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Abstract Context: Sleep disturbances impair glucose metabolism and insulin sensitivity, influencing type 2 diabetes mellitus (T2DM). Despite its increasing prevalence, sleep health remains under recognized in diabetes care. Aims: To assess sleep quality among people with T2DM attending non-communicable disease (NCD) clinics at the rural and urban health training centers of a tertiary medical college hospital using the Epworth Sleepiness Scale (ESS). Settings and Design: A cross-sectional analytical study was conducted among diabetic adults attending NCD clinics between April and June 2024. Materials and Methods: Data were collected from 204 participants using a structured questionnaire including socio-demographic details, diabetes-related factors, and the validated ESS to assess sleep quality. Statistical Analysis Used: Descriptive statistics, the chi-square test, and logistic regression were applied to determine associations between ESS scores and related factors. Results: Among 204 participants, 60.3% were female, and 79.9% were below 65 years. Overall, 50.5% had poor sleep (ESS > 10): 22.1% mild, 8.8% moderate, and 19.6% severe. Employment status showed a significant association ( χ ² = 7.96, P = 0.04). Severe sleepiness was higher among urban participants (25.5% vs. 13.7%; χ² = 51.39, P < 0.001). Age and gender were not significant. Conclusion: Half of the diabetic participants experienced poor sleep, mainly unemployed and urban individuals. Routine sleep assessment and hygiene education in NCD clinics can enhance glycemic control and support Sustainable Development Goal 3—Good Health and Well-Being.
Arumugam et al. (Fri,) studied this question.