The role of sleep quality in the pathogenesis and management of Type 2 diabetes

Abstract

With a growing prevalence of both Type 2 diabetes and sleep disturbances in the population, emerging evidence suggests a potential link between sleep quality and diabetes. This review explores the role of sleep quality in Type 2 diabetes, including its association with glycemic control and the potential of sleep interventions in management. The review clarifies underlying mechanisms connecting sleep disturbances to diabetes, encompassing cortisol, melatonin, ghrelin, and leptin dysregulation. Sleep quality affects emotional well-being, contributing to stress-related insulin resistance. Exploring the intricate connection between sleep quality and glycemic control uncovers intricate patterns involving HbA1c levels and intriguing gender disparities. However, the obstacle of patient adherence underscores the necessity for nuanced strategies, including personalized approaches. The implications for diabetes management and public health resonate through adaptable care during challenging circumstances, evidence-based population health strategies, and proactive prevention efforts. Adaptable care methods, rooted in telehealth and individualized support, ensure uninterrupted diabetes management. Early intervention and prevention programs can forestall prediabetes progression, necessitating proactive public health initiatives. This review showcases the links between sleep quality and Type 2 diabetes, revealing a landscape where sleep interventions hold potential, but also emphasizing the need for holistic, patient-centered approaches in diabetes management.