Sleep disorder and behavior problems in children with type 1 diabetes mellitus

Bahadur, Evin İlter; Özalkak, Şervan; Özdemir, Asena Ayça; Çeti̇nkaya, Semra; Özmert, Elif Nursel

doi:10.1515/jpem-2021-0523

Cited by 4 publications

(5 citation statements)

References 28 publications

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“…Aligning with findings from a growing body of evidence on the value of technology for beneficial non-medical outcomes in T1D (Jaser et al, 2017;Bahadur et al, 2022;Perez et al, 2018), this review found contradictory evidence for the impact of technology on caregiver sleep. Interestingly, this did not translate into a negative user experience, with the majority of participants willing to sustain some increased burdens (sleep or other) in order to achieve reduced caregiver anxiety or illness benefits for the patient.…”

Section: Technologymentioning

confidence: 64%

“…Across 23 relevant papers within the review, conclusion sections and recommendations were analysed thematically to explore the proposed changes that authors felt could potentially reduce NCP burden or increase benefits for this caregiving cohort (see table 14 below). '…intervention for sleep and mental health can increase the quality of life of both the children with T1DM and their parents' (Bahadur et al, 2022) '…family-based interventions, aimed to support parents in managing their child's diabetes have had positive effects on glycaemic control as well as parent-child relationships' (de Beaufort et al, 2021) • Promote realistic view of technology 22%…”

Section: Looking To the Future: Solutions And Recommendationsmentioning

confidence: 99%

“…'…fully investigate the effect of new diabetes devices such as CGM and insulin pump on sleep and behaviour' (Bahadur et al, 2022) '…impact of these devices on parental sleep warrants further evaluation…' (Cobry et al, 2021) • Actigraphy 22%…”

Section: Looking To the Future: Solutions And Recommendationsmentioning

confidence: 99%

“…In Lindstrom et al (2011), of participants scoring over a threshold for clinical burnout, 64% of mothers and 38% of fathers reported NCP driven sleep disruption. Finally, a study of maternal caregivers (n=75) found 49.3% slept less than the required 7h, in comparison to 26.5% of controls (n=49)(Bahadur et al, 2022). performance (40%), cognitive function (40%), exercise (30%), relationships (25%), and lastly, impacting on diabetes management (20%).…”

mentioning

confidence: 99%

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Around-the-clock: Caregiving at Night for Juveniles Living with Type 1 Diabetes – A Systematic Review

Howard,

Maguire,

Enda

et al. 2023

Preprint

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Caring for children with Type 1 Diabetes (T1D) can require round-the-clock attention but this aspect of the caregiving experience is underexplored in the literature, as a result no clinical care guidelines exist. With little acknowledgment of the impact that nocturnal caregiving has on caregivers, clinical care provision offers very limited support to caregivers who may be living with this significant burden for years. This systematic review aimed to explicate nocturnal caregiving practice (NCP) by identifying and synthesising all the relevant peer-reviewed research to establish the extent and nature of NCP while exploring the impacts for caregivers. The review also enquires into the perceived value of technology for supporting NCP and examines potential solutions for mitigating the burden.Thirty-one studies met inclusion criteria, comprising 3,547 caregivers. 88% of caregivers engaged in NCP, though frequency was very variable. Over 50% of participants (19-80%) were failing to get adequate sleep and 54% reported poor sleep quality. Powerful qualitative testimony detailed adverse impacts; exhaustion, difficulty making illness-management decisions, negative impacts on mood and physical health. Benefits from technology were equivocal. Evidence regarding predictors and associations for NCP, such as patient age, was contradictory. 83% of authors recommended that sleep be routinely addressed in clinic, which is not current practice.This review provides clear evidence that NCP in T1D is pervasive with significant negative impacts on caregivers. These secondary impacts of juvenile T1D need to be acknowledged so that care guidelines can be modified and psychosocial supports can be developed for use in clinical treatment environments.

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Section: Technologymentioning

confidence: 64%

Section: Looking To the Future: Solutions And Recommendationsmentioning

confidence: 99%

Section: Looking To the Future: Solutions And Recommendationsmentioning

confidence: 99%

mentioning

confidence: 99%

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Around-the-clock: Caregiving at Night for Juveniles Living with Type 1 Diabetes – A Systematic Review

Howard,

Maguire,

Enda

et al. 2023

Preprint

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“…Children with type 1 diabetes may have learning difficulties at school, and disrupted sleep because of the need frequent insulin injections or measuring blood glucose levels during the night. The diagnosis of diabetes must include psychological care of the family [22,23,24,25].…”

Section: Description Of the State Of Knowledgementioning

confidence: 99%

Civilization diseases in childhood – state-of-the- art literature review

Welian-Polus,

Kurek,

Bielak

et al. 2023

J Pre Clin Clin Res.

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Introduction and Objective. Civilization diseases are widespread in the adult population. However, their occurrence has been increasing recently in children. The aim of this review is to introduce the most common diseases and present their diagnosis and treatment methods. Review Methods. The review is based on scientific publications in PubMed, Google Scholar, Wiley Library, Web of Science, and NCBI databases. Over 95% of the articles are less than eight years old. The languages of articles were mainly English (97.5 %) and Polish (2.5%). After initial evaluation of the articles, meta-analyses and reviews considering civilization diseases in childhood were selected. Publications were analyzed using the non-systematic review method with the intention of producing a short synthesis of the available information. Mainly developed countries were covered by the analysis. Brief description of the state of knowledge. The review shows an increasing prevalence of type 2 diabetes, obesity, dental caries, and hypertension in the paediatric population. This is associated with lifestyle changes, improper nutrition, and decreased physical activity in children. There is also a higher incidence of mental illnesses in the child population. The main factors contributing to this increase are unhealthy lifestyle, lack of sleep hygiene and education, and lack of mental health education. Conclusions. Civilization diseases are no longer the leading cause of adult morbidity but are increasingly occurring in children. Prevention of civilization diseases is much more beneficial for children. Early detection of the civilization disease is crucial for the subsequent well-being of the child. Rapid treatment and education of the patients and their families are essential to avoid complications. Paediatricians should be aware of their occurrence and aim to actively prevent them.

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