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Sleep duration and its impact on adherence in adolescents with type 1 diabetes mellitus
Author(s) -
McDonough Ryan J.,
Clements Mark A.,
DeLurgio Stephen A.,
Patton Susana R.
Publication year - 2017
Publication title -
pediatric diabetes
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.678
H-Index - 75
eISSN - 1399-5448
pISSN - 1399-543X
DOI - 10.1111/pedi.12381
Subject(s) - medicine , type 1 diabetes , insulin pump , sleep hygiene , glycated hemoglobin , diabetes mellitus , glycemic , diabetes management , insulin , hypoglycemia , bolus (digestion) , sleep (system call) , sleep deprivation , pediatrics , physical therapy , type 2 diabetes , endocrinology , circadian rhythm , psychiatry , cognition , computer science , sleep quality , operating system
Background Adherence to the type 1 diabetes ( T1D ) regimen, while predictive of glycemic control, decreases during adolescence. For adolescents, attaining adequate sleep is an additional challenge. This study evaluates the impact of sleep on adherence in teens with T1D . Subjects Forty‐five adolescents aged 12–18 yr, with T1D for at least 6 months while on insulin pump therapy. Methods Adolescents logged their sleep on a written diary for 2 wk. Corresponding insulin pump/glucometer downloads as well as sleep habit questionnaires were also obtained. Results Data from 20 girls and 25 boys, with a mean age of 15 ± 1.6 yr and mean glycated hemoglobin of 8.7 ± 1.1% (72 mmol/mol), were analyzed. Overall, average sleep was 8.6 ± 0.9 h per night. Sleep durations were compared to the next day's frequency of self‐monitored blood glucose ( SMBG ) and total daily insulin bolus frequency. Associations were found between sleep duration and youths' SMBG and insulin bolus frequencies (p < 0.03 and p < 0.001, respectively). Specifically, a 15‐ and 20‐min increase in sleep was associated with one additional SMBG check and one additional insulin bolus, respectively. Conclusion Analyses suggest an associated increase in T1D self‐management behaviors in youths with increased sleep duration. These findings highlight the importance of assessing sleep in clinical practice, and encourage further research to examine effective strategies to address sleep hygiene as part of routine diabetes management.