Sleep Health and Barriers in Adolescents with Type 1 Diabetes: A Mixed-Methods Study
Authors' conclusion
Over half of adolescents with T1D fail to achieve recommended sleep duration, and qualitative findings highlight modifiable behavioral and diabetes-related barriers.
Study context
- Population
- Adolescents with T1D aged 11–17 years from a pediatric diabetes clinic31 interviewed
- Participants
- 70 adolescents
- Outcome
- Sleep duration below American Academy of Sleep Medicine recommendations
- Follow-up
- 7 days of actigraphy
Methodological detailssingle clinic, actigraphy, qualitative interviews
- Single clinic
- Actigraphy
- Qualitative interviews
Main finding
As reported in the abstract
Did not meet recommended sleep duration
54%
Mean actigraphic sleep duration
7.1 ± 0.9 h
Observational data: associations, not effects.
Further findings
Sleep duration by age
- Older adolescents slept less than younger peers
- P = 0.002
Sleep efficiency by sleep sufficiency
- Lower sleep efficiency in those not achieving sufficient sleep
- P = 0.011
Glycemic outcomes by sleep sufficiency
- No significant differences in glycemic outcomes by sleep sufficiency
Qualitative barriers to sleep
- School and extracurricular demands were the most common barriers; diabetes-related factors (e.g., nocturnal alarms) contributed to awakenings
- Most reported good perceived sleep quality but wanted recommendations to improve sleep health
Original publication
Sleep Health and Barriers in Adolescents with Type 1 Diabetes: A Mixed-Methods Study. Horm Res Paediatr. Published 6 July 2026. doi:10.
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