Paper Title
The Effect Of Sleep Quality On Post Prandial Glucose In Diabetic Pre-Elderly And Elderly: A Cross-Sectional Study In Surabaya, Indonesia

Abstract
Diabetes Mellitus (DM) often caused by lifestyle changes, food consumption habits that are high in calories, lack of activity, smoking, obesity, and the presence of sleep disorders. Elderly have a higher risk of developing DM than adults, one of which is due to sleep disorders that are often experienced due to physiological changes in the central nervous system affecting sleep regulation, general sensory damage with the aging process which can reduce sensitivity to time maintaining the circadian rhythms. This study aimed to analyze the effect of sleep quality on post prandial glucose (PPG) in diabetic pre-elderly and elderly. This cross-sectional study involved 17 pre-elderly and 28 elderly in four community health clinics in the area of Mulyorejo District, Surabaya. The sampling technique was one stage cluster random sampling in which four areas were chosen among 12 communities under the supervision of Mulyorejo Public Health Center. Sample size was 45. PSQI questionnaire and DTX instrument were used in data collection. Linear regression test was used in data analysis (α<.05). Results showed that most respondents were female (86.67%), aged 60-74 years (57.78%), basic education level (33.3%), unemployed (93.3%), diagnosed with DM for >1-5 years (42.2%), had poor sleep quality (71.11%), and had hyperglycemia (71.11%). Sleep quality has no significant effect on PPG in diabetic pre-elderly and elderly (p=.937). Other potential factors need to be further analyzed in order to determine stronger predictor of PPG in diabetic pre-elderly and elderly, such as co-morbidity, stress, diet, drug consumption, lifestyle, and environment. Index Terms - Diabetes Mellitus, elderly, post prandial glucose, pre-elderly, sleep quality.