ArticleThe Journal of clinical endocrinology and metabolism2025
Multidimensional Sleep Health, Glycemic Control, and Self-reported Outcomes in Type 1 Diabetes: A Cross-sectional Study.
Article in The Journal of clinical endocrinology and metabolism, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04506151 (Sleep Optimization to Improve Glycemic Control in Adults With Type 1 Diabetes), which is not on this map. Cited by 2 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Sleep Optimization to Improve Glycemic Control in Adults With Type 1 Diabetes
Who cites it
2 citing papers in PubMed.
- Multidimensional sleep health in type 2 diabetes: The role of sleep variability in glycemic control.Sleep medicine · 2025Article
- Relationship between multidimensional sleep health and depression during late pregnancy: a cross-sectional study.BMC psychiatry · 2025Article
Corrections and comments
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Authors and funding
13 authors.
Funding
Abstract
contextSleep health is multidimensional. While studies have shown associations between certain sleep dimensions and health in type 1 diabetes (T1D), global sleep health has rarely been considered.
objectiveTo examine the associations between individual sleep dimensions and multidimensional sleep health (MSH) on glycemic control and self-reported outcomes in T1D.
methodsData from 116 adults with T1D participating in a sleep study (NCT04506151) were analyzed. Sleep satisfaction and alertness were assessed by questionnaires. Sleep timing, efficiency, duration, and regularity were derived from 7-day actigraphy. A composite MSH score was created by counting "healthy sleep" across these 6 measures. Glycemic control was assessed by 7-day continuous glucose monitoring and hemoglobin A1C (A1C). Self-reported outcomes were collected through questionnaires.
resultsAfter adjusting for covariates, greater sleep irregularity was associated with higher glycemic variability (b = 5.048, P < .01), less time in range (TIR) (b = -10.806, P < .01), higher time above range (TAR) (b = 7.40, P < .05), and higher A1C (b = .365, P < .05)]. Poor sleep satisfaction was associated with higher diabetes distress and depression (b = .29, P < .05, b = 3.59, P < .05), respectively. Later sleep timing was associated with higher depression (b = 1.545, P < .05), while lower sleep efficiency was associated with higher depression (b = 1.545, P < .01). Worse MSH was significantly associated with lower TIR (b = 2.376, P < .05), higher TAR, higher A1C, and depression (b = -2.38, P < .05; b = -.177, P < .01; b = -1.275, P < .05, respectively).
conclusionSleep irregularity likely drives the association between MSH and glycemic control, while poor sleep satisfaction, lower efficiency, and later timing contribute to the association between MSH and depression. These results highlight the importance of comprehensive sleep health evaluation in T1D.
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