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02-05-2018 | Sleep disorders | Review | Article

Sleep in Type 1 Diabetes: Implications for Glycemic Control and Diabetes Management

Journal: Current Diabetes Reports

Authors: Katia M. Perez, Emily R. Hamburger, Morgan Lyttle, Rodayne Williams, Erin Bergner, Sachini Kahanda, Erin Cobry, Sarah S. Jaser

Publisher: Springer US

Abstract

Purpose of Review

To highlight recent findings from studies of sleep in type 1 diabetes (T1D), with a focus on the role of sleep in self-management, the cognitive and psychosocial outcomes related to sleep disturbances, and factors associated with sleep disturbances specific to T1D.

Recent Findings

People with T1D experience higher rates of sleep disturbances than people without diabetes, and these disturbances have negative implications for glycemic control and diabetes management, as well as psychosocial and cognitive outcomes. Inconsistent sleep timing (bedtime and wake time) has emerged as a potential target for interventions, as variability in sleep timing has been linked with poorer glycemic control and adherence to treatment. Sleep-promoting interventions and new diabetes technology have the potential to improve sleep in people with T1D.

Summary

Sleep is increasingly considered a critical factor in diabetes management, but more multi-method and longitudinal research is needed. We emphasize the importance of sufficient and consistent sleep for people with T1D, and the need for providers to routinely assess sleep among patients with T1D.

American Diabetes Association. Standards of medical care in diabetes - 2017. Diabetes Care. 2017;40:S1–S135.CrossRef

Paruthi S, Brooks LJ, D'Ambrosio C, Hall WA, Kotagal S, Llyod RM et al. Recommended amount of sleep for pediatric populations: a consensus statement of the American Academy of Sleep Medicine. 2016;12(6):785–786. https://doi.org/10.5664/jcsm.5866.

Watson NF, Badr MS, Belenky G, Bliwise DL, Buxton OM, Buysse D, et al. Recommended amount of sleep for a healthy adult: a joint consensus statement of the American Academy of Sleep Medicine and Sleep Research Society. Sleep. 2015;38(6):843–4. https://doi.org/10.5665/sleep.4716. PubMedPubMedCentral

Institute of Medicine Committee on Sleep M, Research. The National Academies Collection: reports funded by National Institutes of Health. In: Colten HR, Altevogt BM, editors. Sleep disorders and sleep deprivation: an unmet public health problem. Washington (DC): National Academies Press (US) National Academy of Sciences. 2006.

National Sleep Foundation. International Bedroom Poll: summary of findings. Arlington, VA. 2013.

Lee SW, Ng KY, Chin WK. The impact of sleep amount and sleep quality on glycemic control in type 2 diabetes: a systematic review and meta-analysis. Sleep Med Rev. 2017;31:91–101. https://doi.org/10.1016/j.smrv.2016.02.001.CrossRefPubMed

Reutrakul S, Thakkinstian A, Anothaisintawee T, Chontong S, Borel A-L, Perfect MM, et al. Sleep characteristics in type 1 diabetes and associations with glycemic control: systematic review and meta-analysis. Sleep Med. 2016;23:26–45. https://doi.org/10.1016/j.sleep.2016.03.019.CrossRefPubMed

Hazen RA, Fehr KK, Fidler A, Cousino MK, MacLeish SA, Gubitosi-Klug R. Sleep disruption in adolescents with type 1 diabetes mellitus: relationships with adherence and diabetes control. Diabetes Manag. 2015;5(4):257–65.CrossRef

• Caruso NC, Radovanovic B, Kennedy JD, Couper J, Kohler M, Kavanagh PS, et al. Sleep, executive functioning and behaviour in children and adolescents with type 1 diabetes. Sleep Med. 2014;15(12):1490–9. https://doi.org/10.1016/j.sleep.2014.08.011. This study highlighted the impact of sleep disturbances on psychosocial and cognitive outcomes in youth with type 1 diabetes. CrossRefPubMed

10.

Denic-Roberts H, Costacou T, Orchard TJ. Subjective sleep disturbances and glycemic control in adults with long-standing type 1 diabetes: the Pittsburgh’s Epidemiology of Diabetes Complications study. Diabetes Res Clin Pract. 2016;119:1–12. https://doi.org/10.1016/j.diabres.2016.06.013. CrossRefPubMedPubMedCentral

11.

Farabi SS. Type 1 diabetes and sleep. Diabetes Spectr. 2016;29(1):10–3. https://doi.org/10.2337/diaspect.29.1.10.CrossRefPubMedPubMedCentral

12.

Barone MT, Menna-Barreto L. Diabetes and sleep: a complex cause-and-effect relationship. Diabetes Res Clin Pract. 2011;91(2):129–37. https://doi.org/10.1016/j.diabres.2010.07.011.CrossRefPubMed

13.

Wittmann M, Dinich J, Merrow M, Roenneberg T. Social jetlag: misalignment of biological and social time. Chronobiol Int. 2006;23(1–2):497–509. https://doi.org/10.1080/07420520500545979.CrossRefPubMed

14.

Larcher S, Gauchez AS, Lablanche S, Pepin JL, Benhamou PY, Borel AL. Impact of sleep behavior on glycemic control in type 1 diabetes: the role of social jetlag. Eur J Endocrinol. 2016;175(5):411–9. https://doi.org/10.1530/EJE-16-0188.CrossRefPubMed

15.

Yeshayahu Y, Mahmud FH. Altered sleep patterns in adolescents with type 1 diabetes: implications for insulin regimen. Diabetes Care. 2010;33(11):e142. https://doi.org/10.2337/dc10-1536.CrossRefPubMed

16.

Zhang J, Paksarian D, Lamers F, Hickie IB, He J, Merikangas KR. Sleep patterns and mental health correlates in US adolescents. J Pediatr. 2017;182:137–43. https://doi.org/10.1016/j.jpeds.2016.11.007.CrossRefPubMed

17.

Patel N, Savin K, Williams L, Malow BA, Jaser SS. Inconsistent sleep is linked with poor diabetes management and glycemic control in adolescents. Ann Behav Med. 2017;51:S1718–S9.

18.

• Chontong S, Saetung S, Reutrakul S. Higher sleep variability is associated with poorer glycaemic control in patients with type 1 diabetes. J Sleep Res. 2016;25(4):438–44. https://doi.org/10.1111/jsr.12393. This study demonstrated the importance of variabilty in sleep timing in people with type 1 diabetes. CrossRefPubMed

19.

von Schnurbein J, Boettcher C, Brandt S, Karges B, Dunstheimer D, Galler A, et al. Sleep and glycemic control in adolescents with type 1 diabetes. Pediatr Diabetes. 2017; https://doi.org/10.1111/pedi.12538.

20.

• RJ MD, Clements MA, SA DL, Patton SR. Sleep duration and its impact on adherence in adolescents with type 1 diabetes mellitus. Pediatr Diabetes. 2017;18(4):262–70. https://doi.org/10.1111/pedi.12381. This study demonstrated that sleep duration in adolescents with type 1 diabetes was related to objective measures of adherence . CrossRef

21.

Jaser SS, Ellis D. Sleep in adolescents and young adults with type 1 diabetes: associations with diabetes management and glycemic control. Health Psychol Behav Med. 2016;4(1):49–55. https://doi.org/10.1080/21642850.2015.1135293.CrossRefPubMedPubMedCentral

22.

Turner SL, Queen TL, Butner J, Wiebe D, Berg CA. Variations in daily sleep quality and type 1 diabetes management in late adolescents. J Pediatr Psychol. 2016;41(6):661–9. https://doi.org/10.1093/jpepsy/jsw010.CrossRefPubMedPubMedCentral

23.

Herbert LJ, Monaghan M, Cogen F, Streisand R. The impact of parents’ sleep quality and hypoglycemia worry on diabetes self-efficacy. Behav Sleep Med. 2015;13(4):308–23. https://doi.org/10.1080/15402002.2014.898303.CrossRefPubMed

24.

Perfect MM. The relations of sleep and quality of life to school performance in youth with type 1 diabetes. J App Sch Psychol. 2014;30(1):7–28. https://doi.org/10.1080/15377903.2013.853718.CrossRef

25.

Perfect MM, Patel PG, Scott RE, Wheeler MD, Patel C, Griffin K, et al. Sleep, glucose, and daytime functioning in youth with type 1 diabetes. Sleep. 2012;35(1):81–8. https://doi.org/10.5665/sleep.1590.CrossRefPubMedPubMedCentral

26.

Wild D, von Maltzahn R, Brohan E, Christensen T, Clauson P, Gonder-Frederick L. A critical review of the literature on fear of hypoglycemia in diabetes: implications for diabetes management and patient education. Patient Educ Couns. 2007;68(1):10–5. https://doi.org/10.1016/j.pec.2007.05.003.CrossRefPubMed

27.

Pillar G, Schuscheim G, Weiss R, Malhotra A, McCowen KC, Shlitner A, et al. Interactions between hypoglycemia and sleep architecture in children with type 1 diabetes mellitus. The J Pediatr. 2003;142(2):163–8. https://doi.org/10.1067/mpd.2003.66.CrossRefPubMed

28.

Porter PA, Byrne G, Stick S, Jones TW. Nocturnal hypoglycaemia and sleep disturbances in young teenagers with insulin dependent diabetes mellitus. Arch Dis Child. 1996;75(2):120–3. https://doi.org/10.1136/adc.75.2.120.CrossRefPubMedPubMedCentral

29.

Ohashi Y, Wolden ML, Hyllested-Winge J, Brod M. Diabetes management and daily functioning burden of non-severe hypoglycemia in Japanese people treated with insulin. J Diabetes Investig. 2017;8(6):776–82. https://doi.org/10.1111/jdi.12642.CrossRefPubMedPubMedCentral

30.

Jaser SS, Lord JH, Simmons JH, Malow BA. Brief report: sleep disturbances in young children with type 1 diabetes. Diabetes Res Clin Pract. 2016;120:232–4. https://doi.org/10.1016/j.diabres.2016.08.012.CrossRefPubMedPubMedCentral

31.

Landau Z, Rachmiel M, Pinhas-Hamiel O, Boaz M, Bar-Dayan Y, Wainstein J, et al. Parental sleep quality and continuous glucose monitoring system use in children with type 1 diabetes. Acta Diabetol. 2014;51(3):499–503. https://doi.org/10.1007/s00592-013-0545-z.CrossRefPubMed

32.

• Jaser SS, Foster NC, Nelson BA, Kittelsrud JM, DiMeglio LA, Quinn M, et al. Sleep in children with type 1 diabetes and their parents in the T1D exchange. Sleep Med. 2017. This is one of the largest studies of sleep in youth with type 1 diabetes, suggesting sleep as a potential target for improving diabetes management and reducing parental distress .;39:108–15. https://doi.org/10.1016/j.sleep.2017.07.005.CrossRefPubMed

33.

Sherr J, Tamborlane WV. Past, present, and future of insulin pump therapy: better shot at diabetes control. Mt Sinai J Med. 2008;75(4):352–61. https://doi.org/10.1002/msj.20055.CrossRefPubMedPubMedCentral

34.

Matejko B, Kiec-Wilk B, Szopa M, Trznadel Morawska I, Malecki MT, Klupa T. Are late-night eating habits and sleep duration associated with glycemic control in adult type 1 diabetes patients treated with insulin pumps? J Diabetes Invest. 2015;6(4):460–4. https://doi.org/10.1111/jdi.12320.CrossRef

35.

Barnard K, Crabtree V, Adolfsson P, Davies M, Kerr D, Kraus A, et al. Impact of type 1 diabetes technology on family members/significant others of people with diabetes. Journal of Diabetes Science and Technology. 2016;10(4):824–30. https://doi.org/10.1177/1932296816645365.CrossRefPubMedPubMedCentral

36.

Spruyt K, Gozal D. Pediatric sleep questionnaires as diagnostic or epidemiological tools: a review of currently available instruments. Sleep Med Rev. 2011;15(1):19–32. https://doi.org/10.1016/j.smrv.2010.07.005.CrossRefPubMed

37.

• Perfect MM, Beebe D, Levine-Donnerstein D, Frye SS, Bluez GP, Quan SF. The development of a clinically relevant sleep modification protocol for youth with type 1 diabetes. Clin Prac Pediatr Psychol. 2016;4(2):227–40. https://doi.org/10.1037/cpp0000145. This paper describes the first sleep-promoting intervention designed for people with type 1 diabetes . CrossRef

38.

Dewald-Kaufmann JF, Oort FJ, Meijer AM. The effects of sleep extension and sleep hygiene advice on sleep and depressive symptoms in adolescents: a randomized controlled trial. J Child Psychol Psyc. 2014;55(3):273–83. https://doi.org/10.1111/jcpp.12157.CrossRef

39.

Tan E, Healey D, Gray AR, Galland BC. Sleep hygiene intervention for youth aged 10 to 18 years with problematic sleep: a before-after pilot study. BMC Pediatr. 2012;12:189. https://doi.org/10.1186/1471-2431-12-189. CrossRefPubMedPubMedCentral

40.

Edinger JD, Wohlgemuth WK, Radtke RA, Coffman CJ, Caney CC. Dose-response effects of cognitive-behavioral insomnia therapy: a randomized clinical trial. Sleep. 2007;30(2):203–12. https://doi.org/10.1093/sleep/30.2.203.CrossRefPubMed

41.

Ly TT, Weinzimer SA, Maahs DM, Sherr JL, Roy A, Grosman B, et al. Automated hybrid closed-loop control with a proportional-integral-derivative based system in adolescents and adults with type 1 diabetes: individualizing settings for optimal performance. Pediatr Diabetes. 2017;18(5):348–55. https://doi.org/10.1111/pedi.12399.CrossRefPubMed

42.

Ly TT, Roy A, Grosman B, Shin J, Campbell A, Monirabbasi S, et al. Day and night closed-loop control using the integrated Medtronic hybrid closed-loop system in type 1 diabetes at diabetes camp. Diabetes Care. 2015;38(7):1205–11. https://doi.org/10.2337/dc14-3073.CrossRefPubMed

43.

Thabit H, Tauschmann M, Allen JM, Leelarathna L, Hartnell S, Wilinska ME, et al. Home use of an artificial beta cell in type 1 diabetes. N Engl J Med. 2015;373(22):2129–40. https://doi.org/10.1056/NEJMoa1509351.CrossRefPubMedPubMedCentral

44.

Ziegler C, Liberman A, Nimri R, Muller I, Klemencic S, Bratina N, et al. Reduced worries of hypoglycaemia, high satisfaction, and increased perceived ease of use after experiencing four nights of MD-Logic artificial pancreas at home (DREAM4). J Diabetes Res. 2015;2015:1–8. https://doi.org/10.1155/2015/590308.CrossRef

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