Ontology highlight
ABSTRACT: Objectives
The association between inadequate sleep and type 2 diabetes has garnered much attention, but little is known about sleep and type 1 diabetes (T1D). Our objectives were to conduct a systematic review and meta-analysis comparing sleep in persons with and without T1D, and to explore relationships between sleep and glycemic control in T1D.Methods
Studies were identified from Medline and Scopus. Studies reporting measures of sleep in T1D patients and controls, and/or associations between sleep and glycemic control, were selected.Results
A total of 22 studies were eligible for the meta-analysis. Children with T1D had shorter sleep duration (mean difference [MD] = -26.4 minutes; 95% confidence interval [CI] = -35.4, -17.7) than controls. Adults with T1D reported poorer sleep quality (MD in standardized sleep quality score = 0.51; 95% CI = 0.33, 0.70), with higher scores reflecting worse sleep quality) than controls, but there was no difference in self-reported sleep duration. Adults with TID who reported sleeping >6 hours had lower hemoglobin A1c (HbA1c) levels than those sleeping ≤6 hours (MD = -0.24%; 95% CI = -0.47, -0.02), and participants reporting good sleep quality had lower HbA1c than those with poor sleep quality (MD = -0.19%; 95% CI = -0.30, -0.08). The estimated prevalence of obstructive sleep apnea (OSA) in adults with TID was 51.9% (95% CI = 31.2, 72.6). Patients with moderate-to-severe OSA had a trend toward higher HbA1c (MD = 0.39%, 95% CI = -0.08, 0.87).Conclusion
T1D was associated with poorer sleep and high prevalence of OSA. Poor sleep quality, shorter sleep duration, and OSA were associated with suboptimal glycemic control in T1D patients.
SUBMITTER: Reutrakul S
PROVIDER: S-EPMC9554893 | biostudies-literature | 2016 Jul
REPOSITORIES: biostudies-literature
Reutrakul Sirimon S Thakkinstian Ammarin A Anothaisintawee Thunyarat T Chontong Sasipas S Borel Anne-Laure AL Perfect Michelle M MM Janovsky Carolina Castro Porto Silva CC Kessler Romain R Schultes Bernd B Harsch Igor Alexander IA van Dijk Marieke M Bouhassira Didier D Matejko Bartlomiej B Lipton Rebecca B RB Suwannalai Parawee P Chirakalwasan Naricha N Schober Anne-Katrin AK Knutson Kristen L KL
Sleep medicine 20160608
<h4>Objectives</h4>The association between inadequate sleep and type 2 diabetes has garnered much attention, but little is known about sleep and type 1 diabetes (T1D). Our objectives were to conduct a systematic review and meta-analysis comparing sleep in persons with and without T1D, and to explore relationships between sleep and glycemic control in T1D.<h4>Methods</h4>Studies were identified from Medline and Scopus. Studies reporting measures of sleep in T1D patients and controls, and/or assoc ...[more]