Prevalence of sleep disturbances in diabetes mellitus.

We studied the prevalence of sleep disturbances in 184 persons with diabetes, and 99 controls matched for age and sex. Sleep disorders were more common in diabetics (33.7% vs. 8.2% in controls; P < 0.01). Patients with sleep disturbances were younger than those with normal sleep, and had onset of diabetes at a younger age. There was a significant association of sleep disturbances with the presence of cough, dyspnea, nocturnal cramps, paresthesia and burning of soles. Sleep disturbances may be due to physical discomfort, psychosocial factors, fluctuations in metabolic control and perhaps also hypoinsulinemia. Quality of life is affected and coping with the disease is made difficult by sleep disorders. Thus, physicians caring for persons with diabetes must be able to recognize, diagnose and manage sleep disturbances in their patients, when they occur.

[1]  K. T. Chen,et al.  Epidemiology of Diabetes Mellitus , 1992 .

[2]  C. Shapiro,et al.  ABC of sleep disorders. Sleep problems in patients with medical illness. , 1993, BMJ.

[3]  J. Danguir.  Sleep deficits in diabetic rats: restoration following chronic intravenous or intracerebroventricular infusions of insulin , 1984, Brain Research Bulletin.

[4]  T. Gislason,et al.  Somatic diseases and sleep complaints. An epidemiological study of 3,201 Swedish men. , 2009, Acta medica Scandinavica.

[5]  V. Mohan,et al.  High prevalence of diabetes in an urban population in south India. , 1988, BMJ.

[6]  D. Owens,et al.  INSULIN DEFICIENCY IN NON-INSULIN-DEPENDENT DIABETES , 1989, The Lancet.

[7]  I. Is,et al.  The prevalence of sleep disorders , 1994 .

[8]  E. Bixler,et al.  Prevalence of sleep disorders in the Los Angeles metropolitan area. , 1979, The American journal of psychiatry.

[9]  C. Shapiro,et al.  ABC of sleep disorders. Impact and epidemiology of sleep disorders. , 1993, BMJ.

[10]  M. Hyyppä,et al.  Quality of sleep and chronic illnesses. , 1989, Journal of clinical epidemiology.

[11]  M. Hyyppä,et al.  Sleep movements and poor sleep in patients with non-specific somatic complaints--II. Affective disorders and sleep quality. , 1987, Journal of psychosomatic research.

[12]  G. Sridhar.  EPIDEMIOLOGY OF DIABETES MELLITUS IN EMIGRANT INDIANS , 1986 .

[13]  M. Johns,et al.  Sleep Habits and Symptoms in Male Medical and Surgical Patients , 1970, British medical journal.