Sleep And Hba1c In Adult Patients With Type 2 Diabetes Mellitus

Authors

DOI:

https://doi.org/10.23917/bik.v16i2.1764

Keywords:

Hemoglobin A1c, Quality of Sleep, Type 2 Diabetes Mellitus

Abstract

Sleep is one of the essential factors in life and affects glucose metabolism, so it is crucial for diabetic patients to have good quality sleep to control their diabetes. The study aimed to analyze the relationship between sleep quality and HbA1c levels in adult patients with type 2 diabetes mellitus. This study was conducted with a cross-sectional study approach with a sample of 170 respondents with convenience sampling from a hospital in Banda Aceh. Sleep quality data was measured by the Pittsburgh Sleep Quality Index (PSQI), and HbA1c levels were obtained from the results of respondents' HbA1c examinations in the last three months analyzed through chi-square. The results showed a significant relationship between sleep quality and respondents' HbA1c levels (p = 0.008), where respondents (64.1%) with poor sleep quality had an eight times the risk of having uncontrolled HbA1c levels compared to respondents with good sleep quality. Education on the importance of sleep health in patients regularly should be carried out in groups by health services to motivate T2DM patients to enjoy adequate sleep and improve their glycemic control through learning media that interest patients

Downloads

Download data is not yet available.

References

American Diabetes Association. (2017). Standards of medical care in diabetes-2017. Diabetes Care, 40(Suppl 1). https://doi.org/10.1111/1753-0407.12424

American Diabetes Association Professional Practice Committee. (2022). Facilitating Behavior Change and Well-being to Improve Health Outcomes: Standards of Medical Care in Diabetes—2022. Diabetes Care, 45 (Suppl.(January), S60–S82. https://doi.org/10.2337/dc22-S005

Azharuddin, M., Kapur, P., Adil, M., Ghosh, P., & Sharma, M. (2020). The impact of sleep duration and sleep quality on glycaemic control in Asian population with type 2 diabetes mellitus: A systematic literature review and meta-analysis of observational studies. Clinical Epidemiology and Global Health, 8(3), 967–975. https://doi.org/10.1016/j.cegh.2020.03.006

Azizah, U. N., Wurjanto, M. A., Kusariana, N., & Susanto, H. S. (2022). Hubungan Kualitas Tidur dengan Kontrol Glikemik pada Penderita Diabetes Melitus : Systematic Review. Jurnal Epidemiologi Kesehatan Komunitas, 7(1), 411–422. https://doi.org/10.14710/jekk.v7i1.13310

Barakat, S., Abujbara, M., Banimustafa, R., Batieha, A., & Ajlouni, K. (2019). Sleep Quality in Patients With Type 2 Diabetes Mellitus. Journal of Clinical Medicine Research, 11(4), 261–266. https://doi.org/10.14740/jocmr2947w

Bellon, F., Mora-Noya, V., Pastells-Peiró, R., Abad-Corpa, E., Gea-Sánchez, M., & Moreno-Casbas, T. (2021). The efficacy of nursing interventions on sleep quality in hospitalized patients: A systematic review of randomized controlled trials. International Journal of Nursing Studies, 115, 103855. https://doi.org/10.1016/j.ijnurstu.2020.103855

Buysse, D. J., Hall, M. L., Strollo, P. J., Kamarck, T. W., Owens, J., Lee, L., Reis, S. E., & Matthews, K. A. (2008). Relationships between the Pittsburgh Sleep Quality Index (PSQI), Epworth Sleepiness Scale (ESS), and clinical/polysomnographic measures in a community sample. Journal of Clinical Sleep Medicine, 4(6), 563–571. https://doi.org/10.5664/jcsm.27351

Buysse, D. J., Reynolds, C. F., Monk, T. H., Berman, S. R., & Kupfer, D. J. (1989). The Pittsburgh sleep quality index: A new instrument for psychiatric practice and research. Psychiatry Research, 28(2), 193–213. https://doi.org/10.1016/0165-1781(89)90047-4

Chang, C. J., Pei, D., Wu, C. C., Palmer, M. H., Su, C. C., Kuo, S. F., & Liao, Y. M. (2017). Correlates of Nocturia and Relationships of Nocturia With Sleep Quality and Glycemic Control in Women With Type 2 Diabetes. Journal of Nursing Scholarship, 49(4), 400–410. https://doi.org/10.1111/jnu.12302

Chasens, E. R., Korytkowski, M., Sereika, S. M., & Burke, L. E. (2013). Effect of Poor Sleep Quality and Excessive Daytime Sleepiness on Factors Associated with Diabetes Self-Management. Diabetes Educator, 39(1), 74–82. https://doi.org/10.1177/0145721712467683.Effect

Grossman, S., & Porth, C. M. (2014). Porth’s Pathophysiology: Concepts of Altered Health States-9th edition. (Ninth edit). Lippincott Williams & Wilkins.

Gupta, S., & Wang, Z. (2016). Predictors of sleep disorders among patients with type 2 diabetes mellitus. Diabetes and Metabolic Syndrome: Clinical Research and Reviews, 10(4), 213–220. https://doi.org/10.1016/j.dsx.2016.06.009

Hogenkamp, P. S., Nilsson, E., Nilsson, V. C., Chapman, C. D., Vogel, H., Lundberg, L. S., Zarei, S., Cedernaes, J., Rångtell, F. H., Broman, J. E., Dickson, S. L., Brunstrom, J. M., Benedict, C., & Schiöth, H. B. (2013). Acute sleep deprivation increases portion size and affects food choice in young men. Psychoneuroendocrinology, 38(9), 1668–1674. https://doi.org/10.1016/j.psyneuen.2013.01.012

International Diabetes Federation. (2021). IDF Diabetes Atlas 10th edition. In IDF. https://doi.org/10.1016/j.diabres.2013.10.013

Khalil, M., Power, N., Graham, E., Deschênes, S. S., & Schmitz, N. (2020). The association between sleep and diabetes outcomes – A systematic review. Diabetes Research and Clinical Practice, 161, 1–12. https://doi.org/10.1016/j.diabres.2020.108035

Khandelwal, D., Dutta, D., Chittawar, S., & Kalra, S. (2017). Sleep disorders in type 2 diabetes. Indian Journal of Endocrinology and Metabolism, 21(5), 758–761. https://doi.org/10.4103/ijem.IJEM_156_17

Lee, S. W. H., Ng, K. Y., & Chin, W. K. (2017a). The impact of sleep amount and sleep quality on glycemic control in type 2 diabetes: A systematic review and meta-analysis. Sleep Medicine Reviews, 31, 91–101. https://doi.org/10.1016/j.smrv.2016.02.001

Lee, S. W. H., Ng, K. Y., & Chin, W. K. (2017b). The impact of sleep amount and sleep quality on glycemic control in type 2 diabetes: A systematic review and meta-analysis. Sleep Medicine Reviews, 31, 91–101. https://doi.org/10.1016/j.smrv.2016.02.001

Lim, W. Y., Ma, S., Heng, D., Tai, E. S., Khoo, C. M., & Loh, T. P. (2018). Screening for diabetes with HbA1c: Test performance of HbA1c compared to fasting plasma glucose among Chinese, Malay and Indian community residents in Singapore. Scientific Reports, 8(1), 1–9. https://doi.org/10.1038/s41598-018-29998-z

Luyster, F. S., & Dunbar-Jacob, J. (2011). Sleep quality and quality of life in adults with type 2 diabetes. Diabetes Educator, 37(3), 347–355. https://doi.org/10.1177/0145721711400663

Menteri Kesehatan Republik Indonesia. (2016). Peraturan Menteri Kesehatan Republik Indonesia Nomor 25 Tahun 2016 Tentang Rencana Aksi Nasional Kesehatan Lanjut Usia Tahun 2016-2019. In http://hukor.kemkes.go.id/uploads/produk_hukum/PMK_No._25_ttg_Rencana_Aksi_Nasional_Kesehatan_Lanjut_Usia_Tahun_2016-2019_.pdf.

Obayashi, K., Saeki, K., Iwamoto, J., Okamoto, N., Tomioka, K., Nezu, S., Ikada, Y., & Kurumatani, N. (2013). Exposure to Light at Night, Nocturnal Urinary Melatonin Excretion, and Obesity/Dyslipidemia in the Elderly: A Cross-Sectional Analysis of the HEIJO-KYO Study. Journal of Clinical Endocrinology & Metabolism, 98(1), 337–344. https://doi.org/10.1210/jc.2012–2874

Ohkuma, T., Fujii, H., Iwase, M., Ogata-Kaizu, S., Ide, H., Kikuchi, Y., Idewaki, Y., Jodai, T., Hirakawa, Y., Nakamura, U., & Kitazono, T. (2014). U-shaped association of sleep duration with metabolic syndrome and insulin resistance in patients with type 2 diabetes: The Fukuoka Diabetes Registry. Metabolism: Clinical and Experimental, 63(4), 484–491. https://doi.org/10.1016/j.metabol.2013.12.001

Pejovic, S., Vgontzas, A. N., Basta, M., Tsaoussoglou, M., Zoumakis, E., Vgontzas, A., Bixler, E. O., & Chrousos, G. P. (2010). Leptin and Hunger Levels in Young Healthy Adults After One Night of Sleep Loss. J Sleep Res, 19(4), 552–558. https://doi.org/10.1111/j.1365-2869.2010.00844.x.Leptin

Rajendran, A., Parthsarathy, S., Tamilselvan, B., Seshadri, K. G., & Shuaib, M. (2012). Prevalence and correlates of disordered sleep in southeast asian indians with type 2 diabetes. Diabetes and Metabolism Journal, 36(4), 314–315. https://doi.org/10.4093/dmj.2012.36.4.314

Resnick, H. E., Redline, S., Shahar, E., Gilpin, A., Newman, A., Walter, R., Ewy, G. a, Howard, B. V, & Punjabi, N. M. (2003). Findings from the Sleep Heart Health Study. Diabetes Care, 26(3), 702–709. http://care.diabetesjournals.org/content/26/3/702.short

Smyth, A., Jenkins, M., Dunham, M., Kutzer, Y., Taheri, S., & Whitehead, L. (2020). Systematic review of clinical practice guidelines to identify recommendations for sleep in type 2 diabetes mellitus management. Diabetes Research and Clinical Practice, 170, 108532. https://doi.org/10.1016/j.diabres.2020.108532

Soelistijo, S. A., Lindarto, D., Decroli, E., Permana, H., Sucipto, K. W., Kusnadi, Y., Budiman, Ikhsan, R., Sasiarini, L., & Sanusi, H. (2019). Pedoman Pengelolaan Dan Pencegahan Diabetes Melitus Tipe 2 Dewasa di Indonesia. In PB Perkumpulan Endokrinologi Indonesia (Perkeni).

Sondrup, N., Termannsen, A. D., Eriksen, J. N., Hjorth, M. F., Færch, K., Klingenberg, L., & Quist, J. S. (2022). Effects of sleep manipulation on markers of insulin sensitivity: A systematic review and meta-analysis of randomized controlled trials. Sleep Medicine Reviews, 62, 101594. https://doi.org/10.1016/j.smrv.2022.101594

Surani, S. (2015). Effect of diabetes mellitus on sleep quality. World Journal of Diabetes, 6(6), 868. https://doi.org/10.4239/wjd.v6.i6.868

Taheri, S., Lin, L., Austin, D., Young, T., & Mignot, E. (2004). Short sleep duration is associated with reduced leptin, elevated ghrelin, and increased body mass index. PLoS Medicine, 1(3), 210–217. https://doi.org/10.1371/journal.pmed.0010062

Tan, X., & Benedict, C. (2020). Sleep characteristics and HbA1c in patients with type 2 diabetes on glucose-lowering medication. BMJ Open Diabetes Research and Care, 8(1), 2–8. https://doi.org/10.1136/bmjdrc-2020-001702

Tan, X., van Egmond, L., Chapman, C. D., Cedernaes, J., & Benedict, C. (2018). Aiding sleep in type 2 diabetes: therapeutic considerations. The Lancet Diabetes and Endocrinology, 6(1), 60–68. https://doi.org/10.1016/S2213-8587(17)30233-4

Tsai, Y. W., Kann, N. H., Tung, T. H., Chao, Y. J., Lin, C. J., Chang, K. C., Chang, S. S., & Chen, J. Y. (2012). Impact of subjective sleep quality on glycemic control in type 2 diabetes mellitus. Family Practice, 29(1), 30–35. https://doi.org/10.1093/fampra/cmr041

Zahra, A. N., & Farida, M. E. (2020). Hubungan Kadar HbA1c dan Kualitas Tidur pada Pasien Diabetes Melitus Tipe 2. Jurnal Persatuan Perawat Nasional Indonesia (JPPNI), 3(3), 189. https://doi.org/10.32419/jppni.v3i3.170

Zhu, B. Q., Li, X. M., Wang, D., & Yu, X. F. (2014). Sleep quality and its impact on glycaemic control in patients with type 2 diabetes mellitus. International Journal of Nursing Sciences, 1(3), 260–265. https://doi.org/10.1016/j.ijnss.2014.05.020

Zhu, B., Vincent, C., Kapella, M. C., Quinn, L., Collins, E. G., Ruggiero, L., Park, C., & Fritschi, C. (2018). Sleep disturbance in people with diabetes: A concept analysis. Journal of Clinical Nursing, 27(1–2), 1–19. https://doi.org/10.1111/jocn.14010

Downloads

Submitted

2023-03-31

Accepted

2023-07-28

Published

2023-08-31

How to Cite

Andriani, R., Orita Satria, Nurhadia, N., & Crasdian Afri Yudi. (2023). Sleep And Hba1c In Adult Patients With Type 2 Diabetes Mellitus. Jurnal Berita Ilmu Keperawatan, 16(2), 150–160. https://doi.org/10.23917/bik.v16i2.1764

Issue

Section

Articles

Similar Articles

<< < 1 2 3 

You may also start an advanced similarity search for this article.