Cognitive Behavioral Sleep Self-Management Intervention for Young Adults With Type 1 Diabetes (NCT04975230).
Stephanie Griggs, Estefania Hernandez, Pamela J Bolton and 5 others
PMID 36788436WHAT IT FOUND
Young adults with type 1 diabetes said after the first sleep self-management session they could set sleep goals, but night glucose checks, CGM devices, school or work, and device use made sleep extension hard.
Key findings
01Participants said they could generate sleep health goals after the one-hour session.
02Night glucose checks, CGM devices, school or work demands, and device use were described as barriers to incorporating the sleep plan.
03Participants asked for more help with overnight diabetes responsibilities and fear of high or low glucose.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
This was a qualitative feedback study of 16 young adults, not a trial of whether the intervention improves sleep or blood sugar. Participants were purposively selected for short sleep and poor glucose targets, and 32 were invited but only 16 participated, so views may differ from young adults with T1D who did not respond. The sample was mostly Non-Hispanic White (81.3%) and reported female sex assigned at birth (69%), and all participants used or had used continuous glucose monitors, so the findings may not represent people without CGM or from underrepresented groups. The study only assessed the first one-hour session, so it does not show whether sleep extension goals are sustainable or affect A1C, time in range, or hypoglycemia. Interview questions may have shaped goals because the presentation included some diabetes and sleep content, and the study did not ask for three specific health goals.
Declared interests
The supplied text does not include an author conflict-of-interest declaration. The publication types list NIH extramural research support.
The easy way to misread this
Do not read this as evidence that the sleep self-management session improves sleep duration, sleep quality, A1C, or time in range in young adults with type 1 diabetes. The study only collected perceptions after the first one-hour session and did not test clinical outcomes.