父母睡眠质量与夜间低血糖的恐惧。

IF 3.4 3区 医学 Q2 ENDOCRINOLOGY & METABOLISM
MaryJane S. Campbell, Alexandra Monzon, Ryan J. McDonough, Susana R. Patton
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引用次数: 0

摘要

目的:1型糖尿病(T1D)患儿的家长经常对夜间低血糖(FH)感到恐惧,因为血糖(BG)值可能会变化。我们旨在了解对夜间低血糖(FoNH)的恐惧如何与BG数据、父母报告的睡眠质量以及糖尿病技术在这些关联中的作用相关。方法:对136名家长进行问卷调查,年龄43.00[6.44]岁,其中89%为女性。对116例青年(M年龄= 12.97[2.58]岁,女性47.8%)进行连续血糖监测,检测其白天和夜间血糖值。结果:夜间低血糖事件的频率与父母睡眠质量和父母FoNH无关,但夜间血糖变异性与较差的睡眠质量和较高的FoNH有关。父母报告的高FoNH与较低的睡眠质量有关。关于糖尿病技术、FoNH和睡眠质量的作用,研究结果好坏参半。FoNH解释了26%的葡萄糖变异和父母睡眠质量之间关系的差异。结论:对青少年T1D患者的家长来说,FoNH是一个挑战。有针对性的行为干预减少FoNH和改善睡眠可能是有益的。未来的研究应该包括父母睡眠的客观测量和特定的糖尿病技术的夜间使用,以解开混杂的结果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Parent sleep quality and fear of nighttime hypoglycaemia

Objective

Parents of children with type 1 diabetes (T1D) frequently endorse fear of hypoglycaemia (FH) overnight when blood glucose (BG) values may be variable. We aimed to understand how fear of nighttime hypoglycaemia (FoNH) was associated with BG data, parent-reported sleep quality and the role of diabetes technology in these associations.

Methods

One hundred and thirty-six parents (M age = 43.00[6.44] years, 89% female) completed surveys. Continuous glucose monitoring data were obtained from 116 youth (M age = 12.97[2.58] years, 47.8% female) to examine blood glucose values during the day and overnight.

Results

Frequency of hypoglycaemic events overnight was not associated with parent sleep quality nor with parent FoNH, but glucose variability overnight was associated with poorer sleep quality and higher FoNH. Higher parent-reported FoNH was associated with lower sleep quality. Findings were mixed regarding the role of diabetes technology and FoNH and sleep quality. FoNH explained 26% of the variance in the association between glucose variability and parent sleep quality.

Conclusions

FoNH is a challenge for parents of youth with T1D. Targeted behavioural intervention to reduce FoNH and improve sleep may be beneficial. Future research should include objective measures of parent sleep and specific diabetes technology use overnight to disentangle mixed findings.

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来源期刊
Diabetic Medicine
Diabetic Medicine 医学-内分泌学与代谢
CiteScore
7.20
自引率
5.70%
发文量
229
审稿时长
3-6 weeks
期刊介绍: Diabetic Medicine, the official journal of Diabetes UK, is published monthly simultaneously, in print and online editions. The journal publishes a range of key information on all clinical aspects of diabetes mellitus, ranging from human genetic studies through clinical physiology and trials to diabetes epidemiology. We do not publish original animal or cell culture studies unless they are part of a study of clinical diabetes involving humans. Categories of publication include research articles, reviews, editorials, commentaries, and correspondence. All material is peer-reviewed. We aim to disseminate knowledge about diabetes research with the goal of improving the management of people with diabetes. The journal therefore seeks to provide a forum for the exchange of ideas between clinicians and researchers worldwide. Topics covered are of importance to all healthcare professionals working with people with diabetes, whether in primary care or specialist services. Surplus generated from the sale of Diabetic Medicine is used by Diabetes UK to know diabetes better and fight diabetes more effectively on behalf of all people affected by and at risk of diabetes as well as their families and carers.”
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