Relationship Between Complications Of Elderly Patients With Type 2 Diabetes Mellitus And Sleep Disorders And Depression

Objective: Through the analysis of general demographic information,blood glucose control,diabetes-related complications and sleep and depression in elderly inpatients with type 2 diabetes mellitus,The purpose of this study was to explore the relationship between diabetes-related complications and sleep and depression in elderly inpatients with type 2 diabetes mellitus.Methods: 210 elderly diabetic patients admitted to yuhuangding hospital in yantai from November 2017 to July 2018 were selected.Demographic information and relevant clinical data of all subjects were collected and evaluated by Pittsburgh sleep quality scale(PSQI)and Geriatric Depression Scale(GDS-15).SPSS 23.0 software was used to analyze the relevant data.Results: 1.Diabetes complications are common in elderly inpatients with type 2 diabetes.The incidence of diabetes in this study was 76.19%.Among the patients with diabetes complications,there were more females(54.00 %vs36.25%,P<0.05),the average age was older(72.90±5.24 years vs.71.44± 6.34 years,P<0.05),the course of disease was longer(15.39±7.81 vs11.85 ±8.20,P<0.05),and blood glucose control was poor(73.75% vs.58.00%,P<0.05).The incidence of sleep disorder and depression was higher in this group.2.Patients with poor glycemic control had a higher proportion of sleep disorders and diabetes complications(70.75% vs 47.62%,P<0.05;80.27% vs 66.67,P<0.05).Long duration of illness [OR 1.044,95%CI(1.000-1.090)P<0.05] and sleep disorder [OR 0.454,95%CI(0.235-0.875)P<0.05] are risk factors for blood glucose compliance.3.In this study,patients with sleep disorders accounted for 63.81% of the total subjects.Compared to people without sleep disorders,their average age was older(73.12±5.36 vs 71.55± 5.75,P<0.05),course of disease was longer(16.52± 8.11 vs 12.20± 7.26,P<0.05),blood glucose control was poor,and complications of diabetes were more common(77.61% vs 56.58%,P<0.05;82.84% vs 64.47%,P<0.05).4.Compared with non-depressed patients,the depression group had more females(81.25 % vs 55.62%,P=0.007)and a smaller BMI(25.27± 2.76 vs26.61± 2.94,P=0.021),and a higher proportion of patients with diabetes complications(93.75% vs73.03%,P=0.011).5.Regression analysis showed that cerebrovascular complications [OR 0.211,95%CI(0.049-0.909)P=0.037],peripheral nerve complications [OR 0.378,95%CI(0.168-0.850)P=0.019],renal complications [OR 0.391,95%CI(0.157-0.971)P=0.043],long duration [OR 1.053,95%CI(1.007-1.100)P=0.022],poor blood glucose control [OR 0.466,95%CI(0.234-0.930)P=0.030] are risk factors for sleep disorders.6.Among elderly inpatients with type 2 diabetes,lower BMI [OR 0.080,95% CI(0.729-0.997)P=0.036] and diabetic peripheral neuropathy [OR 0.269,95% CI(0.082-0.889)P=0.031] were risk factors for depression.Conclusion: 1.In elderly inpatients with type 2 diabetes,the long course of disease and sleep disorders are risk factors for blood glucose standards.2.Cerebrovascular complications,peripheral nerve complications,renal complications,long course of disease and poor blood glucose control may be risk factors for sleep disorders in elderly type 2 diabetes hospitalized patients.Diabetic peripheral neuropathy may be risk factors for depression in elderly inpatients with type 2 diabetes.