Sleep and Breathing

, Volume 23, Issue 1, pp 349–354 | Cite as

Association between insomnia and type 2 diabetes mellitus in Han Chinese individuals in Shandong Province, China

  • Yanhong Zhang
  • Yuanyuan Lin
  • Jianwu Zhang
  • Li Li
  • Xinxin Liu
  • Tianhe WangEmail author
  • Zhenzhong GaoEmail author
Epidemiology • Original Article



Diabetes and sleep disorders are public health threats worldwide, but the potential association between them is still unclear.


We conducted a community-based cross-sectional study including 5078 participants (2665, 52.5% male) to determine the association between insomnia and diabetes mellitus prevalence.


In patients with type 2 diabetes mellitus (T2DM) and nondiabetic controls, the prevalence of insomnia was 20.2% (68/377) and 12.2% (578/4741), respectively. The results showed that insomnia was associated with T2DM after adjusting for age, sex, BMI, smoking, alcohol consumption, presence of disease history (hypertension, dyslipidemia, stroke, cardiovascular diseases, cancers), and depression (odds ratio [OR] = 1.31, 95% confidence interval [CI] 1.03–1.66). After stratifying by age and sex, insomnia was significantly associated with diabetes mellitus only in the subgroup of middle-aged participants (40–59 years) (OR = 1.61, 95% CI 1.16–2.23) and males (OR = 1.48, 95% CI 1.08–2.03) after controlling for the above covariates.


This study suggests that insomnia is independently and significantly associated with diabetes mellitus in the northern Chinese population, especially in the 40–59-year-old age group and in males.


Insomnia Sleep duration Diabetes mellitus Athens insomnia scale Cross-sectional study 



This work was supported by the National Key Technology Research and Development Program of the Ministry of Science and Technology of China (2015BAI06B05). The sponsor had no role in the design or conduct of this research.

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of Weifang Maternity and Child Health Hospital and with the 1964 Declaration of Helsinki and its later amendments or with comparable ethical standards.

Informed consent

Informed consent was obtained from all individual participants included in the study.


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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Deparment of Internal MedicineWeifang Maternity and Child Health HospitalWeifangChina
  2. 2.Deparment of NeurosurgeryWeifang Hospital of Traditional Chinese MedicineWeifangChina
  3. 3.Department of Brain EMGAnqiu People’s HospitalAnqiuChina

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