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.
