Sleep habits in adolescents with type 1 diabetes: Variability in sleep duration linked with glycemic control

Patel, Niral; Savin, Kimberly L.; Kahanda, Sachini; Malow, Beth A.; Williams, Lauren; Lochbihler, Gray; Jaser, Sarah S.

doi:10.1111/pedi.12689

Cited by 57 publications

(66 citation statements)

References 30 publications

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“…36 Other studies with adolescents and young adults diagnosed with T1DM did not reveal a significant relation between self-reported sleep duration and HbA1c. 51,53,58,59 With regard to management, sleep amount did not predict how much insulin the adolescents with T1DM required, 51 but two studies found that youth who slept more tested their glucose levels more often, 53,58 were more likely to use a pump, 53 and were more likely to adjust their insulin when needed. 58 With regard to Objective 1 in adults, Denic-Roberts et al 47 reported that nearly half of their sample of adults with T1DM obtained less than the recommended sleep duration (7 hours).…”

Section: Insufficient Sleep Durationmentioning

confidence: 98%

“…36 Additionally, when asked about typical school night and non-school night sleep using a validated survey, these adolescents reported their sleep durations to be 8.34 and 9.43 hours, respectively. 36 Similarly, Patel et al 59 reported school night TST to be 7.26 hours and non-school night TST to be 6.26 hours using actigraphy, whereas TSTs computed from diaries for school nights and non-school nights were 7.75 and 8.75 hours, respectively. Several studies have examined the associations between TST and both glycemic control and diabetes management in youth (Objective 3).…”

Section: Insufficient Sleep Durationmentioning

confidence: 99%

“…33 Among studies with adolescent samples, self-reported averages have consistently ranged below the recommended amount of sleep (7.4-8.6 hours/night). 51,53,58,59 The method of assessing sleep duration may yield different amounts of sleep. Accordingly, two published studies of youth from the same cohort of adolescents with T1DM revealed that objectively measured mean TST was 6.96 hours, 35 whereas the average self-reported sleep duration from sleep diaries was 8.76 hours across 5 days.…”

Section: Insufficient Sleep Durationmentioning

confidence: 99%

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<p>Sleep-related disorders in patients with type 1 diabetes mellitus: current insights</p>

Perfect

2020

NSS

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Type 1 diabetes mellitus (T1DM) is an autoimmune condition that results from destruction of beta cells in the pancreas. Several reviews have concluded that sleep contributes to poor glycemic control, diabetes management, and diabetes-related complications in individuals with T1DM and represents an untapped opportunity for intervention. However, at the current juncture, the American Diabetes Association's Standards of Medical Care are devoid of recommendations about how to address sleep in the management of T1DM. This article summarizes reviews of sleep in youth and adults with T1DM and empirical studies that have examined various sleep parameters ranging from sleep disturbances (general, perceived sleep quality, sleepiness, awakenings, and sleep efficiency), sleep duration, sleep consistency, sleep-disordered breathing (SDB), and sleep architecture. The data show that many individuals with T1DM sleep less than recommendations; individuals with the poorest sleep have difficulties with diabetes management; and sleep deficiency including SDB often corresponds to several disease morbidities (neuropathy, nephropathy, etc). Mixed findings exist regarding direct associations of various sleep parameters and glycemic control. SDB appears to be just as prevalent, if not more, than other conditions that have been recommended for universal screening in individuals with T1DM. The article concludes with recommendations for collaborative research efforts to further elucidate the role of sleep in diabetes-related outcomes; investigations to test behavioral strategies to increase sleep quantity and consistency; and considerations for clinical care to address sleep.

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Section: Insufficient Sleep Durationmentioning

confidence: 98%

Section: Insufficient Sleep Durationmentioning

confidence: 99%

Section: Insufficient Sleep Durationmentioning

confidence: 99%

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<p>Sleep-related disorders in patients with type 1 diabetes mellitus: current insights</p>

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2020

NSS

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“…Adolescents with type 1 diabetes (T1D) obtain shorter sleep duration and experience increased sleep disturbances compared to adolescents without T1D . While adolescents with T1D experience many of the same barriers to obtaining sufficient sleep as the general population (eg, academic and extracurricular commitments, electronics use, early school start times), they also experience diabetes‐related sleep disturbances, such as treating episodes of nocturnal hypoglycemia and awakenings related to device alarms …”

Section: Introductionmentioning

confidence: 99%

“…For example, one study found that adherence to blood glucose checks and insulin boluses increased with every additional 15 to 20 minutes adolescents slept . Furthermore, a recent study found that variability in sleep duration was significantly related to glycemic control and adherence among adolescents with T1D . Given that most adolescents struggle to reach glycemic targets, despite increased use of new diabetes technology, innovative approaches are needed to improve diabetes‐related outcomes in this population.…”

Section: Introductionmentioning

confidence: 99%

Sleep coach intervention for teens with type 1 diabetes: Randomized pilot study

et al. 2020

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Background: Teens with type 1 diabetes (T1D) experience increased sleep disturbances, which have been linked to problems with adherence and glycemic control. As such, sleep represents a novel target to improve outcomes in teens.Objective: To evaluate the feasibility, acceptability, and preliminary efficacy of a sleep-promoting intervention in teens with T1D. Research Design and Methods: Teens aged 13 to 17 with T1D (n = 39) completed measures of sleep quality and diabetes management and wore actigraphs to obtain an objective measure of sleep. Hemoglobin A1C (HbA1c) was collected from medical records. Teens were randomized to Usual Care (n = 19) or the Sleep Coach intervention (n = 20). Teens in the Sleep Coach group received educational materials on healthy sleep habits and completed three individual telephone sessions. Follow-up data were collected at 3 months, including exit interviews with teens and parents.Results: Feasibility of the study was excellent; 80% of teens in the Sleep Coach group completed all three sessions, and retention was high (90%). Based on actigraphy data, a significant improvement in sleep efficiency and sleep duration was observed (48-minute increase) among teens randomized to the Sleep Coach intervention, and teens in the control group were 7.5 times more likely to report poor sleep quality after 3 months than intervention participants. No change in HbA1c was observed. Conclusions:The Sleep Coach intervention for teens with T1D is a feasible and acceptable program that increased sleep duration and improved sleep quality for this high-risk population.

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Sleep, self‐management, neurocognitive function, and glycemia in emerging adults with Type 1 diabetes mellitus: A research protocol

Griggs

Redeker

Crawford

2020

Research in Nursing & Health

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Type 1 Diabetes (T1D) affects 1.6 million Americans, and only 14% of emerging adults ages 18–25 years achieve targets for glycemic control (A1C < 7.0%). Sleep deficiency, including habitual short sleep duration (<6.5 hr total sleep time and high within‐person variability in total sleep time), is associated with poorer glycemic control. Emerging adults with T1D have a more pronounced sleep extension on weekends compared with matched controls, consistent with sleep deficiency; however, associations among sleep variability and glycemic control have not been explored in this population. Sleep deficiency may affect the complex higher‐order neurocognitive functioning needed for successful diabetes self‐management (DSM). We report the protocol for an ongoing study designed to characterize sleep and the associations among sleep deficiency, neurocognitive function, DSM, diabetes quality of life, and glycemia among a sample of 40 emerging adults with T1D. We monitor sleep via wrist‐worn actigraphy and glucose via continuous glucose monitoring concurrently over 14 days. We are collecting data on self‐report and objective sleep, a 10‐min psychomotor vigilance test on a PVT‐192 device, a 3‐min Trail Making Test on paper, and questionnaires, including twice‐daily Pittsburgh sleep diaries using Research Electronic Data Capture (REDCap)TM. Results from this study will be used to support the development and testing of the efficacy of a tailored sleep self‐management intervention that may improve total sleep time, sleep variability, neurocognitive function, DSM, glycemic control, and glucose variability among emerging adults with T1D.

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Sleep habits in adolescents with type 1 diabetes: Variability in sleep duration linked with glycemic control

Cited by 57 publications

References 30 publications

<p>Sleep-related disorders in patients with type 1 diabetes mellitus: current insights</p>

<p>Sleep-related disorders in patients with type 1 diabetes mellitus: current insights</p>

Sleep coach intervention for teens with type 1 diabetes: Randomized pilot study

Sleep, self‐management, neurocognitive function, and glycemia in emerging adults with Type 1 diabetes mellitus: A research protocol

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