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

Changes in sleep duration and pattern are well described in adolescence. Only 20% of adolescents meet recommendations for hours of sleep during the week (9–9.25 h) (1), and adolescents frequently overcompensate on weekends with delayed awakening times (2). Limited data exist describing sleep patterns in type 1 diabetic patients. This is directly relevant to determining optimal insulin treatment regimens and achieving target metabolic control. We describe sleeping times in adolescent diabetic patients in relation to age-matched peers with attention to the influence of insulin regimens.Seventy-five adolescent patients with diabetes and 54 healthy individuals aged 12–18 years were assessed. Sleep timings on typical weekends and weekdays were collected as part of a larger, institutional …