Exploring Sleep Health in Young Adults with Type 1 Diabetes.
Stephanie Griggs, Margaret Grey, Valerie Boebel Toly and 1 others
PMID 34350790WHAT IT FOUND
Most young adults with type 1 diabetes said they wanted sleep goals: better sleep habits, more sleep, steadier bedtimes.
About half also wanted diabetes goals, including more time in range, after seeing a sleep report.
Key findings
0197% set a sleep health goal: 89% sleep hygiene, 66% bedtime/waketime, 54% sleep quantity, 26% sleep quality.
0251% set a diabetes self-management goal: 29% time in range, 11% monitoring sleep and glucose together, 11% diet.
03Participants described sleep hygiene goals such as limiting caffeine, increasing daytime physical activity, reducing screen use, and reducing blue light.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The sample came from one health system and was mostly Caucasian (82.9%), socioeconomically advantaged (97.1%), and female (68.6%), so results may not apply to other groups. The sample had better glycemic control (43.5% vs 30%) and higher continuous glucose monitoring use (91.4% vs 30%) than a national sample, so findings may not apply to less controlled or less technologically supported young adults. The study could not determine racial or ethnic differences or fully explore male perspectives. Participants were not asked how motivated or confident they were in achieving their goals, so feasibility and follow-through are unknown. This was a qualitative study of stated goals after seeing reports; it did not test whether sleep or diabetes outcomes improved.
Declared interests
The authors declared no conflicts of interest. The article is marked as supported by NIH extramural and non-U.S. government research support.
The easy way to misread this
Do not read the 97% and 51% as proof that a sleep report changes diabetes control. This study recorded goals participants said they wanted after seeing the report. It did not test whether those goals were achieved or improved outcomes.