Sleep Quality Assessment in Saudi Type 2 Diabetic Patients

Researcher : DR. Ahmed AL-Qurayn

National Guard Program – Riyadh 2012/2013


BACKGROUND: Prevalence of Type 2 Diabetes Mellitus is increasing in our society and is associated with high morbidity and mortality. Patients with diabetes have higher rates of sleep disturbances and poor sleep quality.

OBJECTIVES: To assess the subjective sleep quality in Saudi diabetic patients, and to explore patient demographics and morbidities associated with poor sleep quality.

METHODS: Cross-sectional study was done among Saudi diabetic patient in primary care settings. Patients aged 18 years or more and known to have T2DM were included. Information about Socio-demographic characteristics and medical history taken from patients and HA1c% recorded from patients` files. Physical examination done by trained nurse. Quality of sleep was evaluated through the Pittsburgh Sleep Quality Index (PSQI) tool. A Global Sleep Quality score>5 discriminates between good and poor sleepers.

RESULTS: 280 patients included in the study. 58.2% males and 41.8% female. Mean Pittsburgh Sleep Quality Index (PSQI) score was 5.27 indicated poor sleep quality in this population. 53.9% of patients had PSQI score >5.The mean PSQI score was higher in females compared to males, which mean higher prevalence of poor sleep in female diabetic patients. Strong association between obesity and sleep quality, obesity was prevalent among poor sleepers. No association found between sleep quality and age, duration of diabetes or HA1c% level.


CONCLUSION: There is high prevalence of sleep dysfunction in patients with type 2 diabetes. Strong association found between gender and obesity and quality of sleep. It is important for physicians to address sleep problems in patients with type 2 diabetes and to manage it.


KEYWORDS: Sleep quality, Diabetes mellitus, Saudi



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