State of Drowsiness in people with diabetes mellitus II in Mexico City
DOI:
https://doi.org/10.56294/saludcyt20251034Keywords:
Drowsiness, Sleep, Diabetes Mellitus, GlycemiaAbstract
Introduction: drowsiness is the tendency of a person to fall asleep when faced with any event and may be associated with high blood glucose levels.
Objective: to know the state of sleepiness in people with type II diabetes mellitus in Mexico City and if it is a symptom of high glucose levels or lack of control of their diabetes mellitus.
Methods: a descriptive cross-sectional study was carried out in adults with type II diabetes mellitus in Mexico City. The state of global sleepiness was measured using the Epworth Scale, valid in the Mexican population, which evaluates the probability of nodding off or staying asleep. asleep in everyday life situations, with a scale from 0 to 3. Regarding ethical aspects, the Declaration of Helsinki and the General Health Law were considered.
Results: from April to July 2024, 93 people with type II diabetes mellitus were studied. The average age was 67 years, 76,3 % were female, 33,2 % were widowed and 32,3 % were married. 44,1 % of older adults with DM have excessive sleepiness. People with diabetes mellitus with a sleepiness scale greater than normal are people who have high glucose levels (>/131 mg/dl), with a PR=1.3 and a Fep=0.23
Conclusions: excessive sleepiness can be a symptom of high blood glucose levels. Therefore, the nursing professional must carry out an intervention on sleep hygiene
References
1-Encuesta Nacional de Salud y Nutrición 2020 sobre Covid-19 Resultados nacionales. https://ensanut.insp.mx/encuestas/ensanutcontinua2020/doctos/informes/ensanutCovid19ResultadosNacionales.pdf
2-INEGI, Estadísticas de Defunciones Registradas 2021. https://www.inegi.org.mx/contenidos/saladeprensa/boletines/2022/EDR/EDR2021_10.pdf
3-Roehrs T, Carskadon MA, Dement WC, Roth T. Daytime Sleepiness and alertness. In: Kryger MH, Roth T, Dement WC, eds. Principles and Practice of Sleep Medicine. 4th ed: Saunders; 2005:39-49.
4-Silber M. The investigation of sleepiness. Sleep Med Clin.2006;1:1-7.
5-Cluydts R, De Valck E, Verstraeten E, Theys P. Daytime sleepiness and its evaluation. Sleep Med Rev. 2002;6(2):83-96.
6-Ohayon M. Epidemiology of excessive daytime sleepiness. Sleep Med Clin. 2006; 1:9-16.
7-Black J, Duntley SP, Bogan RK, O’Malley MB. Recent advances in the treatment and management of excessive daytime sleepiness. CNS Spectr. 2007;12(2 Suppl 2):1-14; quiz 15.
8-Johns MW. Rethinking the assessment of sleepiness. Sleep Med Rev. 1998; 2:3-15.
9-Rey de Castro J, Gallo J, Loureiro H. Cansancio y somnolencia en conductores de ómnibus y accidentes de tránsito en el Perú: estudio cuantitativo. Rev Panam Salud Pública. 2004;16(1):11- 18
10-Perez-Chada D, Videla AJ, O’Flaherty ME, Palermo P, Meoni J, Sarchi MI, Khoury M, Duran-Cantolla J. Sleep habits and accident risk among truck drivers: a cross-sectional study in Argentina. Sleep. 2005;28(9):1103-1108
11-Wierwille WW, Ellsworth LA. Evaluation of driver drowsiness by trained raters. Accid Anal Prev. 1994;26(5):571-581.
12-Smith-Coggins R, Rosekind MR, Hurd S, Buccino KR. Relationship of day versus night sleep to physician performance and mood. Ann Emerg Med. 1994;24(5):928-934.
13-Owens JA. Sleep loss and fatigue in medical training. Curr Opin Pulm Med. 2001;7(6):411-418
14-Rosales E, Egoavil M, La Cruz C, Rey de Castro J. Somnolencia y calidad del sueño en estudiantes de medicina de una universidad peruana. An Fac Med Lima. 2007;68(2):150-158
15-Shen J, Barbera J, Shapiro CM. Distinguishing sleepiness and fatigue: focus on definition and measurement. Sleep Med Rev. 2006;10(1):63-76.
16-Sandoval-Rincón M., Alcalá-Lozano R., Herrera-Jiménez I. y Jiménez-Genchi A. Validación de la escala de somnolencia de Epworth en población mexicana, Gaceta Médica de México. 2013; 149:409-16
17-Cámara de Diputados, Honorable Congreso de la Unión. Reglamento de la Ley General de Salud en Materia de Investigación para la Salud. Ciudad de México, México: Diario Oficial de la Federación. [Internet] 2014. [Citado 29 julio 2024]. Disponible en: https://www.diputados.gob.mx/LeyesBiblio/regley/Reg_LGS_MIS. pdf
18-Johns M. Rethinking the assessment of sleepiness. Sleep Med Rev. 1998; 2:3-15
19-Johns MW. A new method for measuring daytime sleepines: the Epworth sleepiness scale. Sleep. 1991; 14:540-5. PubMed ID: 1798888
20-S.J. Guerrero. Prevalencia de riesgo para síndrome de apnea obstructive del sueño en personal del Hospital General de Cuautitlán “Gral. José Vicente Villada”. Tesis recepcional, Facultad de Medicina, UAE Mex, (2013)
21-Hurtado S A J, Cansinos E. S, TESIS “Calidad de sueño y somnolencia diurna excesiva en el personal de Enfermería, Hospital Regional Guillermo Díaz de la Vega Abancay 2022” Universidad Tecnológica De Los Andes, Facultad De Ciencias De La Salud. Escuela Profesional de Enfermería, Perú, 2023
22-B. Worrel, H. Plummer, E. Camaño, V. Valdés, F. Fonte, I. Riós, “Exceso de peso y mala calidad de sueño entre los bomberos de Panamá: un estudio transversal”, Revista de I+D Tecnológico, 2024;20(2).
23-K. Spiegel, K. Knutson, R. Leproult, E. Tasali, and E. Van Cauter, “Sleep loss: A novel risk factor for insulin resistance and Type 2 diabetes”, J. Appl. Physiol., 2005; 99(5):2008–2019.
24-D. Koren, M. Dumin, and D. Gozal, “Role of sleep quality in the metabolic syndrome”, Diabetes Metab Syndr Obes, 2016;9:281– 310.
25-Roehrs T, Carskadon MA, Dement WC, Roth T. Daytime Sleepiness and alertness. In: Kryger MH, Roth T, Dement WC, eds. Principles and Practice of Sleep Medicine. 4th ed: Saunders; 2005:39-49
26-Johns MW. Rethinking the assessment of sleepiness. Sleep Med Rev. 1998; 2:3-15.
27-Cluydts R, De Valck E, Verstraeten E, Theys P. Daytime sleepiness and its evaluation. Sleep Med Rev. 2002;6(2):83-96.
28-Stepanski EJ. Controversies in the measurement of daytime sleepiness. Sleep Med Rev. 2002;6(2):79-81.
29-https://www.infosalus.com/mayores/noticia-somnolencia-diurna-mayores-hay-detras-20200309081536.html 2023 Europa Press
30-N. Lightfoot, E. Soteriades, S. Kales. Cardiovascular risks of firefighting. In T. Guidotti, Health Risks and Fair Compensation in the Fire Service. Risk, Systems and Decisions, Cham, Suiza: Springer, 2016: 175–189.
31-Sánchez Linares CM. Calidad de sueño y su relación con la somnolencia diurna en el personal de enfermería del servicio de cardiología y cardiovascular durante la pandemia COVID-19 en Lima, 2021. Universidad Privada Norbert Wiener Disponible en: https://repositorio.uwiener.edu.pe/bitstream/handle/20.500.13053/5779/T061_42033653_S.pdf?sequence=1&isAllowed=y
Downloads
Published
Issue
Section
License
Copyright (c) 2025 Adela Alba-Leonel, Samantha Papaqui-Alba, Brandon Gerardo Montes-Rodríguez, Joaquín Papaqui-Hernández (Author)

This work is licensed under a Creative Commons Attribution 4.0 International License.
The article is distributed under the Creative Commons Attribution 4.0 License. Unless otherwise stated, associated published material is distributed under the same licence.