PMID- 32431108 OWN - NLM STAT- MEDLINE DCOM- 20210909 LR - 20221207 IS - 2233-6087 (Electronic) IS - 2233-6079 (Print) IS - 2233-6079 (Linking) VI - 44 IP - 5 DP - 2020 Oct TI - Deterioration of Sleep Quality According to Glycemic Status. PG - 679-686 LID - 10.4093/dmj.2019.0125 [doi] AB - BACKGROUND: Type 2 diabetes mellitus (T2DM) is a progressive disease with multiple complications. The present study aimed to determine the effects of glycemic status on sleep quality in individuals with T2DM, prediabetes, and normal glucose tolerance (NGT). METHODS: A total of 90 participants were categorized into three groups, T2DM (n=30), prediabetes (n=30), and NGT (n=30). Objective sleep quality was measured with the actigraph wrist-worn device over 3 nights and subjective sleep quality was evaluated with a questionnaire. RESULTS: The duration of diabetes in the T2DM group was 2.23 years and the glycosylated hemoglobin (HbA1c) levels in the T2DM, prediabetes, and NGT groups were 7.83%, 5.80%, and 5.31%, respectively. Sleep efficiency decreased across the T2DM, prediabetes, and NGT groups (86.25%, 87.99%, and 90.22%, respectively; P=0.047). Additionally, HbA1c levels revealed a significant negative correlation with sleep efficiency (r=-0.348, P=0.001). The sleep quality questionnaire results were similar among the three groups. CONCLUSION: Although the participants in the present study were not necessarily conscious of their sleep disturbances, deterioration in sleep quality progressed according to glycemic status. FAU - Hur, Myung Haeng AU - Hur MH AD - Eulji University College of Nursing, Daejeon, Korea. FAU - Lee, Mi-Kyoung AU - Lee MK AD - Eulji University College of Nursing, Daejeon, Korea. FAU - Seong, Kayeon AU - Seong K AD - Eulji University College of Nursing, Daejeon, Korea. FAU - Hong, Jun Hwa AU - Hong JH AD - Division of Endocrinology, Department of Internal Medicine, Daejeon Eulji Medical Center, Eulji University School of Medicine, Daejeon, Korea. LA - eng GR - Eulji University/International GR - KDA/International PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20200417 PL - Korea (South) TA - Diabetes Metab J JT - Diabetes & metabolism journal JID - 101556588 RN - 0 (Glycated Hemoglobin A) SB - IM MH - Adult MH - Diabetes Mellitus, Type 2 MH - Female MH - Glycated Hemoglobin/analysis MH - Glycemic Index MH - Humans MH - Male MH - Middle Aged MH - Prediabetic State MH - *Sleep MH - *Sleep Wake Disorders PMC - PMC7643591 OTO - NOTNLM OT - Diabetes mellitus, type 2 OT - Glycated hemoglobin A OT - Prediabetic state OT - Sleep OT - Actigraphy COIS- CONFLICTS OF INTEREST No potential conflict of interest relevant to this article was reported. EDAT- 2020/05/21 06:00 MHDA- 2021/09/10 06:00 PMCR- 2020/10/01 CRDT- 2020/05/21 06:00 PHST- 2019/06/25 00:00 [received] PHST- 2019/08/20 00:00 [accepted] PHST- 2020/05/21 06:00 [pubmed] PHST- 2021/09/10 06:00 [medline] PHST- 2020/05/21 06:00 [entrez] PHST- 2020/10/01 00:00 [pmc-release] AID - 44.e16 [pii] AID - dmj-2019-0125 [pii] AID - 10.4093/dmj.2019.0125 [doi] PST - ppublish SO - Diabetes Metab J. 2020 Oct;44(5):679-686. doi: 10.4093/dmj.2019.0125. Epub 2020 Apr 17.