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Parental sleep quality and continuous glucose monitoring system use in children with type 1 diabetes

Z Landau1, M Rachmiel, O Pinhas-Hamiel

  • 1Pediatric Endocrine and Diabetes Service, E. Wolfson Medical Center, Holon, 58100, Israel, landau.zohar@gmail.com.

Acta Diabetologica
|December 28, 2013
PubMed

Insights

Continuous glucose monitoring systems (CGMS) did not change parents' perceived sleep quality but did increase nighttime awakenings. Parents of children with type 1 diabetes should be aware that CGMS may disrupt sleep continuity.

Area of Science:

  • Pediatric Endocrinology
  • Sleep Medicine
  • Diabetes Management

Background:

  • Type 1 diabetes management in children requires significant parental oversight.
  • Continuous glucose monitoring systems (CGMS) are increasingly used to aid diabetes management.
  • The impact of CGMS on parental sleep quality and patterns is not well-understood.

Purpose of the Study:

  • To compare sleep quality and sleep-wake patterns in parents of children with type 1 diabetes before and during routine CGMS use.
  • To assess parental self-perception versus objective measures of sleep.

Main Methods:

  • Thirteen parents of children with type 1 diabetes completed the Pittsburgh Sleep Quality Index (PSQI) and a 7-day sleep diary.
  • Parents wore an actigraph for one week before CGMS initiation and 4-8 weeks after routine CGMS use.
  • Data were analyzed to compare sleep parameters between the two periods.

Main Results:

  • Parental self-reported sleep quality (PSQI scores) remained similar before and during CGMS use (p=0.45).
  • However, sleep diaries and actigraphy revealed a significant increase in nighttime awakenings and wake time during CGMS use (p=0.03 for both).
  • Six parents reported severe sleep problems regardless of CGMS use.

Conclusions:

  • While parents' subjective perception of sleep quality did not change with CGMS implementation, objective measures indicate a negative impact on sleep continuity.
  • CGMS use appears to disrupt parental sleep patterns, increasing awakenings and wake time.
  • Healthcare providers should manage parental expectations regarding sleep improvements when initiating CGMS for pediatric type 1 diabetes management.

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