open access

Vol 11, No 5 (2022)
Research paper
Submitted: 2022-02-23
Accepted: 2022-08-13
Published online: 2022-10-24
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The Effect of Training About Sleep Hygiene on HbA1c Levels of Type 2 Diabetes Mellitus Patients: A Randomized Controlled Trial

Ayşe Gündüz1, Süleyman Görpelioğlu1, Canan Emiroğlu1, Özlem Suvak1, Cenk Aypak1
DOI: 10.5603/DK.a2022.0046
·
Clinical Diabetology 2022;11(5):303-308.
Affiliations
  1. University of Health Sciences Dışkapı Yıldırım Beyazıt Training and Research Hospital, Department of Family Medicine, Ankara, Turkey

open access

Vol 11, No 5 (2022)
Original articles
Submitted: 2022-02-23
Accepted: 2022-08-13
Published online: 2022-10-24

Abstract

Objective: In this study, we aimed to reveal whether training on sleep hygiene have an effect on blood glucose regulation of type 2 diabetes patients. Materials and methods: Those with even protocol numbers were included in the case group and those with odd numbers were included in the control group. Pittsburgh sleep quality index was applied face-to-face to all patients included in the study and at the first admission sleep hygiene training was given to the case group. HbA1c values were noted separately as first and second visit for both groups. Those with known sleep disorders and language or psychiatric problems that would prevent them from answering the questionnaire were excluded from the study. Differences between demographic and clinical features of groups were evaluated using chi-square and Student’s t-tests. Comparisons of the case and control groups before and after sleep hygiene training were evaluated using ANCOVA test adjusted for BMI and DM duration. Results: A total of 347 Type 2 diabetes patients included in this randomized controlled trial (113 case 234 control). Significant difference was observed in the HbA1c values measured before and after the training of the case group. The second mean HbA1c (8.13 ± 2.03 mmol/L) of the control group was significantly higher than the second mean HbA1c (7.51 ± 1.42 mmol/L) values of the case group (p = 0.004). Conclusions: Our study revealed that in addition to classical diabetes treatment, sleep hygiene training also has a positive effect on blood glucose regulation of patients.

Abstract

Objective: In this study, we aimed to reveal whether training on sleep hygiene have an effect on blood glucose regulation of type 2 diabetes patients. Materials and methods: Those with even protocol numbers were included in the case group and those with odd numbers were included in the control group. Pittsburgh sleep quality index was applied face-to-face to all patients included in the study and at the first admission sleep hygiene training was given to the case group. HbA1c values were noted separately as first and second visit for both groups. Those with known sleep disorders and language or psychiatric problems that would prevent them from answering the questionnaire were excluded from the study. Differences between demographic and clinical features of groups were evaluated using chi-square and Student’s t-tests. Comparisons of the case and control groups before and after sleep hygiene training were evaluated using ANCOVA test adjusted for BMI and DM duration. Results: A total of 347 Type 2 diabetes patients included in this randomized controlled trial (113 case 234 control). Significant difference was observed in the HbA1c values measured before and after the training of the case group. The second mean HbA1c (8.13 ± 2.03 mmol/L) of the control group was significantly higher than the second mean HbA1c (7.51 ± 1.42 mmol/L) values of the case group (p = 0.004). Conclusions: Our study revealed that in addition to classical diabetes treatment, sleep hygiene training also has a positive effect on blood glucose regulation of patients.

Get Citation

Keywords

type 2 diabetes mellitus, sleep hygiene, sleep quality, patient education, randomized controlled trial

About this article
Title

The Effect of Training About Sleep Hygiene on HbA1c Levels of Type 2 Diabetes Mellitus Patients: A Randomized Controlled Trial

Journal

Clinical Diabetology

Issue

Vol 11, No 5 (2022)

Article type

Research paper

Pages

303-308

Published online

2022-10-24

Page views

100

Article views/downloads

58

DOI

10.5603/DK.a2022.0046

Bibliographic record

Clinical Diabetology 2022;11(5):303-308.

Keywords

type 2 diabetes mellitus
sleep hygiene
sleep quality
patient education
randomized controlled trial

Authors

Ayşe Gündüz
Süleyman Görpelioğlu
Canan Emiroğlu
Özlem Suvak
Cenk Aypak

References (17)
  1. TEMD Diabetes Mellitus Çalışma ve Eğitim Grubu. Diagnosis and Monitoring Guide for Diabetes Mellitus and Its Complications 2020; Türkiye Endokrinoloji ve Metabolizma Derneği: 2020. p.40-4. https://file.temd.org.tr/Uploads/publications/guides/documents/20200625154506-2020tbl_kilavuz86bf012d90.pdf (22.02.2022).
  2. Kachi Y, Nakao M, Takeuchi T, et al. Association between insomnia symptoms and hemoglobin A1c level in Japanese men. PLoS One. 2011; 6(7): e21420.
  3. Tan X, van Egmond L, Chapman CD, et al. Aiding sleep in type 2 diabetes: therapeutic considerations. Lancet Diabetes Endocrinol. 2018; 6(1): 60–68.
  4. Nedeltcheva AV, Scheer FA. Metabolic effects of sleep disruption, links to obesity and diabetes. Curr Opin Endocrinol Diabetes Obes. 2014; 21(4): 293–298.
  5. Spiegel K, Tasali E, Leproult R, et al. Effects of poor and short sleep on glucose metabolism and obesity risk. Nat Rev Endocrinol. 2009; 5(5): 253–261.
  6. Lee SW, Ng KY, Chin WK. The impact of sleep amount and sleep quality on glycemic control in type 2 diabetes: A systematic review and meta-analysis. Sleep Med Rev. 2017; 31: 91–101.
  7. Smyth A, Jenkins M, Dunham M, et al. Systematic review of clinical practice guidelines to identify recommendations for sleep in type 2 diabetes mellitus management. Diabetes Res Clin Pract. 2020; 170: 108532.
  8. Boutron I, Altman DG, Moher D, et al. CONSORT NPT Group. CONSORT Statement for Randomized Trials of Nonpharmacologic Treatments: A 2017 Update and a CONSORT Extension for Nonpharmacologic Trial Abstracts. Ann Intern Med. 2017; 167(1): 40–47.
  9. Buysse DJ, Reynolds CF, Monk TH, et al. The Pittsburgh Sleep Quality Index (PSQI): A new instrument for psychiatric research and practice. Psychiatry Res. 1989; 28(2): 193–213.
  10. Zhu B, Hershberger PE, Kapella MC, et al. The relationship between sleep disturbance and glycaemic control in adults with type 2 diabetes: An integrative review. J Clin Nurs. 2017; 26(23-24): 4053–4064.
  11. Chasens ER, Korytkowski M, Sereika SM, et al. Effect of poor sleep quality and excessive daytime sleepiness on factors associated with diabetes self-management. Diabetes Educ. 2013; 39(1): 74–82.
  12. Seibert PS, Valerio J, DeHaas C. The concomitant relationship shared by sleep disturbances and type 2 diabetes: developing telemedicine as a viable treatment option. J Diabetes Sci Technol. 2013; 7(6): 1607–1615.
  13. Larcher S, Benhamou PY, Pépin JL, et al. Sleep habits and diabetes. Diabetes Metab. 2015; 41(4): 263–271.
  14. Lagger G, Pataky Z, Golay A. Efficacy of therapeutic patient education in chronic diseases and obesity. Patient Educ Couns. 2010; 79(3): 283–286.
  15. Albano MG, Deccache A, Godibile A, et al. Development of publications on patient education in chronic diseases from 1999 to 2009. Educ Ther Patient/Ther Patient Educ. 2009; 1(2): s101–s107.
  16. Li M, Li D, Tang Y, et al. Effect of Diabetes Sleep Education for T2DM Who Sleep After Midnight: A Pilot Study from China. Metab Syndr Relat Disord. 2018. ; 16(1): 13–19.
  17. Albakri U, Drotos E, Meertens R. Sleep Health Promotion Interventions and Their Effectiveness: an Umbrella Review. Int J Environ Res Public Health. 2021; 18(11): 5533.

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