The Effect of Automated Insulin Delivery Systems on Sleep Quality and Quantity in Type 1 Diabetes: A Systematic Review and Meta-Analysis
Authors' conclusion
AID systems may improve perceived sleep quality in caregivers of children with T1D. The effect on adults with T1D is inconclusive, although prospective studies suggest a benefit. Studies reporting objective sleep measures and data regarding children with T1D are limited.
Study context
- Population
- People with T1D transitioning to automated insulin delivery (AID) systems (adults, children) and caregivers of children with T1D27 studies
- Comparison
- AID systems vs comparator treatments
- Outcome
- Subjective sleep quality by Pittsburgh Sleep Quality Index (PSQI)
Methodological detailsPRISMA-reported, narrative review of incompatible studies, adults, children and caregivers analysed separately, Most studies based on secondary or ad hoc analyses, Studies varied considerably in comparator treatments and populations
- PRISMA-reported
- Narrative review of incompatible studies
- Adults, children and caregivers analysed separately
- Most studies based on secondary or ad hoc analyses
- Studies varied considerably in comparator treatments and populations
Pooled result
As reported in the abstract
PSQI score change
Mean
−0.42 points
95% CI −0.81 to −0.04P = 0.03
Adults, prospective studies (study n = 7)
Mean
−1.79 points
95% CI −2.96 to −0.61P = 0.003
Caregivers, randomized clinical trials (RCTs) (n = 2)
Mean
−1.24 points
95% CI −2.02 to −0.46P = 0.002
Caregivers, prospective studies (n = 4)
Further pooled results
Sleep in children with T1D
- Data on children with T1D not sufficiently available for meta-analysis
Original publication
The Effect of Automated Insulin Delivery Systems on Sleep Quality and Quantity in Type 1 Diabetes: A Systematic Review and Meta-Analysis. Diabetes Technol Ther. Published 23 January 2026. doi:10.
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