A comparison of diabetes self-care behavior in people with type 2 diabetes with and without insomnia symptoms

Alshehri, Mohammed M.; Alenazi, Aqeel M.; Hoover, Jeffrey C; Alothman, Shaima; Phadnis, Milind A.; Miles, John M.; Kluding, Patricia M.; Siengsukon, Catherine

doi:10.1007/s00592-019-01470-y

Cited by 10 publications

(14 citation statements)

References 42 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Evaluation of insomnia symptoms using a feasible and sensitive tool such as the ISI may improve the standard of diabetes care. For instance, diabetes self-care behavior requires many daytime activities that could be affected by insomnia symptoms [5]. Therefore, ruling out negative factors that could be barriers to optimizing daytime functioning outcomes may support diabetes health outcomes.…”

Section: Discussionmentioning

confidence: 99%

“…This cross-sectional study was conducted as part of a larger project investigating the consistency of sleep schedules in people with T2DM. Portions of this project have been published elsewhere [5]. This study utilized data from people with T2DM only and people with both T2DM and insomnia symptoms to compare fatigue, daytime sleepiness, vitality, and physical function.…”

Section: Methodsmentioning

confidence: 99%

“…In addition, hypoglycemia and/or hyperglycemia may exacerbate fatigue, while poor glycemic control has been associated with daytime sleepiness [3,4]. Sleep disturbances, particularly insomnia symptoms such as difficulty falling asleep, maintaining asleep, and/or waking up too early are associated with suboptimum self-care behavior in those with T2DM [5]. Despite the growing prevalence of insomnia symptoms in people with T2DM, it is not clear whether or to what extent these symptoms exacerbate fatigue and daytime sleepiness.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Daytime Functioning in People with Type 2 Diabetes and Insomnia Symptoms: A Comparison-Correlational Study

Alshehri¹,

Rucker²,

Alenazi³

et al. 2020

Preprint

Self Cite

View full text Add to dashboard Cite

Background Sleep disturbances showed negative impact on self-care and diabetes outcomes for people with type 2 diabetes. However, there is a need to understand to what extent insomnia symptoms impact daytime functioning in people with type 2 diabetes. This study compared common daytime functioning outcomes including fatigue, daytime sleepiness, and quality of life related to vitality and physical function in people with type 2 diabetes with and without insomnia symptoms. Methods This study was a cross-sectional comparison design which used validated instruments to assess common daytime functioning outcomes (i.e. fatigue severity scale, daytime sleepiness, and quality of life related to vitality and physical function domains) in 60 participants with type 2 diabetes with and without symptoms of insomnia. Insomnia Severity Index was used to stratify participants into an insomnia group and non-insomnia control group. Multivariate linear model and partial correlations tests were utilized to examine the relationships between outcomes in the two groups after controlling for age and depression symptoms. Results Levels of fatigue severity, and quality of life related vitality and physical function were worse in the insomnia group compared to non-insomnia group (P<.004). After controlling for age, the multivariate linear model showed that the insomnia group had greater fatigue severity (R 2 =0.15, p=.003), and lower quality of life related to vitality and physical function (R 2 =0.25, p<.001; and R 2 =0.11, p=.004, respectively). Partial correlation showed that daytime sleepiness was correlated with Insomnia Severity Index in the full sample after controlling for age ( r =.35, p =.006). When added depression symptoms into the models, the differences or relationships were not observed. Conclusion Fatigue, and quality of life related vitality and physical function were worse in people with both type 2 diabetes and insomnia symptoms compared to people with type 2 diabetes only. Depression symptoms may have an independent contribution for the daytime functioning.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Daytime Functioning in People with Type 2 Diabetes and Insomnia Symptoms: A Comparison-Correlational Study

Alshehri¹,

Rucker²,

Alenazi³

et al. 2020

Preprint

Self Cite

View full text Add to dashboard Cite

show abstract

“…A systematic review and meta-analysis of epidemiological studies found that people with type 2 diabetes (T2D) and sleep disturbances were more likely at risk of poor glycemic control as measured by glycated hemoglobin (HbA1c) and suboptimal diabetes self-care behavior (DSCB) [1,2]. A recent study found that people with T2D and insomnia symptoms had worse scores in several health domains related to DSCB compared to people with T2D without insomnia symptoms [3]. Additionally, increases in insomnia severity was associated with suboptimal DSCB among people with T2D [3].…”

Section: Introductionmentioning

confidence: 99%

“…A recent study found that people with T2D and insomnia symptoms had worse scores in several health domains related to DSCB compared to people with T2D without insomnia symptoms [3]. Additionally, increases in insomnia severity was associated with suboptimal DSCB among people with T2D [3]. It is possible that sleep disturbances lead to fatigue and physical inactivity, which then contributes to poor diabetes health outcomes [4].…”

Section: Introductionmentioning

confidence: 99%

The effects of cognitive behavioral therapy for insomnia in people with type 2 diabetes mellitus, pilot RCT part II: diabetes health outcomes

et al. 2020

Self Cite

View full text Add to dashboard Cite

Background: Previous studies have shown the negative impact of sleep disturbances, specifically insomnia symptoms, on glucose metabolism for people with type 2 diabetes (T2D). People with insomnia symptoms are at risk of poor glycemic control and suboptimal diabetes self-care behavior (DSCB). Investigating the impact of a safe and effective intervention for individuals with T2D and insomnia symptoms on diabetes' health outcomes is needed. Therefore, the aim of this exploratory study is to examine the effects of Cognitive Behavioral Therapy for Insomnia (CBT-I) on glycemic control, DSCB, and fatigue. Methods: Twenty-eight participants with T2D and insomnia symptoms, after passing an eligibility criteria at a medical research center, were randomly assigned to CBT-I (n = 14) or Health Education (HE; n = 14). The CBT-I and HE groups received 6 weekly one-hour sessions. This Randomized Controlled Trial (RCT) used a non-inferiority framework to test the effectiveness of CBT-I. Validated assessments were administered at baseline and postintervention to assess glycemic control, DSCB, and fatigue. A Wilcoxon signed-rank test was utilized to compare within-group changes from baseline to post-intervention. A Mann-Whitney test was utilized to measure the between-group differences. Linear regression was used to assess the association between the blood glucose level and the number of days in the CBT-I group. Results: The recruitment duration was from October 2018 to May 2019. A total of 13 participants completed the interventions in each group and are included in the final analysis. No adverse events, because of being a part of this RCT, were reported. CBT-I participants showed significantly greater improvement in glycemic control, DSCB, and fatigue. There was a significant association between the number of days in the CBT-I intervention with the blood glucose level before bedtime (B =-0.56, p = .009) and after awakening in the morning (B =-0.57, p = .007).

show abstract

Sleep and Diabetes

Deschênes,

McInerney,

Schmitz

2024

Textbook of Diabetes

View full text Add to dashboard Cite

A comparison of diabetes self-care behavior in people with type 2 diabetes with and without insomnia symptoms

Cited by 10 publications

References 42 publications

Daytime Functioning in People with Type 2 Diabetes and Insomnia Symptoms: A Comparison-Correlational Study

Daytime Functioning in People with Type 2 Diabetes and Insomnia Symptoms: A Comparison-Correlational Study

The effects of cognitive behavioral therapy for insomnia in people with type 2 diabetes mellitus, pilot RCT part II: diabetes health outcomes

Sleep and Diabetes

Contact Info

Product

Resources

About