Association between sleep disturbances, fear of hypoglycemia and psychological well-being in adults with type 1 diabetes mellitus, data from cross-sectional VARDIA study

To assess the relationship between sleep quality, fear of hypoglycemia, glycemic variability and psychological well-being in type 1 diabetes mellitus. Our data were provided by the VARDIA Study, a multicentric cross-sectional study conducted between June and December 2015. Sleep characteristics were...

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Vydané v:Diabetes research and clinical practice Ročník 160; s. 107988
Hlavní autori: Suteau, Valentine, Saulnier, Pierre-Jean, Wargny, Matthieu, Gonder-Frederick, Linda, Gand, Elise, Chaillous, Lucy, Allix, Ingrid, Dubois, Séverine, Bonnet, Fabrice, Leguerrier, Anne-Marie, Fradet, Gerard, Delcourt Crespin, Ingrid, Kerlan, Véronique, Gouet, Didier, Perlemoine, Caroline, Ducluzeau, Pierre-Henri, Pichelin, Matthieu, Ragot, Stéphanie, Hadjadj, Samy, Cariou, Bertrand, Briet, Claire
Médium: Journal Article
Jazyk:English
Vydavateľské údaje: Ireland Elsevier B.V 01.02.2020
Elsevier
Predmet:
Animal biology
Anxiety-Depression
Cellular Biology
Fear of hypoglycaemia
Food and Nutrition
Glycemic variability
Life Sciences
Pharmaceutical sciences
Sleep disturbances
Type 1 diabetes mellitus
Fear of hypoglycaemia
Glycemic variability
Sleep disturbances
Anxiety-Depression
Type 1 diabetes mellitus
ISSN:0168-8227, 1872-8227, 1872-8227
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Shrnutí:To assess the relationship between sleep quality, fear of hypoglycemia, glycemic variability and psychological well-being in type 1 diabetes mellitus. Our data were provided by the VARDIA Study, a multicentric cross-sectional study conducted between June and December 2015. Sleep characteristics were assessed by the Pittsburgh Sleep Quality Index (PSQI). Fear of hypoglycemia and psychological well-being were measured with the Hypoglycemia Fear Survey version II (HFS-II) and the Hospital Anxiety and Depression Scale (HADS), respectively. Glycemic variability (GV) was determined using the CV of three 7-point self-monitoring blood glucose profiles and the mean amplitude of glycemic excursion (MAGE). 315 patients were eligible for PSQI questionnaire analysis: 54% women, mean age 47 ± 15, mean diabetes duration of 24 ± 13 years, HbA1c of 7.6 ± 0.9% (60 ± 7,5mmol/mol). Average PSQI score was 6.0 ± 3.3 and 59.8% of the patients had a PSQI score > 5. HFS-II score and HADS were significantly higher among “poor” sleepers (p < 0.0001) and PSQI score was positively associated with HADS (β = 0.22; 95% CI = 0.08;0.35). GV evaluated by CV or MAGE did not differ between “poor” and “good” sleepers (p = 0.28 and 0.54, respectively). Adult patients with type 1 diabetes have sleep disturbances which correlate with psychological well-being. This study suggests that psychological management can be a target to improve sleep quality in adults with type 1 diabetes mellitus.
Bibliografia:ObjectType-Article-1
SourceType-Scholarly Journals-1
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content type line 23
ISSN:0168-8227
1872-8227
1872-8227
DOI:10.1016/j.diabres.2019.107988