Sarah S Jaser1, Nicole C Foster2, Bryce A Nelson3, Julie M Kittelsrud4, Linda A DiMeglio5, Maryanne Quinn6, Steven M Willi7, Jill H Simmons1. 1. Vanderbilt University Medical Center, 1211 Medical Center Dr., Nashville, TN 37232, USA. 2. Jaeb Center for Health Research, 15310 Amberly Dr., Suite 350, Tampa, FL 33647, USA. Electronic address: T1DStats3@jaeb.org. 3. University of South Carolina School of Medicine - Greenville, 607 Grove Rd, Greenville, SC 29605, USA. 4. Avera McKennan Hospital and University Health Center, 1325 S Cliff Ave., Sioux Fall, SD 57105, USA. 5. Indiana University School of Medicine, 340 W 10th St. #6200, Indianapolis, IN 46202, USA. 6. Boston Children's Hospital, 300 Longwood Ave., Boston, MA 02115, USA. 7. Children's Hospital of Philadelphia, 3401 Civic Center Blvd., Philadelphia, PA 19104, USA.
Abstract
OBJECTIVES: Sleep has physiological and behavioral impacts on diabetes outcomes, yet little is known about the impact of sleep disturbances in children with type 1 diabetes. The current study sought to characterize sleep in children with type 1 diabetes and in their parents and to examine the associations between child sleep, glycemic control and adherence, parent sleep and well-being, parental fear of hypoglycemia, and nocturnal caregiving behavior. METHODS: Surveys were emailed to parents of 2- to 12-year-old participants in the Type 1 Diabetes (T1D) Exchange clinic registry. Clinical data were obtained from the registry for the 515 respondents. RESULTS: In our sample, 67% of children met criteria for poor sleep quality. Child sleep quality was related to glycemic control (HbA1c of 7.9% [63 mmol/mol] in children with poor sleep quality vs 7.6% [60 mmol/mol] in children with non-poor sleep quality; P < 0.001) but not mean frequency of blood glucose monitoring (BGM) (7.6 times/day vs 7.4 in poor/non-poor quality; P = 0.56). Associations were similar for sleep duration. Children with poor sleep quality were more likely to experience severe hypoglycemia (4% in children with poor sleep quality vs 1% in children with non-poor sleep quality; P = 0.05) and more likely to experience DKA (7% vs 4%, respectively; P < 0.001). Poorer child sleep quality was associated with poorer parental sleep quality, parental well-being, and fear of hypoglycemia (P < 0.001 for all). Child sleep was not related to the use of diabetes-related technology (CGM, insulin pump). CONCLUSIONS: Sleep may be a modifiable factor to improve glycemic control and reduce parental distress.
OBJECTIVES: Sleep has physiological and behavioral impacts on diabetes outcomes, yet little is known about the impact of sleep disturbances in children with type 1 diabetes. The current study sought to characterize sleep in children with type 1 diabetes and in their parents and to examine the associations between child sleep, glycemic control and adherence, parent sleep and well-being, parental fear of hypoglycemia, and nocturnal caregiving behavior. METHODS: Surveys were emailed to parents of 2- to 12-year-old participants in the Type 1 Diabetes (T1D) Exchange clinic registry. Clinical data were obtained from the registry for the 515 respondents. RESULTS: In our sample, 67% of children met criteria for poor sleep quality. Child sleep quality was related to glycemic control (HbA1c of 7.9% [63 mmol/mol] in children with poor sleep quality vs 7.6% [60 mmol/mol] in children with non-poor sleep quality; P < 0.001) but not mean frequency of blood glucose monitoring (BGM) (7.6 times/day vs 7.4 in poor/non-poor quality; P = 0.56). Associations were similar for sleep duration. Children with poor sleep quality were more likely to experience severe hypoglycemia (4% in children with poor sleep quality vs 1% in children with non-poor sleep quality; P = 0.05) and more likely to experience DKA (7% vs 4%, respectively; P < 0.001). Poorer child sleep quality was associated with poorer parental sleep quality, parental well-being, and fear of hypoglycemia (P < 0.001 for all). Child sleep was not related to the use of diabetes-related technology (CGM, insulin pump). CONCLUSIONS: Sleep may be a modifiable factor to improve glycemic control and reduce parental distress.
Authors: Christine A Feeley; Marilyn Clougherty; Linda Siminerio; Denise Charron-Prochownik; Anna L Allende; Eileen R Chasens Journal: Diabetes Educ Date: 2018-11-22 Impact factor: 2.140
Authors: Sarah S Jaser; Erin M Bergner; Emily R Hamburger; Shivani Bhatia; Morgan Lyttle; Grace E Bell; J Christopher Slaughter; Beth A Malow; Jill H Simmons Journal: J Pediatr Psychol Date: 2021-03-18