Sleep-related disorders in patients with type 1 diabetes mellitus: current insights

Michelle M Perfect Department of Disability and Psychoeducational Studies, University of Arizona, Tucson, AZ, USACorrespondence: Michelle M PerfectDepartment of Disability and Psychoeducational Studies, University of Arizona, 1430 E. 2nd Street, Tucson, AZ 85721, USATel +1 520 626 1128Email mperfect...

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Autor principal: Perfect MM
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Publicado: Dove Medical Press 2020
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spelling oai:doaj.org-article:fe1b16a97af842fba4241a128521417c2021-12-02T08:41:02ZSleep-related disorders in patients with type 1 diabetes mellitus: current insights1179-1608https://doaj.org/article/fe1b16a97af842fba4241a128521417c2020-02-01T00:00:00Zhttps://www.dovepress.com/sleep-related-disorders-in-patients-with-type-1-diabetes-mellitus-curr-peer-reviewed-article-NSShttps://doaj.org/toc/1179-1608Michelle M Perfect Department of Disability and Psychoeducational Studies, University of Arizona, Tucson, AZ, USACorrespondence: Michelle M PerfectDepartment of Disability and Psychoeducational Studies, University of Arizona, 1430 E. 2nd Street, Tucson, AZ 85721, USATel +1 520 626 1128Email mperfect@email.arizona.eduAbstract: Type 1 diabetes mellitus (T1DM) is an autoimmune condition that results from destruction of beta cells in the pancreas. Several reviews have concluded that sleep contributes to poor glycemic control, diabetes management, and diabetes-related complications in individuals with T1DM and represents an untapped opportunity for intervention. However, at the current juncture, the American Diabetes Association’s Standards of Medical Care are devoid of recommendations about how to address sleep in the management of T1DM. This article summarizes reviews of sleep in youth and adults with T1DM and empirical studies that have examined various sleep parameters ranging from sleep disturbances (general, perceived sleep quality, sleepiness, awakenings, and sleep efficiency), sleep duration, sleep consistency, sleep-disordered breathing (SDB), and sleep architecture. The data show that many individuals with T1DM sleep less than recommendations; individuals with the poorest sleep have difficulties with diabetes management; and sleep deficiency including SDB often corresponds to several disease morbidities (neuropathy, nephropathy, etc). Mixed findings exist regarding direct associations of various sleep parameters and glycemic control. SDB appears to be just as prevalent, if not more, than other conditions that have been recommended for universal screening in individuals with T1DM. The article concludes with recommendations for collaborative research efforts to further elucidate the role of sleep in diabetes-related outcomes; investigations to test behavioral strategies to increase sleep quantity and consistency; and considerations for clinical care to address sleep.Keywords: type 1 diabetes, sleep duration, quality, and consistency  Perfect MMDove Medical Pressarticletype 1 diabetessleep durationqualityand consistencyPsychiatryRC435-571Neurophysiology and neuropsychologyQP351-495ENNature and Science of Sleep, Vol Volume 12, Pp 101-123 (2020)
institution DOAJ
collection DOAJ
language EN
topic type 1 diabetes
sleep duration
quality
and consistency
Psychiatry
RC435-571
Neurophysiology and neuropsychology
QP351-495
spellingShingle type 1 diabetes
sleep duration
quality
and consistency
Psychiatry
RC435-571
Neurophysiology and neuropsychology
QP351-495
Perfect MM
Sleep-related disorders in patients with type 1 diabetes mellitus: current insights
description Michelle M Perfect Department of Disability and Psychoeducational Studies, University of Arizona, Tucson, AZ, USACorrespondence: Michelle M PerfectDepartment of Disability and Psychoeducational Studies, University of Arizona, 1430 E. 2nd Street, Tucson, AZ 85721, USATel +1 520 626 1128Email mperfect@email.arizona.eduAbstract: Type 1 diabetes mellitus (T1DM) is an autoimmune condition that results from destruction of beta cells in the pancreas. Several reviews have concluded that sleep contributes to poor glycemic control, diabetes management, and diabetes-related complications in individuals with T1DM and represents an untapped opportunity for intervention. However, at the current juncture, the American Diabetes Association’s Standards of Medical Care are devoid of recommendations about how to address sleep in the management of T1DM. This article summarizes reviews of sleep in youth and adults with T1DM and empirical studies that have examined various sleep parameters ranging from sleep disturbances (general, perceived sleep quality, sleepiness, awakenings, and sleep efficiency), sleep duration, sleep consistency, sleep-disordered breathing (SDB), and sleep architecture. The data show that many individuals with T1DM sleep less than recommendations; individuals with the poorest sleep have difficulties with diabetes management; and sleep deficiency including SDB often corresponds to several disease morbidities (neuropathy, nephropathy, etc). Mixed findings exist regarding direct associations of various sleep parameters and glycemic control. SDB appears to be just as prevalent, if not more, than other conditions that have been recommended for universal screening in individuals with T1DM. The article concludes with recommendations for collaborative research efforts to further elucidate the role of sleep in diabetes-related outcomes; investigations to test behavioral strategies to increase sleep quantity and consistency; and considerations for clinical care to address sleep.Keywords: type 1 diabetes, sleep duration, quality, and consistency  
format article
author Perfect MM
author_facet Perfect MM
author_sort Perfect MM
title Sleep-related disorders in patients with type 1 diabetes mellitus: current insights
title_short Sleep-related disorders in patients with type 1 diabetes mellitus: current insights
title_full Sleep-related disorders in patients with type 1 diabetes mellitus: current insights
title_fullStr Sleep-related disorders in patients with type 1 diabetes mellitus: current insights
title_full_unstemmed Sleep-related disorders in patients with type 1 diabetes mellitus: current insights
title_sort sleep-related disorders in patients with type 1 diabetes mellitus: current insights
publisher Dove Medical Press
publishDate 2020
url https://doaj.org/article/fe1b16a97af842fba4241a128521417c
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