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Status unknownNCT04642313Updated Nov 24, 2020

Comparison of Mg Vs. K Supplementation on Insomnia in Diabetics

An interventional study of Magnesium and/ or Potassium in Focus of Study is on Insomnia Among Diabetic Patients, sponsored by University of Lahore. Status unknown at 2 sites in Pakistan. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2020-11-24.

Sponsored by University of Lahore · Not applicable, Interventional, and Treatment

The sponsor has not verified this record recently (last verified Nov 2020), so the status shown — last known as Recruiting — may be out of date.
Phase
Not applicable
Study type
Interventional
Enrollment
320
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
All
01

Study summary

Insomnia is increasing alarmingly among the population. Micronutrient fluctuations have been shown to effect insulin secretion, period of circadian cycle and quality of sleep in all ages. This study is aimed to identify the impact of magnesium and potassium supplementation on insomnia severity and duration, and insulin resistance, quality of life, sleep hormones, serum magnesium and potassium levels. Moreover, the study will help to find out the link between insomnia and micronutrients among patients of diabetes mellitus so that the burden of the disease in the society could be reduced.

Read the detailed description

Sleep is the essential component to maintain good health of an individual. Insomnia is defined as a condition that affects an individual by inability to get sufficient quality sleep or problem in maintaining sleep that is important for healthy functioning, performance and well being. Insomnia can exist in healthy individual or comorbidly with other medical diseases. Latest researches indicate that intolerance of glucose in the body, resistance to insulin hormone, decreased acute response of insulin to glucose and increased chances of having type 2 diabetes are reasons for reduced or interrupted sleep. Several electrolytes and minerals influence the sleep cycle. Magnesium is important in regulation of central nervous system excitability, through ion channel conductivity. Magnesium is a muscle relaxant and inducer of the deeper sleep. Hypomagnesemia is a common feature in patients with type 2 diabetes. Although diabetes can induce hypomagnesemia, magnesium deficiency has also been proposed as a risk factor for type 2 diabetes. Magnesium supplementation improves sleep efficiency, sleep time and sleep onset latency, early morning awakening, and insomnia objective measures such as the concentration of serum renin, melatonin, and serum cortisol, in older adults. High ambient potassium levels have been shown to shorten the period of circadian rhythms in a variety of organisms. Little is known about the effects of dietary mineral nutrients on human sleep quality. Potassium depletion has been shown to cause glucose intolerance, which is associated with impaired insulin secretion . Recently, there has been growing evidence from both animal and human studies indicating that high sodium and low potassium intakes are associated with a high risk of insulin resistance or diabetes.

The Study is aimed to:

  1. To compare the effect of magnesium and/ or potassium on insomnia patients with diabetes mellitus
  2. To compare the gender and age based response to magnesium and/ or potassium on insomnia patients with diabetes mellitus
  3. To compare the effect of magnesium and/ or potassium on insulin resistance among insomnia patients with diabetes mellitus
  4. To compare the effect of magnesium and/ or potassium on sleep hormones among insomnia patients with diabetes mellitus
  5. To compare the effect of magnesium and/ or potassium on serum electrolytes (Mg, K) among insomnia patients with diabetes mellitus
  6. To compare the effect of magnesium and/ or potassium on quality of life (QOL) among insomnia patients with diabetes mellitus MATERIAL AND METHODS Study Design: Randomized Controlled Trial (single blind) Settings: Study will be conducted at
  1. Akhuwat Health Services, Lahore Duration of Study: 18 months (after the approval of synopsis) Sample Size: is 280 and with expected 20% drop out: 320 Sampling Technique: Non probability purposive sampling

Inclusion Criteria:

  • Patients of diabetes mellitus with insomnia
  • Adult diabetic patients aged between 19 to 65 years
  • Patients of both genders
  • Diabetic patients of insomnia with or without antidiabetic drugs
02

Conditions studied

  • Focus of Study is on Insomnia Among Diabetic Patients

Keywords

  • Insomnia, Diabetes Mellitus, Magnesium, Potassium, Melatonin, Cortisol, Insulin resistance, Quality of Life
03

In context

Sleep Initiation and Maintenance Disorders

1,856 studies on the registry are indexed under Sleep Initiation and Maintenance Disorders; 594 are open to participants now.

This study's planned enrollment of 320 is above the median of 73 across 1,631 interventional studies indexed under Sleep Initiation and Maintenance Disorders.

Browse Sleep Initiation and Maintenance Disorders studies →

Lead sponsor

University of Lahore is the lead sponsor of 223 studies on the registry; 40 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

    • Patients of diabetes mellitus with insomnia

      • Adult diabetic patients aged between 19 to 65 years
      • Patients of both genders
      • Diabetic patients of insomnia with or without anti-diabetic drugs
      • Diabetic patients of insomnia with or without Hypomagnesaemia
      • Diabetic patients of insomnia with or without Hypokalemia

Exclusion criteria

Exclusion Criteria:

  • Individuals with the following conditions will not be included as participants, patients of diabetes mellitus with insomnia with

    • Psychiatry reasons
    • Any hormonal treatment
    • CVD/ Other metabolic co-morbidities
    • History of acute liver injury (e.g., hepatitis) or severe cirrhosis
    • Renal diseases (renal stones, renal failure, dialysis)
    • Diabetic nephropathy
    • Pregnancy
    • Breast-feeding
    • Drug induced insomnia
    • Sleep disorders
    • Sleep-related movement disorders (restless leg syndrome)
    • Sleep-related respiratory disorders (sleep apnea)
    • Alcohol consumption
    • Cardiac respiratory disorders
    • Painful condition (apathy)
    • History of chronic liver disease
    • History of CKD
    • Participation in a study of an investigational medication or nutritional supplements/ medication within the past 90 days
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Participant)
Enrollment
320 participants (estimated)

Study arms

  • Placebo comparator
    PLACEBO group

    Placebo treatment: starch tablets (250 mg)

    Other: Magnesium and/ or Potassium

  • Experimental
    Magnesium group

    Magnesium group: Magnesium gluconate (250 mg)

    Other: Magnesium and/ or Potassium

  • Experimental
    Potassium group

    Potassium group: Potassium chloride (250 mg)

    Other: Magnesium and/ or Potassium

  • Experimental
    Magnesium + Potassium group

    Magnesium + Potassium group: Magnesium gluconate (250 mg) + Potassium chloride (250 mg)

    Other: Magnesium and/ or Potassium

Interventions

  • OtherMagnesium and/ or Potassium

    Magnesium and/ or potassium supplements will be provided to patients of diabetes mellitus with insomnia

06

What researchers measure

Primary outcomes

  1. Effects of magnesium and/ or potassium supplementation on insomnia severity patients with diabetes mellitus

    Insomnia Severity Index (ISI) will be used to assess and categorize the insomnia among patients with diabetes mellitus, before and after the intervention

    Time frame: 60 days

  2. Effects of magnesium and/ or potassium on insulin resistance among insomnia patients with diabetes mellitus

    Homeostatic model assessment for insulin resistance (HOMA-IR) will be used to measure the insulin resistance before and after the Mg, K supplementation among insomniac patients with diabetes mellitus. Insulin will be measured through ELISA technique.

    Time frame: 60 days

  3. Effects of magnesium and/ or potassium on sleep hormones (melatonin, cortisol) among insomniac patients with diabetes mellitus.

    Sleep hormones (melatonin, cortisol) will be measured before and after the intervention, through ELISA technique, among insomniac patients with diabetes mellitus.

    Time frame: 60 days

  4. Effect of magnesium and/ or potassium on serum electrolytes (Mg, K) among insomnia patients with diabetes mellitus

    Serum magnesium and/ potassium (in blood) will be measured through chemistry analyzer, before and after the Mg, K supplementation among insomniac patients with diabetes mellitus

    Time frame: 60 days

Secondary outcomes

  1. Effect of magnesium and/ or potassium on quality of life (QOL) among insomnia patients with diabetes mellitus

    WHOQOL-BREF will be used to measure quality of life before and after the Mg, K supplementation, among insomniac patients with diabetes mellitus.

    Time frame: 60 days

  2. Gender and age based response to magnesium and/ or potassium on insomnia patients with diabetes mellitus

    Gender and age based responses of Mg, K supplementation will be compared among insomniac patients with diabetes mellitus

    Time frame: 60 days

Other outcomes

  1. Effect of magnesium and/ or potassium on quality liver function tests (LFTs) among insomnia patients with diabetes mellitus

    Liver function tests (ALT, AST) will measured before and after the Mg, K supplementation among insomniac patients with diabetes mellitus

    Time frame: 60 Days

07

Study locations

2 of 2 sites recruiting
  • Akhuwat Health Services
    Lahore, Punjab 54000, Pakistan
    Recruiting
  • The University of Lahore
    Lahore, Punjab 54000, Pakistan
    Recruiting
08

References and documents

Individual participant data

Plan to share: No — Patients data will be kept confidential and their identity will not be revealed

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 24, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04642313
Lead sponsor
University of Lahore
Responsible party
Sidra Khalid (PhD Scholar, University of Lahore) — Principal investigator
First posted
Nov 24, 2020
Start date
Oct 26, 2020
Primary completion
Apr 26, 2021 (estimated)
Completion
Apr 26, 2022 (estimated)
Last update
Nov 24, 2020

Study contacts

Sidra Khalid
Contact
sidrakhalid.uaf@gmail.com
0923347498338
Shahid Bashir, PhD
Contact
shahid.bashir@rsmi.uol.edu.pk
092423200865 ext. 5967

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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