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Cited by 91Sleep and related disordersDiabetes Management and ResearchObstructive Sleep Apnea Research

Disturbed subjective sleep characteristics in adult patients with long‐standing type 1 diabetes mellitus

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van Dijk, M., Donga, E., van Dijk, J. G., Lammers, G. J., van Kralingen, K. W., Dekkers, O. M., Corssmit, E. P. M., Romijn, J. A.·2011·Diabetologia
DOI 10.1007/s00125-011-2184-7PMC PMC3131522
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Abstract

AIMS/HYPOTHESIS: Decreased sleep duration and/or impaired sleep quality negatively influence glucoregulation. The aim of this study was to assess subjective sleep characteristics in patients with type 1 diabetes, to relate sleep characteristics to long-term glycaemic control and to assess possible risk factors for impaired sleep. METHODS: We studied 99 adult patients with type 1 diabetes (55 men, 44 women, duration of diabetes 26.9 ± 1.2 years) and 99 age-, sex- and BMI-matched non-diabetic controls. Subjective sleep characteristics were assessed by validated questionnaires, i.e. Pittsburgh Sleep Quality Index, Epworth Sleepiness Scale and the Berlin Questionnaire. Glucoregulation was assessed by HbA(1c) values. Clinical variables were obtained from medical charts. Depression was assessed by the Hospital Anxiety and Depression Scale (HADS). Peripheral polyneuropathy was assessed by neurological examination and quantitative sensory testing. RESULTS: Of the patients with type 1 diabetes, 35% had subjective poor sleep quality compared with 20% of the control participants (p = 0.021). A higher proportion of the patients with type 1 diabetes were at increased risk for obstructive sleep apnoea (OSA) (17.2% vs 5.1%, p = 0.012). There was no significant association between individual sleep characteristics and HbA(1c) values. On logistic regression analysis, the HADS depression score, presence of peripheral polyneuropathy, habitual snoring and other sleep disturbances (e.g. hypoglycaemia) were independently associated with poor sleep quality. CONCLUSIONS/INTERPRETATION: Adult patients with long-standing type 1 diabetes mellitus have disturbed subjective sleep quality and a higher risk for OSA compared with control participants. Subjective sleep disturbances are part of the complex syndrome of long-standing type 1 diabetes.

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  • Sleep disturbances including poor sleep quality and shorter sleep duration are associated with worsening glycemic levels in type 1 diabetes.

    “On the other hand, sleep disturbances including poor sleep quality and shorter sleep duration are associated with worsening glycemic levels in type 1 diabetes (154,155).”

    From The management of type 1 diabetes in adults. A consensus report by the American Diabetes Association (ADA) and the European Association for the Study of Diabetes (EASD) (2021) · cites this paper as [155]

    The Discussion reports that poor sleep quality was more common in adults with long-standing type 1 diabetes, but sleep duration did not differ from controls. Crucially, it states that subjective sleep characteristics were not associated with impaired glucoregulation; the proposed relationship with HbA1c was not detectable in this study. (LLM, conf=0.90)

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  • Adults with type 1 diabetes report poorer sleep quality than matched controls without diabetes.

    “To this point, adults with type 1 diabetes, who are typically not obese, report a poorer sleep quality than their matched controls without diabetes.151”

    From Interacting epidemics? Sleep curtailment, insulin resistance, and obesity (2012) · cites this paper as [151]

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Authors
van Dijk, M., Donga, E., van Dijk, J. G., Lammers, G. J., van Kralingen, K. W., Dekkers, O. M., Corssmit, E. P. M., & Romijn, J. A.
Affiliations
Leiden University Medical Center (NL)
ORCID
Venue
Diabetologia
Publisher
Springer Science and Business Media LLC
Published
2011-05-15
Volume
54
Issue
8
Pages
1967-1976
ISSN
  • 0012-186X (ISSN-L)
  • 1432-0428
DOI
10.1007/s00125-011-2184-7
PMC
PMC3131522
OpenAlex
W1969480661
Cited by
91
References
38
Citations by year
2026: 2 · 2025: 4 · 2024: 9 · 2023: 7 · 2022: 5 · 2021: 11 · 2020: 10 · 2019: 6 · 2018: 3 · 2017: 2 · 2016: 6 · 2015: 7 · 2014: 7 · 2013: 6 · 2012: 6
FWCI
7.83
Type
journal article
Language
en
Open access
Licence
cc-by-nc
Locations
  • Diabetologia (publishedVersion, cc-by-nc)
  • PubMed Central (publishedVersion, cc-by-nc)
  • PubMed (publishedVersion)
  • Data Archiving and Networked Services (DANS) (submittedVersion)
  • Leiden Repository (Leiden University) (submittedVersion)
  • Pure Amsterdam UMC (submittedVersion)
Funders
  • European Foundation for the Study of Diabetes
  • Universiteit Leiden
Topics
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
  • Health Sciences › Medicine › Physiology › Obstructive Sleep Apnea Research
Keywords
type 1 diabetes, sleep quality, obstructive sleep apnea, glycemic control, HbA1c, depression, polyneuropathy, snoring, hypoglycemia, sleep disorders, long-standing diabetes
MeSH terms
Adult, Diabetes Mellitus, Type 1, Female, Humans, Male, Middle Aged, Peripheral Nervous System Diseases, Sleep Wake Disorders, Case-Control Studies

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