在患有1型糖尿病的年轻人中,睡眠特征和血糖变化之间的关联
Necla İpar1, Perran Boran2, Hatice Ezgi Barış2
1Institute of Health Sciences, Social Pediatrics PhD Program, Marmara University, Istanbul, Turkey; Department of Pediatrics, Koc University School of Medicine, Istanbul, Turkey.
Sleep medicine
|July 12, 2023
概括
睡眠质量,而不是总睡眠时间,影响1型糖尿病青年的血糖变化. 晚上的睡眠偏好增加了低血糖的风险,强调了需要解决睡眠模式,以更好地管理糖尿病.
科学领域:
- 儿科内分泌学 儿科内分泌学
- 睡眠医学 睡眠医学
- 代谢健康 代谢健康
背景情况:
- 1型糖尿病 (T1D) 的管理需要仔细控制血糖变化.
- 睡眠障碍在儿童和青少年中很常见,可能会影响代谢健康.
研究的目的:
- 为了研究睡眠特征和T1D的年轻人的血糖变化之间的关系.
- 探索时间型和睡眠质量对该人群葡萄糖控制的影响.
主要方法:
- 这是一项涉及84名患有T1D的儿童的横截面研究.
- 通过动图和问卷评估睡眠特征 (DSM-5 2级睡眠障碍量表简体形式,儿童时刻型问卷).
- 使用连续血糖监测测量的血糖变化.
主要成果:
- 大多数参与者 (88%) 的总睡眠时间不足.
- 晚间时间型与降血糖的增加有关.
- 较差的睡眠效率和更长的睡眠开始延迟与更高的夜间血糖变异性相关.
- 增加夜间清醒时间与更多的白天低血糖和更高的夜间血糖变异性有关.
结论:
- 睡眠质量,而不仅仅是持续时间,显著影响T1D儿童的血糖变化.
- 晚上偏好可能会增加低血糖的风险.
- 优化睡眠模式和时间类型对于管理患有T1D的年轻人至关重要.
相关概念视频
Diabetes: Symptoms, Diagnosis, and Complications
600
For most patients, experiencing several weeks of polyuria, polydipsia, fatigue, and significant weight loss may indicate the presence of diabetes. Furthermore, adults displaying the phenotypic appearance of type 2 diabetes (particularly those who are obese and not initially insulin-requiring), may have islet cell autoantibodies, suggesting autoimmune-mediated β cell destruction and a diagnosis of latent autoimmune diabetes of adults (LADA). The categorization of glucose homeostasis is...
600
Diabetes Mellitus: Overview and Type I Subtype
2.8K
Diabetes mellitus is a chronic metabolic disorder characterized by high blood glucose levels due to inadequate insulin production, insulin resistance, or both. The condition affects millions worldwide and can significantly impact their health and quality of life.
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 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...
2.8K
Diabetes Mellitus: Type 2 and Gestational
2.5K
Type 2 diabetes, characterized by insulin resistance, arises when the insulin receptors on cells lose responsiveness to insulin, diminishing the cell's capacity to take up glucose, resulting in elevated blood glucose levels. To receive a diagnosis of Type 2 diabetes, a series of blood glucose tests are necessary to assess whether the blood glucose falls within normal parameters. If the result is out of the normal range, a patient may be diagnosed as prediabetic or diabetic, depending on the...
2.5K
Substance Use Disorders Affecting Sleep
198
Substance use disorders involve a pattern of using drugs more extensively than intended and continuing use despite harmful consequences. This includes legal substances like alcohol and nicotine, as well as illegal drugs. These disorders often involve both physical and psychological dependence, reflecting compulsive use of substances that significantly alter thoughts, feelings, and behaviors, contributing to a major public health issue.
Understanding the concepts of physical dependence,...
Understanding the concepts of physical dependence,...
198
Pathophysiology of Diabetes
1.0K
Diabetes mellitus is a chronic metabolic disorder characterized by hyperglycemia. The four categories of diabetes are type 1 diabetes, type 2 diabetes, other specific types of diabetes, and gestational 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 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,...
1.0K
Insufficient Sleep and Sleep Deprivation
176
Insufficient sleep refers to not getting the recommended amount of sleep for optimal functioning, even if it's just slightly less than needed. Sleep insufficiency may occur due to lifestyle choices, such as staying up late for social events or work, resulting in routinely getting less sleep than required. For example, consistently sleeping 6 hours when the body needs 7-9 hours can lead to cumulative effects on health and well-being.
Sleep deprivation is a more severe form of sleep loss...
Sleep deprivation is a more severe form of sleep loss...
176


