Articlegold2016

Sleep in adolescents and young adults with type 1 diabetes: associations with diabetes management and glycemic control

53 citations0/0 files storedHealth Psychology and Behavioral Medicine

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Abstract

OBJECTIVE: To describe sleep in adolescents and young adults with type 1 diabetes and explore the association between sleep disturbances, diabetes management and glycemic control. METHODS: Adolescents with type 1 diabetes (n = 159, mean age = 16.4, 43% female, 69% white, mean A1C = 9.3%) completed the Pittsburgh Sleep Quality Index to assess sleep quantity and quality and sleep disturbances. Frequency of blood glucose monitoring (meter downloads) was used as a measure of diabetes management. RESULTS: Average sleep duration was 7.4 hours, below the recommended duration for this age. Adolescents using insulin pumps reported fewer sleep disturbances and longer sleep duration than those on injections, and older adolescents reported less sleep than younger adolescents. Poorer sleep duration was related to poorer diabetes management and better self-reported sleep quality was associated with better glycemic control for males but not for females. CONCLUSIONS: Assessing for and treating sleep disturbances in adolescents may improve diabetes management.

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References

1989The Pittsburgh sleep quality index: A new instrument for psychiatric practice and research 2014Insufficient Sleep in Adolescents and Young Adults: An Update on Causes and Consequences 1998Cognitive Function Following Acute Sleep Restriction in Children Ages 10–14 2007Short Sleep Duration Across Income, Education, and Race/Ethnic Groups: Population Prevalence and Growing Disparities During 34 Years of Follow-Up 2003Working Memory and Sleep in 6- to 13-Year-Old Schoolchildren 2005Sex Differences in the Association between Sleep and Body Mass Index in Adolescents 2010Prevalence of Insufficient, Borderline, and Optimal Hours of Sleep Among High School Students – United States, 2007 2010Partial Sleep Restriction Decreases Insulin Sensitivity in Type 1 Diabetes

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2018Sleep and type 1 diabetes in children and adolescents: Proposed theoretical model and clinical implications

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