Sleep quality and glucose control in adults with type 1 diabetes during the seasonal daylight saving time shifts

IF 6.1 3区医学 Q1 ENDOCRINOLOGY & METABOLISM

Diabetes research and clinical practice Pub Date : 2024-09-19 DOI:10.1016/j.diabres.2024.111859

Silvia Angelino , Miriam Longo , Paola Caruso , Lorenzo Scappaticcio , Nicole Di Martino , Concetta Di Lorenzo , Daniela Forestiere , Vanda Amoresano Paglionico , Giuseppe Bellastella , Maria Ida Maiorino , Katherine Esposito

{"title":"Sleep quality and glucose control in adults with type 1 diabetes during the seasonal daylight saving time shifts","authors":"Silvia Angelino , Miriam Longo , Paola Caruso , Lorenzo Scappaticcio , Nicole Di Martino , Concetta Di Lorenzo , Daniela Forestiere , Vanda Amoresano Paglionico , Giuseppe Bellastella , Maria Ida Maiorino , Katherine Esposito","doi":"10.1016/j.diabres.2024.111859","DOIUrl":null,"url":null,"abstract":"<div><h3>Aim</h3><p>There is a bidirectional relationship between glucose control and sleep quality and timing in type 1 diabetes (T1D). The aim of the study was to investigate the sleep quality and the glucose metrics in people with T1D at the seasonal clock adjustment.</p></div><div><h3>Methods</h3><p>This observational study retrospectively compared the continuous glucose monitoring (CGM) derived metrics and sleep quality observed before (Time 0) and after (Time 1) transition in autumn and before (Time 2) and after (Time 3) transition in spring. We included adults with T1D, treated with CGM systems, who completed the Pittsburgh Sleep Quality Index questionnaire. The main outcome measure was the change in glucose monitoring indicator (GMI), time in range (TIR), time above range (TAR) and time below range.</p></div><div><h3>Results</h3><p>Sixty-two participants showed no changes in sleep quality at time transitions. GMI values increased during both time transitions and the percentage of TIR decreased from Time 0 to Time 1 and from Time 2 to Time 3. The percentage of level 2 TAR increased during the observation.</p></div><div><h3>Conclusions</h3><p>At similar level of sleep quality, adults with T1D underwent the worsening of most of CGM-derived glucose control metrics during the transition time.</p></div>","PeriodicalId":11249,"journal":{"name":"Diabetes research and clinical practice","volume":"217 ","pages":"Article 111859"},"PeriodicalIF":6.1000,"publicationDate":"2024-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0168822724007691/pdfft?md5=634c9dc676c402fca942e09956120407&pid=1-s2.0-S0168822724007691-main.pdf","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Diabetes research and clinical practice","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0168822724007691","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"ENDOCRINOLOGY & METABOLISM","Score":null,"Total":0}

引用次数: 0

Abstract

Aim

There is a bidirectional relationship between glucose control and sleep quality and timing in type 1 diabetes (T1D). The aim of the study was to investigate the sleep quality and the glucose metrics in people with T1D at the seasonal clock adjustment.

Methods

This observational study retrospectively compared the continuous glucose monitoring (CGM) derived metrics and sleep quality observed before (Time 0) and after (Time 1) transition in autumn and before (Time 2) and after (Time 3) transition in spring. We included adults with T1D, treated with CGM systems, who completed the Pittsburgh Sleep Quality Index questionnaire. The main outcome measure was the change in glucose monitoring indicator (GMI), time in range (TIR), time above range (TAR) and time below range.

Results

Sixty-two participants showed no changes in sleep quality at time transitions. GMI values increased during both time transitions and the percentage of TIR decreased from Time 0 to Time 1 and from Time 2 to Time 3. The percentage of level 2 TAR increased during the observation.

Conclusions

At similar level of sleep quality, adults with T1D underwent the worsening of most of CGM-derived glucose control metrics during the transition time.

查看原文本刊更多论文

季节性夏令时转换期间 1 型糖尿病成人患者的睡眠质量和血糖控制情况

目的1型糖尿病（T1D）患者的血糖控制与睡眠质量和时间之间存在双向关系。本观察性研究回顾性比较了秋季过渡前（时间 0）和过渡后（时间 1）以及春季过渡前（时间 2）和过渡后（时间 3）观察到的连续血糖监测（CGM）得出的指标和睡眠质量。我们的研究对象包括接受 CGM 系统治疗的 T1D 成人患者，他们都填写了匹兹堡睡眠质量指数问卷。主要结果指标是血糖监测指标（GMI）、在量程内时间（TIR）、高于量程时间（TAR）和低于量程时间的变化。在两次时间转换期间，GMI 值均有所上升，TIR 的百分比从时间 0 到时间 1 以及从时间 2 到时间 3 均有所下降。结论在相似的睡眠质量水平下，患有 T1D 的成人在时间过渡期间的 CGM 衍生的大多数血糖控制指标都有所恶化。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Diabetes research and clinical practice 医学-内分泌学与代谢

CiteScore

10.30

自引率

3.90%

发文量

862

审稿时长

32 days

期刊介绍： Diabetes Research and Clinical Practice is an international journal for health-care providers and clinically oriented researchers that publishes high-quality original research articles and expert reviews in diabetes and related areas. The role of the journal is to provide a venue for dissemination of knowledge and discussion of topics related to diabetes clinical research and patient care. Topics of focus include translational science, genetics, immunology, nutrition, psychosocial research, epidemiology, prevention, socio-economic research, complications, new treatments, technologies and therapy.