Tobias Kurth
Mar 13, 2009·Diabetes Care·Gary D FosterUNKNOWN Sleep AHEAD Research Group
May 19, 2009·Parkinsonism & Related Disorders·Lynn Marie TrottiStewart A Factor
Jan 28, 2010·Journal of Physical Activity & Health·Fiona C BullTimothy Armstrong
Jul 14, 2010·Social Science & Medicine·Orfeu M Buxton, Enrico Marcelli
Sep 3, 2010·Diabetes Research and Clinical Practice·Mark T U Barone, Luiz Menna-Barreto
Nov 30, 2012·The Diabetes Educator·Eileen R ChasensLora E Burke
Sep 11, 2013·Indian Journal of Community Medicine : Official Publication of Indian Association of Preventive & Social Medicine·Mohan BairwaSandeep Sachdeva
Sep 14, 2013·Arquivos brasileiros de endocrinologia e metabologia·Camila MedeirosPedro Bruin
Jun 30, 2015·Diabetes Research and Clinical Practice· Idf Diabetes Atlas Group
Feb 26, 2016·Annals of Medicine and Surgery·Ross DolanJohn Camilleri-Brennan
Mar 6, 2016·Sleep Medicine Reviews·Shaun Wen Huey LeeWeng Khong Chin
Apr 12, 2016·Lancet·UNKNOWN NCD Risk Factor Collaboration (NCD-RisC)
Dec 21, 2016·Annals of Indian Academy of Neurology·Geetika BajpaiMadhuri Behari
Dec 22, 2016·Journal of Clinical Sleep Medicine : JCSM : Official Publication of the American Academy of Sleep Medicine·Michael J SateiaJonathan L Heald