Older adults with type 2 diabetes report fewer mood disturba
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Adults aged at least 65 years with type 2 diabetes, obstructive sleep apnea and insomnia experienced less diabetes-related stress and better mood and functional outcomes compared with younger peers, according to study data.

The purpose of this study was to examine age-related differences in mood, diabetes-related distress, and functional outcomes in activities sensitive to impaired sleep in adults with type 2 diabetes mellitus (T2DM) and comorbid obstructive sleep apnea (OSA) and insomnia. This study also evaluated the associations of age, insomnia severity, and OSA severity on outcome variables.

This study was a secondary analysis of pooled baseline data from 2 randomized controlled trials among adults with T2DM with symptoms of sleep disorders (N = 145,109 younger adults, 36 older adults; 46.2% male; 67.6% white). Comorbid OSA and insomnia was defined as Apnea-Hypopnea Index greater than 5 events per hour and Insomnia Severity Index greater than 10. Outcome variables included mood, diabetes-related distress, and functional outcomes.

Results:
-- Older adults reported better mood, lower diabetes-related distress, and higher functional outcomes relative to younger adults.

-- Insomnia severity was associated with worse mood and diabetes-related distress and lower functional outcome.

-- Older age was associated with lower diabetes-related distress.

Conclusively, older age was a protective factor of mood disturbance, diabetes-related distress, and functional impairment in adults with T2DM and comorbid OSA and insomnia. Insomnia severity was associated with greater mood disturbance, diabetes-related distress, and functional impairment when OSA and insomnia coexist. The results suggest that diabetes care and education specialists should assess patients for impaired sleep.

Source: https://journals.sagepub.com/doi/10.1177/0145721720958396
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