Women with type 2 diabetes may face more sleep issues and more severe sleep troubles during menopause than peers without diabetes, a small study suggests.

Among 164 middle-aged women who completed a survey, those with diabetes averaged 10 sleep-related symptoms while those without diabetes averaged about 7 – and symptoms were rated as more severe by women with diabetes, the study team reports in the journal Menopause.

“Sleep-related symptoms are one of the most frequently reported symptoms among midlife women in menopausal transition across racial/ethnic groups,” said Eun-Ok Im of the Duke University School of Nursing in Durham, North Carolina, who led the study.