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Can Sleep Quality Affect Glycated Hemoglobin Values in Adolescents?

Can Sleep Quality Affect Glycated Hemoglobin Values in Adolescents?

New research shows that sleep issues in adolescents and young adults with type 1 diabetes can lead to higher hemoglobin A1C levels and insulin resistance. Past studies highlighted the struggle of these individuals with sleep and the association of type 1 diabetes with poor sleep quality and obstructive sleep apnea. A recent study conducted in Bangkok aimed to evaluate the link between sleep characteristics, glycemic parameters, and endothelial functions in this demographic group, suggesting that better sleep could improve their cardiovascular and metabolic outcomes.

The study included 22 participants aged 13 – 25, with type 1 diabetes, excluding those with pre-existing sleep disorders or other health conditions. The participants wore continuous glucose monitors and wrist actigraphy devices for a week to monitor sleep patterns and glycemic control. The study found significant associations between sleep duration variability, sleep efficiency, and HbA1C levels. Poor sleep quality correlated with lower flow-mediated dilation, a measure of endothelial function, but no correlation with glycemic parameters was found.

The researchers suggest that poor sleep may impact flow-mediated dilation through non-glycemic pathways and further investigation is needed. The study emphasizes the importance of addressing sleep-related factors in diabetes care and management strategies.
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