Related Experiment Videos
Digital Intervention Increasing Sleep Duration Among People With Type 2 Diabetes: Pilot Randomized Controlled Trial
Ryohei Nakada1, Daniel R Lane1, Shuya Iwata1
1The University of Tokyo, Bunkyo-ku, Japan.
Introduction And Objective:
Short sleep duration is associated with worse hemoglobin A1c (HbA1c), and treatment guidelines recommend sufficient sleep duration. However, it is unclear whether extending sleep duration of short-sleeping people with type 2 diabetes causes improved HbA1c. We aimed to assess the effect on HbA1c of increasing sleep duration.
Methods:
We developed a personalized digital intervention based on the theory of planned behavior and conducted a single-blind, two-arm randomized controlled trial with 70 short-sleeping (≤6 hours) people with type 2 diabetes in Japan. Both arms measured sleep duration using an actigraph and a sleep diary. The intervention group received bedtime advancement support, including achievable bedtime goal setting and feedback. The primary outcome was between-arm difference in HbA1c change after 12 weeks.
Results:
The baseline average sleep duration and HbA1c were 5.96 ± 1.26 (hours) and 8.30 ± 0.91 (%) in the intervention group, and 5.94 ± 0.96 (hours) and 8.09 ± 0.51 (%) in the control group, respectively. Sleep duration improved with statistical significance (between-arm difference in change: 32.8 minutes, P = .0042). However, HbA1c did not reduce significantly (between-arm difference in change: -0.11%, P = .51), and increases in sleep duration were not significantly associated with HbA1c reduction (P = .69).
Conclusion:
In this randomized trial, an average sleep extension of approximately 30 minutes over 12 weeks did not result in a significant improvement in HbA1c among short-sleeping adults with type 2 diabetes. Further studies with larger sample sizes and greater sleep extension are warranted.
Related Concept Videos
Insufficient Sleep and Sleep Deprivation
Sleep deprivation is a more severe form of sleep loss...
Blind Procedures
Insomnia
Multiple factors contribute...
Management of Insomnia
Diabetes: Management and Pharmacotherapy
Insulin remains the cornerstone of treatment for most patients with type 1 and many...
Diabetes Mellitus: Type 2 and Gestational