&lt;p&gt;Sleep-related disorders in patients with type 1 diabetes mellitus: current insights&lt;/p&gt;

Perfect, Michelle M.

doi:10.2147/nss.s152555

Cited by 41 publications

(39 citation statements)

References 117 publications

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“…We found a positive correlation between social jet lag and HbA1c in the present study, which was also detected by Perfect et al 27 in adults with T1DM and by Monzon et al 24 Thus, the greater the social jet lag, the greater the HbA1c.…”

Section: Discussionsupporting

confidence: 91%

“…It is a discrepancy between biological and social time, characterized as a conflict between the preference oriented by chronotype for hours of sleep and the time needed to fulfill social obligations, such as school and work. 26 Perfect et al 27 reported that sleep debt in adolescents stems from their preferences for later hours of sleep and awakening, with maintenance of environmental demands, such as early school start times. In addition, adolescents tend to have a physiological delay in sleep rhythm due to changes in the homeostatic sleep process and sensitivity to light, which are stimulated by hormonal variations.…”

Section: Discussionmentioning

confidence: 99%

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Evaluation of sleep characteristics of children and adolescents with type 1 diabetes mellitus

Silva

Piano

Fernandes

et al. 2022

Rev. paul. pediatr.

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Objective: To evaluate sleep characteristics of children and adolescents with type 1 diabetes mellitus (T1DM) and their relationship with glycemic control. Methods: A cross-sectional study was conducted at a public hospital in São Paulo, Brazil. It included 86 patients with T1DM, aged between 10 and 18 years old, who were on insulin therapy, had performed at least three measurements of capillary blood glucose throughout the day, and had normal thyroid function. The clinical, anthropometric, and laboratory data of each patient were evaluated. The Pediatric Daytime Sleepiness Scale (PDSS) and the Munich Chronotype Questionnaire (MCTQ) were used to assess the sleep characteristics. Results: The mean level of glycated hemoglobin (HbA1c) was 9.2±2.1%, and it was higher in adolescents than in children. The mean score of PDSS was 13.9±4.7. Patients with HbA1c<7.5% had lower PDSS scores and longer sleep duration on weekdays than patients with HbA1c≥7.5%. HbA1c levels were negatively correlated with chronotype values and sleep duration on weekdays and positively correlated with social jet lag. Patients who had had T1DM for less than three years had a higher prevalence of daytime sleepiness. The regression analysis showed that higher HbA1c (≥7.5%) and shorter time since the diagnosis of T1DM increased the chance of daytime sleepiness, regardless of age and sex. Conclusions: Patients with higher HbA1c had more daytime sleepiness, a morning chronotype, shorter sleep duration on weekdays and a more significant social jet lag. The shorter diagnosis time for T1DM and greater levels of HbA1c increased the chance of daytime sleepiness.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 99%

Evaluation of sleep characteristics of children and adolescents with type 1 diabetes mellitus

Silva

Piano

Fernandes

et al. 2022

Rev. paul. pediatr.

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“…Evidence also supports that, nocturia, sleep apnea, and restless leg syndrome can exacerbate sleep disruption. 63 The odds of poor sleep quality was 2.61 times in patients with poor glycemic control than for those with good glycemic control. This finding was in line with studies done in China 64 and Saudi Arabia 39 This might be because patients with poor glycemic control may develop nocturia which leads to frequent sleep disturbance at night.…”

Section: Discussionmentioning

confidence: 97%

<p>Sleep Quality and Associated Factors Among Diabetes Mellitus Patients in a Follow-Up Clinic at the University of Gondar Comprehensive Specialized Hospital in Gondar, Northwest Ethiopia: A Cross-Sectional Study</p>

Birhanu

Salih

Abate

2020

DMSO

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“…Diabetes-related emotional distress (fears, worries, frustration, self-blame, exhaustion, stress due to diabetes) predicts self-care and prognosis [ 119 , 120 ] Symptom distress Minimising symptom distress (incl. sleep [ 121 – 123 ], heart, pain [ 124 – 126 ], sexual function [ 61 ], gastrointestinal [ 127 ], feet, eyes) is a key goal. Symptoms predicts care needs, outcomes, and quality of life [ 47 , 128 ] Burden of daily managing own diabetes treatment Minimising burden of diabetes treatment related to side-effects, medication taking, self-monitoring, requirements for planning and restrictive lifestyle is a key goal.…”

Section: Discussionmentioning

confidence: 99%

The participatory development of a national core set of person-centred diabetes outcome constructs for use in routine diabetes care across healthcare sectors

Skovlund

Troelsen

Klim³

et al. 2021

Res Involv Engagem

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Background This study sought to utilise participatory research methods to identify the perspectives of people with diabetes regarding which diabetes outcomes were most important to them. These findings were then used to support an expert working group representing multiple health sectors and healthcare disciplines and people with diabetes to establish a core set of patient-important outcome constructs for use in routine diabetes care. Methods 26 people with diabetes and family members were recruited through purposive sampling to participate in interviews, focus groups, voting and plenary activities in order to be part of identifying outcome constructs. Content and qualitative analysis methods were used with literature reviews to inform a national multi-stakeholder consensus process for a core set of person-centred diabetes outcome constructs to be used in routine diabetes care across health care settings. Results 21 people with diabetes and 5 family members representing type 1 and 2 diabetes and a range of age groups, treatment regimens and disease burden identified the following patient-reported outcome constructs as an important supplement to clinical indicators for outcome assessment in routine diabetes care: self-rated health, psychological well-being, diabetes related emotional distress and quality of life, symptom distress, treatment burden, blood sugar regulation and hypoglycemia burden, confidence in self-management and confidence in access to person-centred care and support. Consensus was reached by a national multi-stakeholder expert group to adopt measures of these constructs as a national core diabetes outcome set for use in routine value-based diabetes care. Conclusions We found that patient-reported outcome (PRO) constructs and clinical indicators are needed in core diabetes outcome sets to evaluate outcomes of diabetes care which reflect key needs and priorities of people with diabetes. The incorporation of patient-reported outcome constructs should be considered complementary to clinical indicators in multi-stakeholder value-based health care strategies. We found participatory research methods were useful in facilitating the identification of a core prioritised set of diabetes outcome constructs for routine value-based diabetes care. The use of our method for involving patients may be useful for similar efforts in other disease areas aimed at defining suitable outcomes of person-centred value-based care. Future research should focus on developing acceptable and psychometrically valid measurement instruments to evaluate these outcome constructs as part of routine diabetes care.

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<p>Sleep-related disorders in patients with type 1 diabetes mellitus: current insights</p>

Cited by 41 publications

References 117 publications

Evaluation of sleep characteristics of children and adolescents with type 1 diabetes mellitus

Evaluation of sleep characteristics of children and adolescents with type 1 diabetes mellitus

<p>Sleep Quality and Associated Factors Among Diabetes Mellitus Patients in a Follow-Up Clinic at the University of Gondar Comprehensive Specialized Hospital in Gondar, Northwest Ethiopia: A Cross-Sectional Study</p>

The participatory development of a national core set of person-centred diabetes outcome constructs for use in routine diabetes care across healthcare sectors

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