北京中医药大学学报2024，Vol.47Issue(7)：989-997,9.DOI:10.3969/j.issn.1006-2157.2024.07.016
基于"三师共管"平台探讨910例2型糖尿病患者失眠、胃肠道症状与糖化血红蛋白的相关性
Correlation between insomnia,gastrointestinal symptoms,and glycated hemoglobin in patients with type 2 diabetes:a cross-sectional study based on the co-management platform of three disciplines of diabetes
摘要
Abstract
Objective To investigate the relationship between insomnia,gastrointestinal symptoms,and glycosylated hemoglobin(HbA1c)levels in individuals diagnosed with type 2 diabetes mellitus(T2DM),as well as the related influencing factors.Methods A total of 910 T2DM patients treated in our multicenter from January 2022 to December 2022 were enrolled in this study.General information(gender,age,smoking and drinking history,exercise,course of disease,treatment and complications),HbA1c,Athens Insomnia Scale(AIS)scores and Gastrointestinal Symptoms Rating Scale(GSRS)scores of patients were collected.The differences of sleep and gastrointestinal symptoms between groups were analyzed,and the correlation between the differences and HbA1c was analyzed.Furthermore,the risk factors for non-standard HbA1c were analyzed.Results The AIS score and GSRS score in the HbA1c control group were less than those in the non-standard group(P＜0.01).Insomnia was reported by 37.0％of T2DM patients,and the HbA1c level in the insomnia group was significantly higher than that in the non-insomnia group(10.00％±2.38％vs.8.26％±1.73％,P＜0.01).Gastrointestinal symptoms were present in 57.5％of T2DM patients,and the HbA1c levels in the group with gastrointestinal symptoms were significantly higher than those in the group without gastrointestinal symptoms(9.26％±2.23％vs.8.43％±1.98％,P＜0.01).Furthermore,26.3％of T2DM patients experienced both insomnia and gastrointestinal symptoms.Remarkably,the HbA1c levels in the group with both insomnia and gastrointestinal symptoms were significantly higher than those in the group without either condition(10.18％±2.44％vs.8.45％±1.86％,P＜0.01).Correlation analysis demonstrated a significant association between sleep quality,gastrointestinal function,and HbA1c levels(P＜0.01).The logistic regression analysis result revealed that age,GSRS score,AIS score,and the presence of insomnia combined with gastrointestinal symptoms were independent risk factors for predicting HbA1c≥6.5％(P＜0.01).Having both insomnia and gastrointestinal symptoms concurrently was the strongest risk factor for substandard HbA1c control,and the risk of blood sugar control may increase about 5 times when both appear together.Conclusion Insomnia and gastrointestinal symptoms are common comorbidities in T2DM patients,showing a cross-interfering relationship,and they appear together with poor blood sugar control,interact causally,and amplify each other.关键词
2型糖尿病/失眠/胃肠道症状/糖化血红蛋白/"三师共管"平台Key words
type 2 diabetes/insomnia/gastrointestinal symptoms/glycosylated hemoglobin/co-management platform of three disciplines of diabetes分类
医药卫生引用本文复制引用
李博,贾丽燕,张智海,李津,闫冰,赵能江,杨叔禹,袁琪,王永发,冯尤健,王桂妙,粘为东,周艺,胡天赤,马思思..基于"三师共管"平台探讨910例2型糖尿病患者失眠、胃肠道症状与糖化血红蛋白的相关性[J].北京中医药大学学报,2024,47(7):989-997,9.基金项目
国家自然科学基金项目(No.T2341012) National Natural Science Foundation of China(No.T2341012) （No.T2341012）
