Effects of sleep disorders and 25-OH vitamin D levels on HbA1c levels in geriatric type 2 diabetic patients

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dc.authorscopusid55765360000
dc.authorscopusid26634716900
dc.authorscopusid6602342170
dc.authorscopusid57188849285
dc.authorscopusid56684958700
dc.authorscopusid23670820800
dc.authorscopusid56117019000
dc.contributor.authorKeskin A.
dc.contributor.authorBilge U.
dc.contributor.authorÜnalacak M.
dc.contributor.authorKılıç S.
dc.contributor.authorYildiz P.
dc.contributor.authorSelçuk E.B.
dc.contributor.authorBilgin M.
dc.date.accessioned2024-08-04T19:59:38Z
dc.date.available2024-08-04T19:59:38Z
dc.date.issued2016
dc.departmentİnönü Üniversitesien_US
dc.description.abstractIntroduction: Sleep disorders and insufficient vitamin D levels can impair control of diabetes mellitus. The aim of this study was to determine the prevalence of sleep disorders by using Epworth Sleepiness Scale (ESS), Pittsburgh Sleep Quality Index (PSQI) and by comparing them with a control group, and to investigate the possible relationship among sleep disorders, scores, 25-OH Vitamin D levels (25VD) and HbA1C levels. Materials and method: This study was conducted in type 2 diabetic patients who attended to the family medicine outpatient clinic for routine controls. One hundred and six geriatric patients having type 2 diabetes were included in the study, and simultaneously selected 102 adult age group patients were taken as controls. Blood analyses for routine diabetes control parameters (HbA1c, fasting blood glucose, lipid profile) were performed. Target value for HbA1C was accepted as below %7. Demographic form, the Pittsburgh Sleep Quality Index, and Epworth Sleepiness Scale were used as the data collection instruments. Results: There are significant differences in PSQI and ESS scores between adult and geriatric diabetic patients (6.16 ± 3.62 vs 6.96 ± 3.42, p=0.070 and 7.84 ± 5.37, p <0.001, respectively). 25VD levels were found as 22.40 ± 13.85 ng/ml in the adult group, 18.65 ± 14.17 ng/ml in the geriatric group. There is a significant difference between the groups in terms of vitamin D levels (p=0.007). Epworth categories were found to have an effect on HbA1c levels in geriatric patients. Changes in levels of ESS scores were found to be related with 4.784 fold increase in HbA1c levels. Vitamin D levels and ESS scores have major effects on HbA1C levels in elderly population (p=0.007, 0.001, respectively). Conclusion: In elderly patients, low 25VD levels and daytime sleepiness are associated with abnormal HbA1c levels. These results are important indicators of roles of sleep quality and VD deficiency in glycemic control for elderly patients. In elderly diabetic patients, with difficult blood glucose regulation, sleep problems and VD deficiency must be considered. © 2016, Scientific Publishers of India. All rights reserved.en_US
dc.identifier.endpage542en_US
dc.identifier.issn0970-938X
dc.identifier.issue2en_US
dc.identifier.scopus2-s2.0-84963819551en_US
dc.identifier.scopusqualityN/Aen_US
dc.identifier.startpage537en_US
dc.identifier.urihttps://hdl.handle.net/11616/90768
dc.identifier.volume27en_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherScientific Publishers of Indiaen_US
dc.relation.ispartofBiomedical Research (India)en_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subject25-OH-Vitamin Den_US
dc.subjectSleep disordersen_US
dc.subjectType 2 diabetes mellitusen_US
dc.titleEffects of sleep disorders and 25-OH vitamin D levels on HbA1c levels in geriatric type 2 diabetic patientsen_US
dc.typeArticleen_US

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