Impact of 6-months of an advanced hybrid closed-loop system on sleep and psychosocial outcomes in youth with type 1 diabetes and their parents
Authors' conclusion
With nocturnal glycemic improvements in youth using HCL technology, some aspects of parent and youth sleep and quality of life improved. This may reflect decreased parental monitoring and worry and highlights benefits for youth beyond glycemia.
Study context
- Population
- Youth with T1D aged 2–17 years starting an advanced hybrid closed-loop (HCL) system, and a parentyouth plus a parent
- Participants
- 39 participants
- Exposure
- Before vs after advanced HCL initiation
- Outcome
- Sleep and psychosocial outcomes after HCL initiation
- Follow-up
- 1 week, 3 months and 6 months vs baseline
Methodological detailsLinear mixed effects models with random intercepts; least-squares means at each timepoint compared to baseline
- Linear mixed effects models with random intercepts; least-squares means at each timepoint compared to baseline
Main finding
As reported in the abstract
1 week, 3 months and 6 months vs baseline
- Parents and youth reported improved health-related quality of life and fear of hypoglycemia after HCL initiation
- Nocturnal glycemia improved
- Actigraphy: improved adolescent sleep efficiency at 6 months and parent wake after sleep onset at 3 and 6 months
- Parents reported improved subjective sleep quality and child sleep-related impairment at 3 months
Observational data: associations, not effects.
Original publication
Impact of 6-months of an advanced hybrid closed-loop system on sleep and psychosocial outcomes in youth with type 1 diabetes and their parents. Diabetes Res Clin Pract. Published 3 January 2024. doi:10.
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