Impact of 6 months’ Use of Intermittently Scanned Continuous Glucose Monitoring on Habitual Sleep Patterns and Sleep Quality in Adolescents and Young Adults with Type 1 Diabetes and High-Risk HbA1c
Authors' conclusion
The use of first-generation isCGM in addition to finger-prick testing did not impact objective or subjective sleep measures in AYA with T1D, elevated HbA1c, and highly variable sleep patterns. Research using alternative interventions for improving glycemic outcomes and habitual sleep-wake timing, duration, and perceived sleep quality is warranted in this population group.
Study context
- Population
- Adolescents and young adults aged 13–20 years with T1D and HbA1c ≥ 75 mmol/mol; mean age 16.6 ± 2.1, 48% female, 41% Māori or Pasifika, mean HbA1c 96.0 ± 18.0 mmol/mol
- Participants
- 64 adolescents
- Comparison
- isCGM plus SMBG vs SMBG
- isCGM + SMBGn = 33
- SMBGn = 31reference
- Primary endpoint
- Habitual sleep and wake timing, sleep duration, night-time awakenings, sleep efficiency and perceived sleep quality (actigraphy and Pittsburgh Sleep Quality Index)
- Follow-up
- 6 months
Primary result
As reported in the abstract
Sleep measures (Pittsburgh Sleep Quality Index and actigraphy)
- Subjective overall sleep quality, latency, duration, efficiency, night-time disturbances, sleep medication use and daytime dysfunction were similar between the groups
- No significant differences in actigraphy-measured sleep timing and duration across the week
- Adjusted for age, period of the school year and baseline sleep values
Original publication
Impact of 6 months’ Use of Intermittently Scanned Continuous Glucose Monitoring on Habitual Sleep Patterns and Sleep Quality in Adolescents and Young Adults with Type 1 Diabetes and High-Risk HbA1c. Pediatr Diabetes. Published 28 March 2023. doi:10.
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