SLEEP QUALITY, QUALITY OF LIFE AND GLYCEMIC CONTROL: COMPARISON BETWEEN RURAL AND URBAN TYPE 2 DIABETIC PATIENTS

Abstract

Type 2 Diabetes Mellitus is a pandemic causing enormous burden in terms of morbidity and mortality. Life style modication is the rst step in the management of Diabetes. Sleep quality and other Quality of life(QoL) indices are often neglected. There is a vast difference in the life style of urban and rural population and may inuence the course of Diabetes Mellitus and its management.Aim of the study was to (1). Examine sleep quality, QoL and glycemic control among rural and urban diabetic individuals. (2). Compare sleep quality, QoL and glycemic control between rural and urban diabetic individuals. In this study, 110 diabetic patients were grouped as rural and urban categories. Sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI). WHOQOL-Bref was used to assessQoL. HbA1c was estimated using turbidimetry kit method. The mean HbA1c levels were 8.1± 2.6 in urban and 7.7 ± 1.7 among rural diabetics. Mean sleep score of the urban diabetics was 12.3 ± 6.7 and was 11.4 ± 4.8 in rural diabetics. QOL good scores were 68.3%, 76.7%, 86.7% and 76.7% among urban diabetics and 88%, 70%, 90% and 98% correspondingly in rural diabetics. This study concluded that the rural diabetic patients had better glycemic control. They had better sleep scores and QoL scores in all domains except social domain. The better glycemic control seen may be due to life style and environmental differences.