Carbohydrate Quality and Its Impact on Sleep and Depression in Type 2 Diabetes

Completed

Brief Summary: The aim of this study was to evaluate the effect of carbohydrate quality on sleep quality and depression in patients with Type 2 diabetes. Data were collected from 150 patients with Type 2 diabetes mellitus using a demographic structure questionnaire, the Sleep Quality Scale (SQS), the Depression, Anxiety, and Stress Scale (DASS), and a Food Consumption Frequency Form. The data were analyzed using SPSS 26.

Detailed Description: Objective: The aim of this study was to evaluate the effect of carbohydrate quality on sleep quality and depression in patients with Type 2 diabetes.

Method: A total of 150 individuals with Type 2 diabetes were included in the study. A demographic questionnaire, the Sleep Quality Scale (SQS) (where a higher SQS score indicates lower sleep quality), and the Depression Anxiety and Stress Scale were administered to the participants. Additionally, data on the frequency of food consumption for 132 foods were obtained from the participants. To determine the Carbohydrate Quality Index (CQI) score, each of these four components (fiber intake, whole grain ratio, glycemic index, and total carbohydrate ratio) was evaluated on a scale of 1 to 5 points. The score for each component was then calculated, with Q5 indicating the best and Q1 indicating the worst carbohydrate quality. The data were analyzed using SPSS 24 software.

Detailed Description: This study will evaluate carbohydrate quality index ranges (Q1-Q5), sleep quality scale score, depression, stress, anxiety score, body mass index, diabetic age, sleep duration, body weight, daily macro and micro nutrients.

Conclusion: Results will be analyzed and interpreted after data collection is completed, and conclusions will be drawn accordingly.

Recruitment & Eligibility

Inclusion Criteria

Exclusion Criteria

Primary Outcome Measures

Name	Time	Method
Evaluating carbohydrate quality	Baseline	A total of 132 food groups obtained from the food consumption frequency questionnaire were analyzed. Intake (g/day) was calculated using the BeBiS program with a global database, taking into account the amount and frequency of food consumed by each participant. Glycemic Index (GI) values were determined using the BeBiS program's global nutrient database, considering the amount and frequency of food consumed by each participant. To determine the Carbohydrate Quality Index (CQI) score, each of these four components (fiber intake, whole grain ratio, glycemic index, and total carbohydrate ratio) was evaluated on a scale of 1 to 5 points. The scores for each component were then calculated, with Q5 indicating the best and Q1 indicating the worst carbohydrate quality.

Secondary Outcome Measures

Name	Time	Method
Calculating sleep quality	Baseline	The Sleep Quality Scale (SQS) was used to evaluate the sleep quality of individuals diagnosed with Type 2 diabetes mellitus. The scale consists of a total of 8 questions, each with 3 response options. Scores can range from a minimum of 7 to a maximum of 21. As the score obtained from the scale increases, sleep quality decreases. Questions 5 and 6 were reverse-scored, and a total score was calculated.
Depression, anxiety and stress scores	Baseline	The Depression Scale was used to evaluate the psychological status of patients with Type 2 diabetes during this process. The scale consists of a total of 21 questions, each graded on a scale from normal to very advanced (mild, moderate, severe, advanced). It has three sub-dimensions: depression, anxiety, and stress. As the scores in the subscales increase, levels of depression, anxiety, and stress also increase.
Sociodemographic characteristics (age,)	Baseline	Sociodemographic characteristics will be assessed using a structured questionnaire developed by the researchers. The questionnaire will include items measuring age, gender, education level, and income status. The results will be presented as numbers and percentages for each characteristic
Body Mass Index (BMI)	Baseline	Kilograms per square meter (kg/m2)
Body weight	Baseline	Body weight in kg
Height	Baseline	Height in cm