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January 23, 2023
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Effective disease management may help improve sleep quality among those with diabetes

Fact checked byShenaz Bagha
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Sleep quality in patients with type 1 diabetes may be improved with disease management as well as interventions supporting resilience and reducing negative emotions, researchers reported in BMC Psychiatry.

“Individuals with type 1 diabetes may experience sleep problems, usually due to low blood sugar levels during sleep or performance of blood sugar management,” Mi-Kyoung Cho, PhD, RN, of Chungbuk National University, and Mi Young Kim, PhD, RN, of Hanyang University, both in South Korea, wrote.

Sleep disorder insomnia sleep apnea_Adobe
To improve sleep quality among those with type 1 diabetes, researchers said it is necessary to develop and support disease management and implement interventions to reduce negative emotions. Source: Adobe Stock

Cho and Kim sought to identify disease-related characteristics, psychosocial aspects, as well as related factors underlying sleep quality in those with type 1 diabetes. The authors evaluated 159 patients with type 1 diabetes who completed online questionnaires.

According to the authors, the average score for depression among participants was 23.77 on the Center for Epidemiologic Studies Depression Scale, and sleep quality was 4.58 on the Pittsburgh Sleep Quality Index.

Depression was positively correlated with sleep quality and negatively correlated with the total resilience score, the authors wrote.

Factors linked to depression among those with type 1 diabetes were duration of disease, sleep latency, sleep duration, sleep disturbance and resilience-acceptance of self and life sub-factors, with an explanatory power of 44.4% for variance, Cho and Kim wrote.

Factors associated with sleep quality were complications, resilience-personal competence sub-factors, as well as depression, with an explanatory power of 37.4% for variance, the authors reported.

“It is expected that assessment and efficient management of the psychosocial and sleep problems experienced by individuals with [type 1 diabetes] will improve their quality of life by enhancing their physical and emotional states,” Cho and Kim wrote.