Sleep Quality in Type 2 Diabetes Mellitus Patients Attending a Tertiary Care Hospital in West Bengal: A Cross-Sectional Study.

Abstract

Background Patients with type 2 Diabetes Mellitus (DM) have a poor quality of life because of various clinical effects. The sleep quality among these patients is affected and they encounter challenges to sleep and wakefulness due to physiological imbalance and co-morbid sleep pathologies. The present study was conducted to ascertain the sleep quality in type 2 DM patients attending a tertiary center in West Bengal. Methodology It was a hospital-based cross-sectional study that was conducted among old/follow-up patients who were suffering from DM. The eligible subjects were selected by systematic random sampling and were interviewed using a semi-structured and pre-tested questionnaire. Information pertaining to socio-demographic characteristics and sleep quality was ascertained. The sleep quality was assessed by using the Pittsburgh Sleep Quality Index (PSQI). Data was analyzed using Statistical Package for Social Sciences (SPSS) version 20 and statistical association of different parameters was tested using Chi-Square test. Results A total of 192 subjects were selected for study. Maximum subjects were above 50 years. A total of 102 males and 90 females participated in the study. A total of 110 subjects were poor sleepers (i.e. PSQI score ≥5) while 82 were good sleepers(PSQI<5). Poor sleepers were maximum in the 20-35 yearsage group, more in females and unemployed individuals. Subjects with poor diabetes control, i.e. HbA1C more than 7gm/dl were poor sleepers. Conclusions A higher proportion of patients with type 2 DM had poor quality of sleep. It is important on the part of the health personnel to attend to the sleep issues and impaired quality of life due to sleep inadequacy in DM patients.