{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,27]],"date-time":"2026-10-27T00:11:46Z","timestamp":1793059906544,"version":"4.5.0"},"reference-count":39,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2025,11,12]],"date-time":"2025-11-12T00:00:00Z","timestamp":1762905600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["American Journal of Lifestyle Medicine"],"abstract":"<jats:p>\n                    Background: Research on sleep disorders has gained significant attention in recent years, particularly within the diabetic population. This study aimed to assess sleep quality in patients with T2D and identify the factors associated with poor sleep quality. Methods: We conducted a cross-sectional descriptive observational study including adult patients with T2D. Sleep data were collected using the Pittsburgh Sleep Quality Index (PSQI) to assess the sleep quality. Results: A total of 156 patients were recruited with a mean age of 57.04 \u00b1 9.49\u00a0years. The mean duration of diabetes was 13.12 \u00b1 8.14\u00a0years. The mean total PSQI score was 8.42 \u00b1 4.02, and poor sleep quality was observed in 70.5% of the study population. Our study revealed a significant association between poor sleep quality and diabetic neuropathy (\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    = 0.03), low levels of HDL cholesterol (\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    = 0.008) as well as the use of sulfonylurea (\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    = 0.02). The total PSQI score was positively correlated with the DN4 score (\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    = 0.04) and inversely correlated with the daily physical activity score (\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    = 0.019) as well as the total score of Ricci and Gagnon (\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    = 0.02). Poor sleep quality was independently associated with sulfonylurea use (\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    = 0.037; OR = 5.27). Conclusion: Our study highlights the importance of integrating sleep management into the care of diabetic patients.\n                  <\/jats:p>","DOI":"10.1177\/15598276251395665","type":"journal-article","created":{"date-parts":[[2025,11,12]],"date-time":"2025-11-12T11:15:08Z","timestamp":1762946108000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Sleep Quality in Patients With Type 2 Diabetes Mellitus"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-3835-2560","authenticated-orcid":false,"given":"Sana","family":"Khamassi","sequence":"first","affiliation":[{"name":"Zouhair Kallel Institute of Nutrition and Food Technology"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emna","family":"Bornaz","sequence":"additional","affiliation":[{"name":"Zouhair Kallel Institute of Nutrition and Food Technology"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Haifa","family":"Abdesselem","sequence":"additional","affiliation":[{"name":"Zouhair Kallel Institute of Nutrition and Food Technology"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kamilia","family":"Ounaissa","sequence":"additional","affiliation":[{"name":"Zouhair Kallel Institute of Nutrition and Food Technology"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fatma","family":"Boukhayatia","sequence":"additional","affiliation":[{"name":"Zouhair Kallel Institute of Nutrition and Food Technology"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chiraz","family":"Amrouche","sequence":"additional","affiliation":[{"name":"Zouhair Kallel Institute of Nutrition and Food Technology"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,11,12]]},"reference":[{"key":"e_1_3_5_2_2","unstructured":"International Diabetes Federation. IDF Diabetes Atlas 10th ed. Brussels Belgium: International Diabetes Federation; 2021. Available at: https:\/\/diabetesatlas.org\/atlas\/tenth-edition\/. Accessed February 25 2024."},{"key":"e_1_3_5_3_2","doi-asserted-by":"publisher","DOI":"10.5665\/sleep.4660"},{"key":"e_1_3_5_4_2","doi-asserted-by":"publisher","DOI":"10.3390\/jcm11072032"},{"key":"e_1_3_5_5_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11357-020-00312-y"},{"key":"e_1_3_5_6_2","doi-asserted-by":"publisher","DOI":"10.4103\/ijem.IJEM_156_17"},{"key":"e_1_3_5_7_2","doi-asserted-by":"publisher","DOI":"10.2337\/dc22-S006"},{"key":"e_1_3_5_8_2","doi-asserted-by":"publisher","DOI":"10.1007\/s12020-024-03772-w"},{"key":"e_1_3_5_9_2","volume-title":"Diabetic Retinopathy - Europe","unstructured":"Diabetic Retinopathy - Europe. American Academy of Ophthalmology: https:\/\/www.aao.org\/education\/topic-detail\/diabetic-retinopathy-europe (2016, accessed 26 February 2024)."},{"key":"e_1_3_5_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.kint.2020.06.019"},{"key":"e_1_3_5_11_2","unstructured":"Berg Megan. The DN4 for Evaluating Neuropathic Pain: Interpretation and Implications for Practice \u2013 Adult and Pediatric Printable Resources for Speech and Occupational Therapists. Therapy Insights. January 9 2022. Available at: https:\/\/therapyinsights.com\/clinical-resources\/the-dn4-for-evaluating-neuropathic-pain-interpretation-and-implications-for-practice\/. Accessed February 26 2024."},{"key":"e_1_3_5_12_2","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehz455"},{"key":"e_1_3_5_13_2","unstructured":"Haute Autorit\u00e9 de Sant\u00e9. Guide Parcours de soins \u2013 diab\u00e8te de type 2 de l\u2019adulte. Paris France: Haute Autorit\u00e9 de Sant\u00e9; March 2014. Available at: https:\/\/sante.gouv.fr\/IMG\/pdf\/guide_pds_diabete.pdf. Accessed February 26 2024."},{"key":"e_1_3_5_14_2","first-page":"113","article-title":"Sleep quality in diabetic patients depends on numerous influencing factors","volume":"79","author":"Finsterer J","year":"2024","unstructured":"Finsterer J. Sleep quality in diabetic patients depends on numerous influencing factors. Med J Malaysia. 2024;79:113.","journal-title":"Med J Malaysia"},{"key":"e_1_3_5_15_2","doi-asserted-by":"publisher","DOI":"10.38079\/igusabder.892777"},{"key":"e_1_3_5_16_2","doi-asserted-by":"publisher","DOI":"10.4314\/jaaps.v11i1.6"},{"key":"e_1_3_5_17_2","doi-asserted-by":"publisher","DOI":"10.14740\/jocmr2947w"},{"key":"e_1_3_5_18_2","doi-asserted-by":"publisher","DOI":"10.2337\/dc09-1124"},{"key":"e_1_3_5_19_2","doi-asserted-by":"publisher","DOI":"10.1093\/fampra\/cmr041"},{"key":"e_1_3_5_20_2","doi-asserted-by":"publisher","DOI":"10.3389\/fendo.2021.763138"},{"key":"e_1_3_5_21_2","doi-asserted-by":"publisher","DOI":"10.1002\/dmrr.2722"},{"key":"e_1_3_5_22_2","doi-asserted-by":"crossref","unstructured":"Jennum P Stender-Petersen K Rab\u00f8l R J\u00f8rgensen NR Chu P-L Madsbad S. The impact of nocturnal hypoglycemia on sleep in subjects with type 2 diabetes. Diabetes Care. 2015;38(11):2151-2157. doi:10.2337\/dc15-0907. 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