Excessive Daytime Sleepiness Linked to Poor Glycemic Control in Diabetes, suggests study
Researchers have established that excessive daytime sleepiness (EDS) is a common condition among more than a quarter of patients with type 2 diabetes mellitus (T2DM). A recent study was conducted by Alemayehu W. and colleagues which was published in the journal of Scientific Reports.
The purpose of this study was to assess the prevalence of excessive daytime sleepiness and its associated factors among patients with type 2 diabetes mellitus in a hospital-based setting. The research employed a cross-sectional design from January 15 to March 15, 2022, involving 229 T2DM patients at Wolkite University Specialized Hospital. Data were collected using semi-structured questionnaires and analyzed using EpiData version 4.6 and SPSS version 25.0. Binary and multiple logistic regression analyses were performed to identify factors associated with EDS, with statistical significance set at a P-value < 0.05.
Key Findings
• Prevalence: Evident among patients with T2DM, prevalence of EDS was 27.1%.
• Aging: By each passing year, the tendency of EDS increased (AOR: 1.08; 95% CI: 1.03-1.12)
• Frequent Snoring: Tendency of frequent snoring indicated a near-tripling propensity for EDS (AOR: 2.9; 95% CI: 1.24-6.80).
• Presence of Hypertension: With comorbid hypertension, propensity for EDS was more than twice that of normal subjects (AOR: 2.64; 95% CI: 1.17-5.96).
• Obesity: Obese patients were 2.7 times more likely to report EDS (AOR: 2.7; 95% CI: 1.03-7.13).
• Poor Glycemic Control: Patients with poor glycemic control had a markedly increased likelihood of EDS (AOR: 6.68; 95% CI: 1.83-24.41).
These results highlight the necessity of considering EDS assessments within regular diabetes management. Early detection and treatment of EDS may provide improved quality of life for the patient and could help in preventing chronic sleep deprivation-associated complications.
Significant associations of excessive daytime sleepiness with poor glycemic control, age, frequent snoring, obesity, and hypertension were found in T2DM patients. Since EDS is common and has a significant effect on the patient's well-being, healthcare providers should incorporate the evaluation of EDS into diabetes care to provide comprehensive management.
Reference:
Wondie, A., Taderegew, M.M., Girma, B. et al. Excessive daytime sleepiness and its predictors among type 2 diabetes mellitus patients at central ethiopia. Sci Rep 14, 31693 (2024).https://doi.org/10.1038/s41598-024-81073-y
