Cited by 69Sleep and related disordersCircadian rhythm and melatoninDiabetes Management and Research

Waking Up to the Importance of Sleep in Type 2 Diabetes Management: A Narrative Review.

Open access
Henson, Joseph, Covenant, Alix, Hall, Andrew P., Herring, Louisa, Rowlands, Alex V., Yates, Thomas, Davies, Melanie J.·2024·Diabetes Care

Abstract

For the first time, the latest American Diabetes Association/European Association for the Study of Diabetes (ADA/EASD) consensus guidelines have incorporated a growing body of evidence linking health outcomes associated with type 2 diabetes to the movement behavior composition over the whole 24-h day. Of particular note, the importance of sleep as a key lifestyle component in the management of type 2 diabetes is promulgated and presented using three key constructs: quantity, quality, and timing (i.e., chronotype). In this narrative review we highlight some of the key evidence justifying the inclusion of sleep in the latest consensus guidelines by examining the associations of quantity, quality, and timing of sleep with measures of glycemia, cardiovascular disease risk, and mortality. We also consider potential mechanisms implicated in the association between sleep and type 2 diabetes and provide practical advice for health care professionals about initiating conversations pertaining to sleep in clinical care. In particular, we emphasize the importance of measuring sleep in a free-living environment and provide a summary of the different methodologies and targets. In summary, although the latest ADA/EASD consensus report highlights sleep as a central component in the management of type 2 diabetes, placing it, for the first time, on a level playing field with other lifestyle behaviors (e.g., physical activity and diet), the evidence base for improving sleep (beyond sleep disorders) in those living with type 2 diabetes is limited. This review should act as a timely reminder to incorporate sleep into clinical consultations, ongoing diabetes education, and future interventions.

Integrity signals

Registry

Crossref · 10.2337/dci23-0037

Cites

98 of 98 references verified0 citation errors · 0 not checkable

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Authors
Henson, J., Covenant, A., Hall, A. P., Herring, L., Rowlands, A. V., Yates, T., & Davies, M. J.
Affiliations
  • University of Leicester (GB)
  • Leicester General Hospital (GB)
Corresponding author
Davies, Melanie J.
Venue
Diabetes Care
Published
2024-02-23
Volume
47
Issue
3
Pages
331-343
ISSN
  • 0149-5992 (ISSN-L)
  • 1935-5548
OpenAlex
W4392092822
Cited by
69
References
98
Citations by year
2026: 28 · 2025: 26 · 2024: 15
FWCI
5.18
Type
journal article
Language
en
Open access
Locations
  • Diabetes Care (publishedVersion)
  • PubMed (publishedVersion)
  • Adelaide Research & Scholarship (AR&S) (University of Adelaide) (submittedVersion)
  • Figshare (submittedVersion, cc-by)
Funders
NIHR Leicester Biomedical Research Centre
Topics
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
  • Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Circadian rhythm and melatonin
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
Keywords
sleep, type 2 diabetes, sleep quality, sleep duration, sleep timing, chronotype, glycemic control, cardiovascular risk, mortality, movement behavior, lifestyle intervention, clinical guidelines, diabetes education
MeSH terms
Diabetes Mellitus, Type 2, Humans, Life Style, Sleep

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