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The Development of a Clinically Relevant Sleep Modification Protocol for Youth with Type 1 Diabetes
Michelle M Perfect1, Dean Beebe2, Deborah Levine-Donnerstein3
1Disability and Psychoeducational Studies, University of Arizona, Tucson, AZ.
Insights
This study investigates if increasing sleep duration improves glucose control and daytime function in youth with type 1 diabetes. Findings suggest sleep impacts health outcomes, potentially reducing complications.
Area of Science:
- Endocrinology
- Pediatrics
- Sleep Medicine
Background:
- Sleep disturbances are linked to type 2 diabetes onset and progression.
- The impact of sleep on glucose regulation and functioning in type 1 diabetes mellitus (T1DM) youth is under-researched.
- Preliminary data show sleep parameters correlate with health and neurobehavioral outcomes in T1DM youth.
Purpose of the Study:
- To assess the feasibility of modifying sleep routines in T1DM youth.
- To examine if increased sleep duration impacts glucose control.
- To determine the effect of increased sleep on daytime functioning in T1DM youth.
Main Methods:
- Describes the background, design, and feasibility of a randomized clinical trial.
- Focuses on instructing youth to increase sleep duration within their natural routines.
- Examines the impact on glucose control and daytime functioning.
Main Results:
- Preliminary findings indicate strong correlations between sleep parameters and health/neurobehavioral outcomes.
- The study is ongoing, focusing on feasibility and impact assessment.
- Further results are pending the completion of the randomized clinical trial.
Conclusions:
- Improving sleep may reduce morbidity in youth with T1DM.
- Evidence-based guidelines for sleep in diabetes management require demonstrating sleep modification feasibility.
- Further research is needed to confirm the benefits of increased sleep duration on T1DM outcomes.
Abstract:
Findings from type 2 diabetes research indicate that sleep is both a predictor of onset and a correlate of disease progression. However, the role sleep plays in glucose regulation and daytime functioning in youth with type 1 diabetes mellitus (T1DM) has not been systematically investigated. Nonetheless, preliminary findings have supported that various sleep parameters are strongly correlated to health-related and neurobehavioral outcomes in youth with T1DM. This suggests that improving sleep might reduce morbidity. A critical step in developing evidence-based guidelines regarding sleep in diabetes management is to first determine that sleep modification in natural settings is possible (i.e., instructing youth to have a healthy sleep opportunity leads to more total sleep time) and that an increased sleep duration impacts disease and psychosocial outcomes in these youth. This article describes the background, design, and feasibility of an ongoing randomized clinical trial that aims to examine if increasing sleep relative to youth's own sleep routines affects glucose control and daytime functioning.
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