Sleep characteristics in young adults with type 1 diabetes

Diabetes Research and Clinical Practice
Stephanie GriggsMargaret Grey

Abstract

Only 14% of young adults with Type 1 Diabetes (T1D) achieve targets for glycemic control (HbA1C < 7.0%), with deterioration over time. Complex cognitive processes required to manage glycemia are vulnerable to sleep deficiency. Using Whittemore and Knafl's approach, we conducted an integrative review of research literature on sleep characteristics and glycemia in these young adults. Quality was assessed using the Mixed Methods Appraisal Tool (v. 2011). Multiple databases were searched for articles published in English in peer-reviewed journals from 2003 to 2018, using search terms 'sleep' and 'T1D' with age limiters 18-40. Of 218 studies initially retrieved, 17 original studies met the inclusion criteria. The following themes were identified in young adults with T1D: (1) They had poorer objective and subjective sleep quality, more variability, and impaired awakening response to hypoglycemia compared with controls; (2) They had poorer glycemic control that was associated with shorter sleep duration, poorer sleep quality, and less time in deep sleep; and (3) Hypoglycemia negatively impacted diabetes management, sleep quality, and next day functioning. Sleep deficiency, as indicated by short sleep duration is associated with a rang...Continue Reading

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Citations

Jun 5, 2020·Diabetes Therapy : Research, Treatment and Education of Diabetes and Related Disorders·Ayman A Al Hayek, Mohamed A Al Dawish
Aug 27, 2019·Frontiers in Immunology·Mark R ZielinskiNoel R Rose
Mar 28, 2021·Canadian Journal of Diabetes·Lydi-Anne Vézina-ImSophie Desroches

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