INFLUENCE OF PAINFUL FORM OF DIABETIC POLYNEUROPATHY ON THE QUALITY OF SLEEP IN PATIENTS

Abstract

The clinical study was conducted at the TMA multidisciplinary clinic, at the 2nd Department of Therapy and Endocrinology. In 120 patients with type 2 diabetes mellitus, the following results were revealed: in patients with diabetes mellitus, the subclinical form predominated in both groups - 56.9% and 60.9%. The clinical form was diagnosed in 43.1 and 39.1% of patients. 83.7% of patients have grade 1 obesity, 89.5% have left ventricular hypertrophy (LVH). Increased carbohydrate metabolism was found in both study groups compared to the control group. Among the patients' complaints, the most common were leg cramps - 93.1% in group 1, 87.3% in group 2, pain was noted by 85.5 and 45.8% of patients. When determining sleep quality using the Pittsburgh Questionnaire, the average sleep quality score for patients in group 1 was 10.89±0.77 points (p˂0.05), which indicates unsatisfactory sleep quality in the examined patients. In patients without sleep disorders, this indicator was 4.92±0.77 points. The most common complaint of patients was "feeling tired after waking up from a night's sleep", this complaint was reported by 100% of patients, 79.7% of patients reported "difficulty falling asleep after waking up", 78.4% 73.4% of patients suffered from "dissatisfied sleep", "shallow sleep with night awakenings", and 70.8% of patients "cannot sleep for more than 30 minutes". Neuropathic pain is associated with sleep disturbances, and clinicians must consider both aspects of treatment.