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":"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","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":"{\"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}","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}
Sleep quality and glucose control in adults with type 1 diabetes during the seasonal daylight saving time shifts
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.
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.
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