Articles Vol. 66 No. CĐ10-HNKH Trường ĐH Phenikaa 20/06/2025

3. SLEEP DISTURBANCE AND ITS ASSOCIATION WITH GLYCEMIC CONTROL IN PATIENTS WITH TYPE 2 DIABETES ATTENDING OUTPATIENT CLINIC AT HUE UNIVERSITY OF MEDICINE AND PHARMACY, 2024.

Duong Thi Ngoc Lan1,2, Le Van An1,2
1 University of Medicine and Pharmacy, Hue University
2 Trường Đại học Y-Dược, Đại học Huế
Corresponding author: dtnlan@huemed-univ.edu.vn
DOI: 10.52163/yhc.v66iCD10.2606
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Keywords
Sleep disturbance HbA1C type 2 diabetes PSQI
Abstract

Objective: To investigate the prevalence of sleep disturbance and glycemic control among patients with type 2 diabetes, and to evaluate the association between sleep quality (PSQI) and HbA1C.

Methods: A cross-sectional study was conducted among 171 outpatients with type 2 diabetes at Hue University of Medicine and Pharmacy Hospital. The Pittsburgh Sleep Quality Index (PSQI) was used to assess sleep quality, and HbA1C was used as an indicator of glycemic control. Logistic regression analysis was performed to explore the association.

Results: 60.7% of participants had poor sleep quality (PSQI ≥ 5). Among them, 38.7% had uncontrolled HbA1C (≥ 7%). Logistic regression revealed that PSQI ≥ 5 was an independent predictor of poor glycemic control (OR = 2.32; 95% CI: 1.09–4.95; p = 0.029).

Conclusion: Sleep disturbance is prevalent and significantly associated with poor glycemic control among patients with type 2 diabetes. Screening and management of sleep disorders should be considered as an integral part of diabetes care.

References
[1]
International Diabetes Federation. IDF Diabetes Atlas, 10th ed. Brussels, Belgium: IDF; 2021. Google Scholar
[2]
Nguyen LT, Vu BN, Le TTM. Epidemiology of diabetes in Vietnam: current status and future challenges. J Diabetol. 2022;13(3):45–51. Google Scholar
[3]
Stratton IM, Adler AI, Neil HA, et al. Association of glycaemia with macrovascular and microvascular complications of typediabetes. BMJ. 2000;321(7258):405–12. Google Scholar
[4]
Spiegel K, Leproult R, Van Cauter E. Impact of sleep debt on metabolic and endocrine function. Lancet. 1999;354(9188):1435–9. Google Scholar
[5]
Reutrakul S, Van Cauter E. Sleep influences on obesity, insulin resistance, and risk of type 2 diabetes. Metabolism. 2018;84: 56–66. Google Scholar
[6]
Zizi F, Jean-Louis G, Brown CD, et al. Sleep duration and the risk of diabetes mellitus. Epidemiol Rev. 2009;31(1):61–78. Google Scholar
[7]
Buysse DJ, Reynolds CF, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res. 1989;28(2):193–213. Google Scholar
[8]
Tsai YW, Kann NH, Tung TH, et al. Impact of subjective sleep quality on glycemic control in type 2 diabetes mellitus. Fam Pract. 2012;29(1):30–5. Google Scholar
[9]
Cho Y, Kim Y, Seo D, et al. Impact of sleep disorders on glycemic control and complications in patients with type 2 diabetes. Diabetes Metab Syndr Obes. 2024;17:235–42. Google Scholar
[10]
Lee SW, Ng KY, Chin WK. The impact of sleep amount and quality on glycemic control in type 2 diabetes: a systematic review. J Diabetes Investig. 2017;8(4):514–26. Google Scholar
[11]
American Diabetes Association. Classification and diagnosis of diabetes: Standards of Medical Care in Diabetes—2024. Diabetes Care. 2024;47(Suppl 1):S19–S28. Google Scholar
[12]
Nguyen TH, Nguyen TN, et al. Validation of the Vietnamese version of the PSQI. J Ment Health. 2021;30(2):225–230. Google Scholar
[13]
Zimet GD, Dahlem NW, Zimet SG, Farley GK. The Multidimensional Scale of Perceived Social Support. J Pers Assess. 1988;52(1):30–41. Google Scholar
[14]
Pham TK, Nguyen LV, Do VD. Validation of Multidimensional Scale of Perceived Social Support (MSPSS) in Vietnamese Among People Living with HIV/AIDS. AIDS Behav. 2023;27(8):2488–96. doi:10.1007/s10461-022-03974-1. Google Scholar