title: Excessive daytime sleepiness in type 2 diabetes.
abstract: OBJECTIVE
  To examine excessive daytime sleepiness (EDS) in type 2 diabetes.
  
  
  METHODS
  Patients (N = 110) were evaluated regarding Epworth Sleepiness Scale (EDS), sleep quality (Pittsburgh Sleep Quality Index), depressive symptoms (Beck Depression Inventory), Restless Legs Syndrome (RLS), risk of obstructive sleep apnea (OSA) (Berlin questionnaire), and comorbidity severity (Charlson Comorbidity Index). Patients were compared with individuals with arterial hypertension and without diabetes.
  
  
  RESULTS
  Diabetic patients had more EDS, depressive symptoms, and higher comorbidity severity than hypertensive patients (p < 0.005). In diabetic patients, poor quality sleep (53.3%), and high risk of OSA (40.9%) and RLS (14.5%) were found; EDS (55.5%) was associated with depressive symptoms present in 44.5% individuals (OR = 1.08; 95% CI: 1.01-1.15), and remained so after data were controlled for age, gender, body mass index, and glycated hemoglobin (OR = 2.27; 95% CI 1.03-5.03).
  
  
  CONCLUSIONS
  Sleep abnormalities are frequent. EDS affects most of the patients and is independently associated with depressive symptoms. Adequate antidepressant therapy should be tested for the effects on EDS.
authors.forename: Camila
authors.initials: C
authors.lastname: Medeiros
authors.forename: Veralice
authors.initials: V
authors.lastname: Bruin
authors.forename: Débora
authors.initials: D
authors.lastname: Férrer
authors.forename: Ticiana
authors.initials: T
authors.lastname: Paiva
authors.forename: Renan
authors.initials: R
authors.lastname: Montenegro Júnior
authors.forename: Adriana
authors.initials: A
authors.lastname: Forti
authors.forename: Pedro
authors.initials: P
authors.lastname: Bruin
mesh_terms: D001938:Brazil / Q000453:epidemiology; D015897:Comorbidity; D003430:Cross-Sectional Studies; D003863:Depression / Q000453:epidemiology*; D003924:Diabetes Mellitus, Type 2 / Q000453:epidemiology*; D006970:Disorders of Excessive Somnolence / Q000453:epidemiology* / Q000523:psychology; D005260:Female; D006801:Humans; D006973:Hypertension / Q000453:epidemiology*; D008297:Male; D008875:Middle Aged; D020181:Sleep Apnea, Obstructive / Q000453:epidemiology* / Q000523:psychology