Relation between Quality of Sleep Habits and Glycemic Control among Insulin Dependent Diabetes Mellitus Patients

Abdelaziz, Thoraya Mohamed; Alawam, Gehad Ahmed; Alaa, Sanaa Mohamed; Mohammed, Noura Mahmoud

doi:10.21608/asalexu.2022.280352

Relation between Quality of Sleep Habits and Glycemic Control among Insulin Dependent Diabetes Mellitus Patients

Document Type : Research articles

Authors

¹ Medical Surgical Nursing, Faculty of Nursing, Alexandria University

² Medical Surgical Nursing, Faculty of Nursing, Matrouh University

³ Medical Surgical Nursing, Faculty of Nursing,Matrouh University

10.21608/asalexu.2022.280352

Abstract

Background: Type I diabetes mellitus (TIDM) is an emerging public health issue; in which the
relation between quality of sleep (QoS) and glycemic control is inconsistent; where inadequate or poor QoS
is associated with higher glycosylated hemoglobin (HbA1c) levels and greater glycemic variability.
Conversely, altered glucose metabolism may affect sleep quality, suggesting a bidirectional relationship
between QoS and DM control. Aim of the study: Assess the quality of sleep habits among TIDM patients and
to assess the relation between quality of sleep habits and glycemic control among type I insulin dependent
diabetes mellitus patients. Design: A descriptive correlational research design was used to conduct this
study. Setting: The present study was conducted at: the Inpatient Medical Department and Medical
Outpatient Clinic at Matrouh General Hospital affiliated to Directorate of Health Affairs in Matrouh .
Subjects: A convenience sample of 120 adult patients with type I diabetes mellitus were recruited in the
current study. Three tools were utilized for data collection; namely: The Bio-sociodemographic and Clinical
Data Structured Interview Schedule, Parameters for Glycemic Control Sheet and The Pittsburgh Sleep
Quality Index (PSQI). Results: More than half of the studied patients suffered from poor QoS ranged from
moderate to moderate severe difficulties in all area of sleep quality. In addition, a significant relation was
declared between the global PSQI components score and the HbA1C level in the baseline and second
researcher’s assessment. In conclusion: the TIDM patients are more susceptible to poor sleep quality being
obviously linked with poor glycemic control. Recommendation: Increase diabetic patients’ awareness about
the importance of following proper sleep quality practices in association with sustaining their glycemic
control.

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