Related Experiment Video
Updated: Apr 26, 2026

Behavioral Assessment of Visual Function via Optomotor Response and Cognitive Function via Y-Maze in Diabetic Rats
Published on: October 23, 2020
Sleep Behaviors and Parent Functioning in Young Children With Type 1 Diabetes
Maureen Monaghan1, Linda J Herbert1, Fran R Cogen1
1Children's National Medical Center, George Washington University School of Medicine, Washington, DC.
Insights
Young children with type 1 diabetes show normal sleep, but bedtime resistance is linked to parent stress. Intensive insulin therapy may affect child and parent sleep and well-being.
Area of Science:
- Pediatric Endocrinology
- Sleep Medicine
- Psychology
Background:
- Type 1 diabetes (T1D) management in young children requires careful attention to daily routines.
- Sleep disturbances can affect children's health and family functioning.
- Parental emotional well-being is crucial for effective T1D care.
Purpose of the Study:
- To evaluate sleep characteristics in young children (2-5 years) with T1D.
- To examine the associations between child sleep, parent emotional functioning, and diabetes management.
- To identify potential implications for clinical practice.
Main Methods:
- Pilot study within a randomized-controlled trial.
- Involved twenty-four parents of young children diagnosed with T1D.
- Assessed child sleep patterns, parent stress, anxiety, and depression.
Main Results:
- Child sleep characteristics were generally within normal limits.
- Increased child bedtime resistance and behavioral insomnia correlated with higher parent stress, anxiety, and depression.
- Intensive insulin regimens were associated with these findings.
Conclusions:
- Type 1 diabetes management in young children can influence both child and parent sleep.
- Parental emotional functioning may be impacted by T1D care demands and child sleep behaviors.
- Interventions addressing child sleep and parental stress are warranted.
Abstract:
This study evaluates sleep characteristics among young children with type 1 diabetes and associations with parent sleep and emotional functioning and diabetes care. Study participants included twenty-four parents of young children with type 1 diabetes (ages 2-5) enrolled in a pilot study of a randomized-controlled trial. Child sleep characteristics were within normal limits. However, increased child bedtime resistance and behavioral insomnia were related to greater parent stress, anxiety, and depression and use of an intensive insulin regimen. Type 1 diabetes management may impact child and parent sleep as well as parent emotional functioning. Implications for practice are presented.
Related Concept Videos
Diabetes Mellitus: Overview and Type I Subtype
Type 1 diabetes is an autoimmune disease in which the immune system mistakenly attacks and destroys the insulin-producing beta cells in the pancreas. As a result, the body is unable to produce sufficient insulin, and individuals with...
Type I Diabetes III: Clinical Manifestations
Diabetes Mellitus: Type 2 and Gestational
Pathophysiology of Diabetes
Type 1 diabetes is characterized by autoimmune-mediated destruction of pancreatic β cells, with environmental factors potentially triggering this process in genetically susceptible individuals. Despite many not having a family history, certain genes increase susceptibility,...
Type I Diabetes II: Pathophysiology
Type I Diabetes I: Introduction

