Impact of type 1 diabetes mellitus, glucose levels, and glycemic control on sleep in children and adolescents: a case–control study
| Autor: | Angela J. Campbell, Claire Smith, Barbara C. Galland, Sara E Boucher, Jillian J. Haszard, Grace C Macaulay, Dawn E. Elder, Benjamin J Wheeler, Stephanie M Black, Esko Wiltshire |
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| Rok vydání: | 2019 |
| Předmět: |
Blood Glucose
medicine.medical_specialty Adolescent 030209 endocrinology & metabolism Glycemic Control Polysomnography 03 medical and health sciences 0302 clinical medicine Physiology (medical) Internal medicine medicine Humans Child Glycemic Type 1 diabetes medicine.diagnostic_test business.industry Blood Glucose Self-Monitoring Case-control study Actigraphy medicine.disease Sleep in non-human animals Confidence interval Diabetes Mellitus Type 1 Case-Control Studies Neurology (clinical) Sleep onset Sleep business 030217 neurology & neurosurgery |
| Zdroj: | Sleep. |
| ISSN: | 1550-9109 0161-8105 |
| Popis: | Study ObjectivesTo assess differences in habitual sleep patterns and sleep states between children and adolescents with type 1 diabetes mellitus (T1DM) and control subjects, and to explore the relationships between sleep, glucose levels, and glycemic control.MethodsParticipants included 82 children (5–18 years); 41 with T1DM (cases), and 41 healthy control subjects group matched for age and sex. Sleep was measured by 7-day actigraphy and single-night home-based polysomnography (PSG) recordings. Hemoglobin A1c (HbA1c) and 7 days of continuous glucose monitoring (CGM) data were collected in cases. Regression analyses were used to model all within- and between-group comparisons adjusted for age, sex, and BMI z-scores.ResultsThere were no significant differences in sleep duration, efficiency, or awakenings as measured by actigraphy and PSG between cases and controls, nor sleep states measured by PSG. However, cases had significantly later sleep onset and offset than controls (both p < 0.05), partially moderated by age. Cases with suboptimal glycemic control (HbA1c ≥ 58 mmol/mol [≥7.5%]) had significantly shorter actigraphy-derived total sleep time (TST) (mean difference = −40 minutes; 95% confidence interval = −77, −3), with similar differences in TST measured by PSG. Cases with mean CGM glucose levels ≥10 mmol/L (≥180 mg/dL) on PSG night had significantly more stage N3 (%) sleep and less stage REM (%) sleep (both p < 0.05).ConclusionsShort- and long-term suboptimal glycemic control in T1DM children appears to be associated with sleep alterations. Pediatric diabetes care teams should be aware of potential interrelationships between sleep and T1DM, including management and glycemic control. |
| Databáze: | OpenAIRE |
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