ArticleActa diabetologica2018
Relationship between sleep disturbance and self-care in adults with type 2 diabetes.
Article in Acta diabetologica, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed, 40 citations in OpenAlex.
- Article
- Exploring Core Symptoms and Symptom Clusters Among Older Adults with Hypertension-Diabetes Comorbidity: A Network Analysis.Healthcare (Basel, Switzerland) · 2026Article
- Trajectories of sleep disturbance and self-management of chronic conditions during COVID-19 among middle-aged and older adults.Scientific reports · 2025Article
- Determination of the relationship between self-care agency and sleepiness in chronic hemodialysis patients.Revista da Associacao Medica Brasileira (1992) · 2023Article
- Self-compassion, sleep quality and psychological well-being in type 2 diabetes: a cross-sectional study.BMJ open diabetes research & care · 2022Observational
- Carbohydrate and sleep: An evaluation of putative mechanisms.Frontiers in nutrition · 2022Review
- Psychological Distress and All-Cause, Cardiovascular Disease, Cancer Mortality Among Adults with and without Diabetes.Clinical epidemiology · 2021Article
- A comparison of diabetes self-care behavior in people with type 2 diabetes with and without insomnia symptoms.Acta diabetologica · 2020Article
- The Role of Self-regulation Failures and Self-care in the Link Between Daily Sleep Quality and Blood Glucose Among Adults with Type 1 Diabetes.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2020Article
- Impact of Diabetes on the Symptoms of Breast Cancer Survivors.Oncology nursing forum · 2019Article
- The Interlinked Rising Epidemic of Insufficient Sleep and Diabetes Mellitus.Healthcare (Basel, Switzerland) · 2019Review
- "Feeling Anxious about Catching COVID": Facilitators and Barriers of Sleep Health among Young Adults with Type 1 Diabetes.Behavioral sleep medicineArticle
Corrections and comments
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Authors and funding
8 authors at 2 institutions in 2 countries.
Funding
Abstract
aimsType 2 diabetes (T2D) is a metabolic disorder requiring intensive self-care to maintain optimal glycemic control. Sleep disturbance is common in T2D patients and likely impairs glycemic control. Our aim was to examine the relationship between sleep disturbance and self-care in adults with T2D.
methodsThis study used a correlational design. Sixty-four adults with T2D were recruited. Validated instruments were used to measure self-care, subjective sleep disturbance, and covariates (e.g., diabetes distress, self-efficacy, fatigue, and daytime sleepiness). Over an 8-day period, the ActiGraph-wGT3X was used to measure objective sleep outcomes (e.g., total sleep time and number of awakenings). Bivariate correlation and multiple linear regression analyses were conducted.
resultsThe mean age of the participants was 60.6 (SD 6.8) years (range 50-78), and 51.6% were women. Controlling for covariates, subjective sleep disturbance (β = - 0.26), diabetes distress (β = - 0.39), and daytime sleepiness (β = - 0.21) were strong predictors of diabetes self-care (R
conclusionsSubjective sleep disturbance and frequent nocturnal awakenings are associated with worse diabetes self-care in adults with T2D. Healthcare providers are recommended to include comprehensive sleep assessment at every clinical visit. Diabetes educators may consider including sleep-related education in their diabetes self-management classes and/or counseling sessions.
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