The Effect of Sleep Quality on Post Prandial Glucose in Diabetic Pre-elderly and Elderly: A Cross-Sectional Study in Surabaya, Indonesia
Diabetes Mellitus (DM) often caused by lifestyle changes, food consumption habits that are high in calories, lack
of activity, smoking, obesity, and the presence of sleep disorders. Elderly have a higher risk of developing DM than adults, one
of which is due to sleep disorders that are often experienced due to physiological changes in the central nervous system
affecting sleep regulation, general sensory damage with the aging process which can reduce sensitivity to time maintaining the
circadian rhythms. This study aimed to analyze the effect of sleep quality on post prandial glucose (PPG) in diabetic
pre-elderly and elderly. This cross-sectional study involved 17 pre-elderly and 28 elderly in four community health clinics in
the area of Mulyorejo District, Surabaya. The sampling technique was one stage cluster random sampling in which four areas
were chosen among 12 communities under the supervision of Mulyorejo Public Health Center. Sample size was 45. PSQI
questionnaire and DTX instrument were used in data collection. Linear regression test was used in data analysis (α<.05).
Results showed that most respondents were female (86.67%), aged 60-74 years (57.78%), basic education level (33.3%),
unemployed (93.3%), diagnosed with DM for >1-5 years (42.2%), had poor sleep quality (71.11%), and had hyperglycemia
(71.11%). Sleep quality has no significant effect on PPG in diabetic pre-elderly and elderly (p=.937). Other potential factors
need to be further analyzed in order to determine stronger predictor of PPG in diabetic pre-elderly and elderly, such as
co-morbidity, stress, diet, drug consumption, lifestyle, and environment.
Index Terms - Diabetes Mellitus, elderly, post prandial glucose, pre-elderly, sleep quality.