Impact of School Versus Summer on Sleep and Glycemic Outcomes in School-Aged Children With Type 1 Diabetes.

Q3 Medicine

Diabetes Spectrum Pub Date : 2025-06-09 eCollection Date: 2025-01-01 DOI:10.2337/ds24-0063

Nikita M Patel, Casey Sakamoto, Angela J Karami, Erin C Cobry

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引用次数: 0

Abstract

Objective: Sleep is critically important to children's well-being, and inadequate sleep duration significantly increases the risk for poor health outcomes. Insufficient sleep is a common finding in the pediatric population, specifically among individuals with type 1 diabetes. The aim of this study is to determine whether there are differences in sleep and glycemic outcomes between the summer and the school year among school-aged children with type 1 diabetes.

Research design and methods: School-aged children with type 1 diabetes enrolled in a hybrid closed-loop (HCL) automated insulin delivery (AID) and sleep study wore actigraphy watches and completed sleep diaries and surveys to assess their sleep quality and duration. Glycemic outcomes and sleep data were analyzed to determine variability between the summer and school year.

Results: On average, children (6-17 years of age) with type 1 diabetes using an HCL AID system slept more during the school year than in the summer, although this difference did not achieve statistical significance (442.2 vs. 483.3 minutes, P = 0.053). There was also no statistically significant difference in glycemic control between summer and the school year.

Conclusion: School-aged children with type 1 diabetes using a hybrid closed-loop AID system did not experience statistically significant differences in sleep or glycemic outcomes between summer and the school year. Use of a hybrid closed-loop AID system may play a role in eliminating variations in sleep and glycemic outcomes between summer and the school year. Sleep is a crucial factor in the management of type 1 diabetes, and further research is needed to identify interventions to improve sleep among school-aged children.

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学校与夏季对1型糖尿病学龄儿童睡眠和血糖结局的影响

目的：睡眠对儿童的健康至关重要，睡眠时间不足会显著增加健康状况不佳的风险。睡眠不足在儿科人群中很常见，特别是在1型糖尿病患者中。这项研究的目的是确定1型糖尿病学龄儿童的睡眠和血糖结果在夏季和学年之间是否存在差异。研究设计和方法：1型糖尿病学龄儿童参加了一项混合闭环（HCL）自动胰岛素输送（AID）和睡眠研究，他们佩戴活动记录仪手表，完成睡眠日记和调查，以评估他们的睡眠质量和持续时间。对血糖结果和睡眠数据进行分析，以确定夏季和学年之间的差异。结果：平均而言，使用HCL AID系统的6-17岁1型糖尿病儿童在学年期间的睡眠时间比夏季更长，尽管这种差异没有达到统计学意义（442.2 vs 483.3分钟，P = 0.053）。在夏季和学年之间，血糖控制也没有统计学上的显著差异。结论：使用混合型闭环AID系统的学龄1型糖尿病儿童在夏季和学年之间的睡眠或血糖结局没有统计学上的显著差异。使用混合闭环AID系统可能在消除夏季和学年之间睡眠和血糖结果的变化方面发挥作用。睡眠是控制1型糖尿病的关键因素，需要进一步研究确定改善学龄儿童睡眠的干预措施。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Diabetes Spectrum Medicine-Internal Medicine

CiteScore

2.70

自引率

0.00%

发文量

期刊介绍： The mission of Diabetes Spectrum: From Research to Practice is to assist health care professionals in the development of strategies to individualize treatment and diabetes self-management education for improved quality of life and diabetes control. These goals are achieved by presenting review as well as original, peer-reviewed articles on topics in clinical diabetes management, professional and patient education, nutrition, behavioral science and counseling, educational program development, and advocacy. In each issue, the FROM RESEARCH TO PRACTICE section explores, in depth, a diabetes care topic and provides practical application of current research findings.