Sleep Habits of Early School-Aged Children with Type 1 Diabetes and Their Parents: Family Characteristics and Diabetes Management

Morrow, Troy; Bhatia, Shivani H; Parmar, Angelee M; Baker, Logan S; Abadula, Fayo; Williamson, Dylan; Choudhary, Arrush; Jaser, Sarah S.

doi:10.1080/15402002.2021.1977305

Cited by 4 publications

(3 citation statements)

References 39 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Strengths of this study include the importance of the topic being studied. Tose living with T1D and their family members often report short sleep of poor quality [3][4][5]7]-and given the signifcance of sleep for multiple aspects of functioning [32][33][34][35], this topic requires urgent research attention. Furthermore, this report focused on parents of young children-spanning key developmental stages, when caregivers are still centrally involved in managing diabetes [24].…”

Section: Discussionmentioning

confidence: 99%

“…Type 1 diabetes (T1D) [2] is a chronic condition where the pancreas stops producing insulin and can in itself (or as a result of treatment) result in high or low glucose levels, both of which can constitute a medical emergency. It is therefore perhaps unsurprising that parents of children living with T1D report missing out on sleep [3] or experiencing sleep of poor quality [4]. Children living with T1D themselves may also miss out on sleep or be reported to have poor quality sleep [5][6][7].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Sleep Quality and Quantity in Caregivers of Children with Type 1 Diabetes Using Closed-Loop Insulin Delivery or a Sensor-Augmented Pump

et al. 2023

View full text Add to dashboard Cite

Introduction. Parents of children living with type 1 diabetes (T1D) often report short and/or poor quality sleep. The development of closed-loop systems promises to transform the management of T1D. This study compared sleep quality and quantity in caregivers of children using a closed-loop system (CL) or sensor-augmented pump (SAP) therapy. Method. Data from sleep diaries, accelerometers, and questionnaires were provided by forty parents (classified as caregiver 1 (main analyses) or 2 (supplementary analyses) based on their contribution towards treatment management) of 21 very young children aged 1 to 7 years living with T1D (mean age: 4.7 (SD = 1.7)). Assessments were made at a single post-randomisation time point when the child was completing either the 16-week CL arm (n = 10) or the 16-week SAP arm (n = 11) of the main study. Results. Overall, there was a mixed pattern of results and group differences were not statistically significant at the p < 0.05 level. However, when we consider the direction of results and results from caregiver 1, sleep diary data showed that parents of the CL (as compared to the SAP) group reported a shorter sleep duration but better sleep quality, fewer awakenings, and less wake after sleep onset (WASO). Actiwatch data showed that caregiver 1 of the CL (as compared to the SAP) group had a shorter sleep latency; greater sleep efficiency; and less wake after sleep onset. Results from the Pittsburgh Sleep Quality Index also showed better sleep quality for caregiver 1 of the CL group as compared to the SAP group. Conclusions. Results from this study suggest that sleep quality and quantity in parents of children using CL were not significantly different to those using SAP. Considering effect sizes and the direction of the non-significant results, CL treatment could be associated with better sleep quality in the primary caregiver. However, further research is needed to confirm these findings. This trial is registered with NCT05158816.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Sleep Quality and Quantity in Caregivers of Children with Type 1 Diabetes Using Closed-Loop Insulin Delivery or a Sensor-Augmented Pump

et al. 2023

View full text Add to dashboard Cite

show abstract

“…Similarly, in De Beaufort et al (2021), researchers found no association between parental sleepiness and A1c and in Monaghan et al (2009), no differences were found in A1c between those who engaged in NCP rarely/never, sometimes or often/always. Furthermore, findings from other studies suggest that parents of children with higher A1c scores (suggesting poorer blood glucose management) had worse sleep (Feeley et al, 2021;Herbert et al, 2015;Morrow et al, 2022).…”

Section: Table 5 Characteristics Of Ncp With Illustrative Quotesmentioning

confidence: 98%

Around-the-clock: Caregiving at Night for Juveniles Living with Type 1 Diabetes – A Systematic Review

Howard,

Maguire,

Enda

et al. 2023

Preprint

View full text Add to dashboard Cite

Caring for children with Type 1 Diabetes (T1D) can require round-the-clock attention but this aspect of the caregiving experience is underexplored in the literature, as a result no clinical care guidelines exist. With little acknowledgment of the impact that nocturnal caregiving has on caregivers, clinical care provision offers very limited support to caregivers who may be living with this significant burden for years. This systematic review aimed to explicate nocturnal caregiving practice (NCP) by identifying and synthesising all the relevant peer-reviewed research to establish the extent and nature of NCP while exploring the impacts for caregivers. The review also enquires into the perceived value of technology for supporting NCP and examines potential solutions for mitigating the burden.Thirty-one studies met inclusion criteria, comprising 3,547 caregivers. 88% of caregivers engaged in NCP, though frequency was very variable. Over 50% of participants (19-80%) were failing to get adequate sleep and 54% reported poor sleep quality. Powerful qualitative testimony detailed adverse impacts; exhaustion, difficulty making illness-management decisions, negative impacts on mood and physical health. Benefits from technology were equivocal. Evidence regarding predictors and associations for NCP, such as patient age, was contradictory. 83% of authors recommended that sleep be routinely addressed in clinic, which is not current practice.This review provides clear evidence that NCP in T1D is pervasive with significant negative impacts on caregivers. These secondary impacts of juvenile T1D need to be acknowledged so that care guidelines can be modified and psychosocial supports can be developed for use in clinical treatment environments.

show abstract

Sleep Disturbances in Type 1 Diabetes and Mitigating Cardiovascular Risk

Abu Irsheed,

Martyn-Nemeth,

Baron

et al. 2024

The Journal of Clinical Endocrinology &Amp; Metabolism

View full text Add to dashboard Cite

Cardiovascular disease (CVD) is a major cause of morbidity and mortality in persons with type 1 diabetes (T1D). Despite control of known cardiovascular (CV) risk factors and better glycemic management, persons with T1D still face heightened CVD risk, suggesting additional contributing factors. Sleep has recently been recognized as a CV risk factor, however; the role of sleep in CVD specifically in T1D population has only started to emerge. Extensive evidence suggests that persons with T1D often encounter sleep disturbances. This review aims to comprehensively explore the relationship between sleep disturbances and CVD in T1D, and proposed possible mediators including glycemic control which has been studied more extensively, and less studied factors such as blood pressure, lipid metabolism, and weight management. Stress and self-care behaviors likely also play a role in the relationship between sleep disturbances and CVD. The evidence regarding sleep interventions in the context of T1D in mitigating these CV risk factors has recently been shown in early, small-scale studies. Sleep assessments should be a part of standard of care in persons with T1D. Further research should focus on understanding the impact and mechanistic pathways of sleep disturbances on CV risk, and developing T1D specific sleep interventions to reduce CVD burden in this population.

show abstract

Sleep Habits of Early School-Aged Children with Type 1 Diabetes and Their Parents: Family Characteristics and Diabetes Management

Cited by 4 publications

References 39 publications

Sleep Quality and Quantity in Caregivers of Children with Type 1 Diabetes Using Closed-Loop Insulin Delivery or a Sensor-Augmented Pump

Sleep Quality and Quantity in Caregivers of Children with Type 1 Diabetes Using Closed-Loop Insulin Delivery or a Sensor-Augmented Pump

Around-the-clock: Caregiving at Night for Juveniles Living with Type 1 Diabetes – A Systematic Review

Sleep Disturbances in Type 1 Diabetes and Mitigating Cardiovascular Risk

Contact Info

Product

Resources

About