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Sleep Quality in Patients With Type 2 Diabetes Mellitus
Sana Khamassi1, Emna Bornaz1, Haifa Abdesselem1
1Department of Nutritional Diseases (D), Zouhair Kallel Institute of Nutrition and Food Technology, Tunis, Tunisia.
American Journal of Lifestyle Medicine
|November 17, 2025
Summary
Many type 2 diabetes patients suffer from poor sleep quality, linked to neuropathy and specific medications. Integrating sleep management is crucial for diabetic patient care.
Area of Science:
- Endocrinology
- Sleep Medicine
- Diabetology
Background:
- Sleep disorders are increasingly recognized in patients with type 2 diabetes (T2D).
- Understanding factors affecting sleep quality in T2D is essential for effective patient management.
Purpose of the Study:
- To assess sleep quality in adult patients diagnosed with type 2 diabetes.
- To identify key factors associated with poor sleep quality within this population.
Main Methods:
- A cross-sectional descriptive observational study was performed.
- Sleep quality was evaluated using the Pittsburgh Sleep Quality Index (PSQI).
Main Results:
- 70.5% of the 156 T2D patients exhibited poor sleep quality.
- Poor sleep was significantly associated with diabetic neuropathy, low HDL cholesterol, and sulfonylurea use.
- Poor sleep quality was independently linked to sulfonylurea use (OR=5.27).
Conclusions:
- Sleep quality is a significant issue for a majority of type 2 diabetes patients.
- Diabetic neuropathy, low HDL, and sulfonylurea use are associated with impaired sleep.
- Integrating sleep management into routine diabetes care is recommended.
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