Relationship Between Diabetes-Related Complications and Sleep Complaints in Older Mexican Americans

Rizwana Sultana, Brian Downer, Nai Wei Chen, Mukaila Raji, David Fernandez, Soham Al Snih

Research output: Contribution to journalArticlepeer-review


Introduction/Objective: The prevalence of Type 2 Diabetes Mellitus is increasing in the older American population, especially Mexican Americans. Sleep disorders are common in older adults with T2DM. This study examined the relationship between T2DM-related complications and sleep complaints in older Mexican Americans over 9 years of follow-up. Methods: Study included 310 participants aged 77 years or older with self-reported diabetes from the Hispanic Established Population for the Epidemiological Study of the Elderly (2007/08-2016). Results: Of the 310 participants, the mean age was 82.04 years. The cohort had significantly more females (69.03%) than males (30.97%). A substantial number of participants had trouble falling asleep (16.13%), waking up several times (36.45%), trouble staying asleep (15.16%), and feeling tired and worn out after waking up (12.90%). The percent of diabetes complications were 70.2% for circulation problems, 58.2% for eye disorders, 15.9% for kidney disease, and 4.4% for amputation. Participants who experienced sleep complaints for 15 or more days in a month were more likely to experience diabetic complications. Discussion: This study demonstrated a significant relationship between T2DM macro- and micro-vascular complications and increased risk of sleep disorders in older Mexican Americans.

Original languageEnglish (US)
JournalJournal of Primary Care and Community Health
StatePublished - 2022


  • Mexican Americans
  • diabetes complications
  • elderly
  • longitudinal study
  • sleep disorders
  • type 2 diabetes

ASJC Scopus subject areas

  • Community and Home Care
  • Public Health, Environmental and Occupational Health


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