Type 1 diabetes

The impact of fear of hypoglycaemia on sleep in adolescents with type 1 diabetes

Diabet MedPublished Cross-sectional study

Authors' conclusion

Worrying about hypoglycaemia was associated with impaired sleep for adolescents with T1D. Diabetes technology users have some sleep improvements, but CGM and pump use do little to alter the relationship between FOH and sleep outcomes.

Study context

Population
Adolescents aged 14–18 years with T1D; median (IQR) age 16.5 (15.3–17.7) years, T1D duration 5.7 (2.5–9.6) years52 female
Participants
95 adolescents
Outcome
Relationship between FOH (Child Hypoglycemia Fear Survey) and sleep (PSQI)

Main finding

As reported in the abstract

FOH-Worry subscale score and sleep

Higher FOH-Worry score associated with reduced sleep duration (β; p = 0.042; adjusted for BMI z-score, race and ethnicity)

−0.03

Higher FOH-Worry score associated with increased sleep disturbances (OR; p = 0.038; adjusted for race and ethnicity)

1.1

Observational data: associations, not effects.

Further findings

Sleep duration by CGM use · longer sleep with frequent CGM use

P = 0.029

Overall sleep health (PSQI score) by pump use

Pump users had overall improved sleep health by PSQI score (p = 0.019)

Technology use as modifier of fear of hypoglycaemia (FOH)–sleep relationships

No significant interactions of technology use in FOH–sleep duration or sleep disturbance relationships

Original publication

The impact of fear of hypoglycaemia on sleep in adolescents with type 1 diabetes. Diabet Med. Published 23 February 2023. doi:10.1111/dme.15066

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