Affiliation:
1. Associate Professor, Department Of Pediatrics Raja Rajeswari Medical College And Hospital Banglore
2. Junior Resident, Department Of Pediatrics Raja Rajeswari Medical College And Hospital
3. Student, Bangalore Medical College And Research Institute Banglore
4. Hod And Professor, Department Of Pediatrics, Raja Rajeswari Medical College And Hospital Banglore
5. Professor, Department Of Pediatrics Raja Rajeswari Medical College And Hospital Banglore
Abstract
Background and Aims: Diabetes has been reported to be a risk factor for sleep disturbances in adolescent age groups. Although the impact of type1 diabetes mellitus (T1DM) on sleep patterns of children is well recognized, data about its prevalence is scant. This study aims to determine the
quality of sleep among adolescents with T1DM and factors inuencing it. Methods: This is a cross-sectional study collected data from 30
adolescent diagnosed with T1DM at least 6 months earlier. They presented to Paediatric endocrine OPD from May 2021 to May 2022. Subjects
were asked to complete the Pittsburgh Sleep Quality Index (PSQI) 19-item self-report questionnaire. Children with T1DM being under treatment
for sleep disorder were excluded. The combined score of the 7 components (subjective sleep quality, sleep latency, sleep duration, habitual sleep
efciency, sleep disturbances, use of sleeping medication, and daytime dysfunction) was used for analysis and the score ranged from 0 to 21. Atotal
score >5 was considered as “poor sleep quality”. The quality of sleep was correlated with drug, dietary compliance and metabolic control. p-value
<0.05 was considered signicant. Results: The mean age of study population was 14.3±1.7 years. 18 were boys and 12 were girls. Total 8 patients
showed poor sleep quality (PQSI score >5). No signicant relationship was found between sleep quality, duration of diabetes and HbA1c levels in
the diabetes group (P= 0.59, P= 0.41, respectively). The total sleep time of boys (8.4 ± 1.2 h) was longer than girls (7.6 ± 1.7 h), but the overall total
sleep time per night did not differ signicantly between boys and girls (P= 0.053). Conclusion: The present study shows that diabetes control may
affect sleep quality in adolescents. Optimal diabetes management can positively affect sleep patterns in these adolescents. Further larger studies are
needed to validate our results
Subject
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