Highlights
- •Prevalence of poor sleep quality in Mexican patients with diabetes is 70 %.
- •50 % of these patients have lack of glycemic control and poor sleep quality.
- •The poor sleep quality significantly doubles the risk of uncontrolled diabetes.
Abstract
Aims
To determine the association between sleep quality and lack of glycemic control in
a Mexican population of type 2 diabetes patients.
Methods
Cross-sectional study. Two hundred two patients between 20 and 60 years old with a
previous diagnosis of diabetes were included. Sleep quality was assessed with the
Pittsburgh Sleep Quality Index and lack of glycemic control as a glycated hemoglobin
A1c level ≥ 7 %. Univariate and multivariate analyses using logistic regression were
performed.
Results
The study population showed poor sleep quality and a lack of glycemic control of 70.3
% and 69.8 %, respectively. The prevalence of patients with both conditions was 52.5
%. In multivariate analysis, poor sleep quality was significantly associated with
a lack of glycemic control (OR = 2.3, p = 0.030). Other associated variables were napping (p = 0.015), diabetes duration (p = 0.011), insulin use (p = 0.024), and diastolic blood pressure ≥ 85 mmHg (p = 0.029).
Conclusions
The prevalence of lack of glycemic control in the study population is high. Poor sleep
quality significantly doubles the risk of lack of glycemic control, even in the presence
of other risk factors.
Keywords
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Article info
Publication history
Published online: February 11, 2023
Accepted:
January 30,
2023
Received in revised form:
January 13,
2023
Received:
August 27,
2022
Identification
Copyright
© 2023 Primary Care Diabetes Europe. Published by Elsevier Ltd. All rights reserved.
