Altered Sleep Patterns in Adolescents With Type 1 Diabetes: Implications for Insulin Regimen

Yeshayahu, Yonatan; Mahmud, Farid H.

doi:10.2337/dc10-1536

Cited by 21 publications

(22 citation statements)

References 5 publications

(3 reference statements)

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“…In our study, differently from findings of other groups that studied T1DM children and adolescents (10,12), and in accordance with a study with T1DM adults (14), sleep duration was not different between T1DM and control subjects. While Pillar and cols.…”

Section: Actimetersupporting

confidence: 91%

“…The absence of correlation between sleep duration and glycemic control was not surprising, since other groups have reported similar results before (10,14). In our study, differently from findings of other groups that studied T1DM children and adolescents (10,12), and in accordance with a study with T1DM adults (14), sleep duration was not different between T1DM and control subjects.…”

Section: Actimetersupporting

confidence: 81%

“…Taking into account these observations, we speculate that in an environment free of social demands, most of the T1DM individuals would present longer sleep duration than controls, supporting Yeshayahu and Mahmud findings (10).…”

Section: Actimetersupporting

confidence: 81%

“…We performed this study in order to broaden the understanding of this vicious circle. Differences between sleep variables in people with T1DM and their peers have already been shown (10). Furthermore, the glycemic control was shown to affect sleep in T1DM, and apnea was positively associated with glycated hemoglobin (A1C) and with the disease duration (11,12).…”

Section: Introductionmentioning

confidence: 89%

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Sleep and glycemic control in type 1 diabetes

Barone

Wey

Schorr

et al. 2015

Arch. Endocrinol. Metab.

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Objective: Our aim in the present study was to elucidate how type 1 diabetes mellitus (T1DM) and sleep parameters interact, which was rarely evaluated up to the moment. Materials and methods: Eighteen T1DM subjects without chronic complications, and 9 control subjects, matched for age and BMI, were studied. The following instruments used to evaluate sleep: the Epworth Sleepiness Scale, sleep diaries, actimeters, and polysomnography in a Sleep Lab. Glycemic control in T1DM individuals was evaluated through: A1C, home fingertip glucometer for 10 days (concomitant with the sleep diary and actimeter), and CGM or concomitant with continuous glucose monitoring (during the polysomnography night). Results: Comparing with the control group, individuals with diabetes presented more pronounced sleep extension from weekdays to weekends than control subjects (p = 0.0303). Among T1DM, glycemic variability (SD) was positively correlated with sleep latency (r = 0.6525, p = 0.0033); full awakening index and arousal index were positively correlated with A1C (r = 0.6544, p = 0.0081; and r = 0.5680, p = 0.0272, respectively); and mean glycemia values were negatively correlated with sleep quality in T1DM individuals with better glycemic control (mean glycemia < 154 mg/dL). Conclusion: Our results support the hypothesis of an interaction between sleep parameters and T1DM, where the glycemic control plays an important role. More studies are needed to unveil the mechanisms behind this interaction, which may allow, in the future, clinicians and educators to consider sleep in the effort of regulating glycemic control. Arch Endocrinol Metab. 2015;59(1):71-8

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Section: Actimetersupporting

confidence: 91%

Section: Actimetersupporting

confidence: 81%

Section: Actimetersupporting

confidence: 81%

Section: Introductionmentioning

confidence: 89%

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Sleep and glycemic control in type 1 diabetes

Barone

Wey

Schorr

et al. 2015

Arch. Endocrinol. Metab.

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“…This shift in chronotype and the resulting social jetlag were found to be independently linked to higher HbA1c [14]. People with T1D may be even more likely to suffer from social jetlag; one study found that during the weekends, adolescents with T1D demonstrated sleep extension more than twice the length of their peers without T1D [15]. …”

Section: Sleep Patterns and Disturbances In T1dmentioning

confidence: 99%

Sleep in Type 1 Diabetes: Implications for Glycemic Control and Diabetes Management

et al. 2018

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Purpose of Review To highlight recent findings from studies of sleep in type 1 diabetes (T1D), with a focus on the role of sleep in self-management, the cognitive and psychosocial outcomes related to sleep disturbances, and factors associated with sleep disturbances specific to T1D. Recent Findings People with T1D experience higher rates of sleep disturbances than people without diabetes, and these disturbances have negative implications for glycemic control and diabetes management, as well as psychosocial and cognitive outcomes. Inconsistent sleep timing (bedtime and wake time) has emerged as a potential target for interventions, as inconsistent sleep has been linked with poorer glycemic control and adherence to treatment. Sleep-promoting interventions and new diabetes technology have the potential to improve sleep in people with T1D. Summary Sleep is increasingly considered a critical factor in diabetes management, but more multi-method and longitudinal research is needed. We emphasize the importance of sufficient and consistent sleep for people with T1D, and the need for providers to routinely assess sleep among patients with T1D.

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