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Sleep in children with type 1 diabetes and their parents in the T1D Exchange

Sarah S Jaser1, Nicole C Foster2, Bryce A Nelson3

  • 1Vanderbilt University Medical Center, 1211 Medical Center Dr., Nashville, TN 37232, USA.

Sleep Medicine
|November 22, 2017
PubMed

Insights

Poor sleep quality in children with type 1 diabetes is common and linked to worse glycemic control and increased risk of severe hypoglycemia and diabetic ketoacidosis. Addressing child sleep may improve outcomes and reduce parental distress.

Area of Science:

  • Pediatric Endocrinology
  • Sleep Medicine
  • Metabolic Disorders

Background:

  • Sleep disturbances are prevalent in children with type 1 diabetes (T1D).
  • The impact of sleep on T1D management and family well-being is not well understood.

Purpose of the Study:

  • To characterize sleep patterns in children with T1D and their parents.
  • To examine associations between child sleep, glycemic control, adherence, and parental factors.

Main Methods:

  • Surveys were distributed to parents of children aged 2-12 years in the T1D Exchange clinic registry.
  • Clinical data were collected from 515 respondents.

Main Results:

  • 67% of children experienced poor sleep quality, associated with poorer glycemic control (HbA1c) and increased risk of severe hypoglycemia and diabetic ketoacidosis (DKA).
  • Poor child sleep quality correlated with reduced parental sleep quality, well-being, and increased fear of hypoglycemia.
  • No association was found between child sleep and blood glucose monitoring frequency or diabetes technology use (CGM, insulin pump).

Conclusions:

  • Sleep quality is a significant factor in pediatric type 1 diabetes management.
  • Improving sleep in children with T1D may be a targetable intervention for enhancing glycemic control and alleviating parental distress.
Abstract

Keywords:
Glycemic controlSleep qualityType 1 diabetes

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