Journal of Rawalpindi Medical College,
Год журнала:
2023,
Номер
27(3)
Опубликована: Сен. 26, 2023
Background:
Sleep
is
an
essential
event
that
effects
quality
of
life
and
hormonal
balance
in
human
body.
The
association
between
sleep
diabetes
bi-directional.
Methods:
This
study
was
conducted
with
a
case
control
design
the
Department
Medicine
Combined
Military
Hospital
Peshawar
June
2022
to
November
2022.
Results:
.
Mean
age
population
51.1±12.94
years
46%
females
54%
males.
Majority
educated
up
matriculation
BMI
normal
(18.5-24.9
kg/m2)
range.
There
no
statistical
difference
demographic
data
amongst
diabetic
group
Avg
HbA1c
8.546%
±
1.57%
5.712%
0.49%
group.
As
per
PSQI
questionnaire
47
(47%)
participants
were
good
sleeper
across
population,
which
included
17
out
50
(34%)
individuals
30
(60%)
equated
statistically
significant
two
p
value
0.007.
A
(p
=
0.001)
also
seen
score
groups
(9.40
5.82
vs
5.98
4.85
respectively).
Diabetics
had
2.9
times
odds
(95%
confidence
interval
1.29-6.57,
0.01)
having
bad
as
compared
controls.
In
majority
males
matriculate
medium
adherence
treated
both
oral
hypoglycemic
drugs
insulin
3
or
more
comorbid
condition
hypertension
being
most
prevalent
single
disease.
Conclusion:
By
strict
glycemic
diabetics
we
can
imove
their
Interventions
improve
hygiene
be
suggested
patients
by
educators
part
self-management
education
programs.
Diabetology,
Год журнала:
2025,
Номер
6(3), С. 21 - 21
Опубликована: Март 14, 2025
Introduction/Aim:
Type
1
diabetes
(T1D)
challenges
glycemic
control,
with
sleep
disturbances
affecting
insulin
sensitivity
and
glucose
variability.
This
study
aimed
to
observe
quality
in
T1D
patients
outcomes,
particularly
at
bedtime
hours.
Methods:
retrospective
observational
study,
conducted
an
Italian
clinical
center,
included
using
Medtronic
devices.
Sleep
was
assessed
the
version
of
Pittsburgh
Quality
Index
(PSQI),
outcomes
were
analyzed
CGM
data.
Descriptive
statistics
non-parametric
tests
applied
for
statistical
comparisons.
Results:
Of
45
patients,
four
excluded,
leaving
41
analysis.
The
mean
PSQI
score
6.0
±
4.1,
36.6%
showing
poor
quality.
No
significant
differences
age,
sex,
BMI,
or
duration
found.
Poor
sleepers
had
a
higher
time
above
range
level
2
(TAR2)
(6.3
6.2%)
compared
good
(4.1
5.0%).
During
hours,
showed
significantly
TAR2
(6.7
7.2%
vs.
3.3
6.2%,
p
=
0.013).
Conclusions:
is
associated
increased
nocturnal
hyperglycemia
patients.
Enhancing
may
contribute
improved
during
nighttime.
Future
research
should
explore
targeted
interventions
care,
specific
lifestyle-based
healthcare
programs
are
recommended
optimize
outcomes.
Acta Diabetologica,
Год журнала:
2023,
Номер
60(5), С. 663 - 672
Опубликована: Фев. 17, 2023
To
analyze
sleep
quality
and
its
relationships
with
clinical
biochemical
features
in
a
large
cohort
of
adults
autoimmune
diabetes.We
administered
to
553
patients
diabetes
the
questionnaires:
Pittsburgh
Sleep
Quality
Index
(PSQI),
distress
scale,
diabetes-related
life
treatment
satisfaction
questionnaire.
We
excluded
missing
HbA1c
±
4
months
from
PSQI
administration
or
incorrect
compilation
(n
=
110).Altered
was
recorded
142/443
subjects
(32%),
insufficient
total
time
177/443
(40%).
The
altered
group
had
higher
(median
56
mmol/mol
[interquartile
range-IQR
49-62]
vs
59
[IQR
52-68];
P
<
0.001),
average
previous
36
(59
54-68]
51-62];
more
individuals
>
53
(74.6%
62.8%;
0.014).
Diabetes
duration
(P
0.63),
type
insulin
delivery
0.48)
glucose
monitoring
0.35)
were
uninfluential.
Patients
showed
prevalence
(42
28%;
0.005)
mental
diseases
(12
4%;
0.002);
there
greater
emotional
distress,
lower
0.001
for
all),
irrespective
sex.
Men
diseases.
Women
psychiatric
disorders.
Average
months,
disorders
independent
predictive
factors
quality.One-third
quality,
which
associates
worse
glycemic
control,
disorders,
sex-specific
differences.
The Journal of Clinical Endocrinology & Metabolism,
Год журнала:
2024,
Номер
109(12), С. 3011 - 3026
Опубликована: Авг. 6, 2024
Abstract
Cardiovascular
disease
(CVD)
is
a
major
cause
of
morbidity
and
mortality
in
persons
with
type
1
diabetes
(T1D).
Despite
control
known
cardiovascular
(CV)
risk
factors
better
glycemic
management,
T1D
still
face
heightened
CVD
risk,
suggesting
additional
contributing
factors.
Sleep
has
recently
been
recognized
as
CV
factor;
however;
the
role
sleep
specifically
population
only
started
to
emerge.
Extensive
evidence
suggests
that
often
encounter
disturbances.
This
review
aims
comprehensively
explore
relationship
between
disturbances
T1D,
proposed
possible
mediators
including
control,
which
studied
more
extensively,
less
such
blood
pressure,
lipid
metabolism,
weight
management.
Stress
self-care
behaviors
likely
also
play
CVD.
The
regarding
interventions
context
mitigating
these
shown
early,
small-scale
studies.
assessments
should
be
part
standard
care
T1D.
Further
research
focus
on
understanding
impact
mechanistic
pathways
developing
T1D-specific
reduce
burden
this
population.
Annals of the New York Academy of Sciences,
Год журнала:
2022,
Номер
1518(1), С. 25 - 46
Опубликована: Окт. 6, 2022
Abstract
In
the
century
since
discovery
of
insulin,
diabetes
has
changed
from
an
early
death
sentence
to
a
manageable
chronic
disease.
This
change
in
longevity
and
duration
coupled
with
significant
advances
therapeutic
options
for
patients
fundamentally
landscape
management,
particularly
type
1
mellitus.
However,
hypoglycemia
remains
major
barrier
achieving
optimal
glycemic
control.
Current
understanding
mechanisms
expanded
include
not
only
counter‐regulatory
hormonal
responses
but
also
direct
changes
brain
glucose,
fuel
sensing,
utilization,
as
well
neural
networks
that
modulate
behavior,
mood,
cognition.
Different
strategies
prevent
treat
have
been
developed,
including
educational
strategies,
new
insulin
formulations,
delivery
devices,
novel
technologies,
pharmacologic
targets.
review
article
will
discuss
current
literature
contributing
our
myriad
factors
lead
development
clinically
meaningful
established
therapies
prevention
treatment
hypoglycemia.
Frontiers in Public Health,
Год журнала:
2022,
Номер
10
Опубликована: Июнь 14, 2022
The
Healthy
China
Strategy
puts
realistic
demands
for
residents'
health
levels,
but
the
reality
is
that
various
factors
can
affect
health.
In
order
to
clarify
which
have
a
great
impact
on
health,
based
China's
provincial
panel
data
from
2011
2018,
this
paper
selects
17
characteristic
variables
three
levels
of
economy,
environment,
and
society
uses
XG
boost
algorithm
Random
forest
recursive
feature
elimination
determine
influencing
variables.
results
show
at
economic
level,
number
industrial
enterprises
above
designated
size,
added
value,
population
density,
per
capita
GDP
greater
residents.
At
environmental
coal
consumption,
energy
total
wastewater
discharge,
solid
waste
discharge
level
Therefore,
Chinese
government
should
formulate
targeted
measures
both
significance
realizing
strategy.
International Journal of Environmental Research and Public Health,
Год журнала:
2024,
Номер
21(11), С. 1437 - 1437
Опубликована: Окт. 29, 2024
Poor
sleep
quality
is
prevalent
among
adults
with
diabetes,
impacting
their
physical,
psychological,
and
functional
well-being.
Our
goals
were
to
assess
the
prevalence
of
poor
its
association
glycemic
control
identify
predictors
diabetes
mellitus.
Abstract
Background
Hepatic
glycogen
storage
diseases
(GSDs)
are
characterised
by
enzyme
defects
affecting
liver
metabolism,
where
carbohydrate
supplementation
to
prevent
overnight
hypoglycaemia
is
common.
Concerns
around
sleep
quality
in
hepatic
GSDs
relate
emerging
evidence
that
dysglycaemia
impacts
quality.
Methods
This
prospective
observational
study
reported
and
duration
children
with
over
7
days
utilising:
actigraphy
(Actiwatch
2
Phillips
Respironics),
diaries,
proxy
age‐appropriate
quality‐of‐life
(QoL)
questionnaires,
the
context
of
nocturnal
glycaemic
profiles
continuous
glucose
monitor
(CGM,
Dexcom
G6)
dietary
management
strategies.
Significant
hypo‐
hyperglycaemia
were
defined
as
≥1%
diary
documented
period,
recording
<3.5
>10.0
mmol/L,
respectively.
Results
Seven
GSD
(aged
1–17
years)
participated.
Objective
was
poor,
demonstrating
no
child
achieved
minimum
recommended
for
age.
Subjective
also
4/5
documenting
significant
daytime
sleepiness
6/6
reporting
poor
hygiene.
Children
prescribed
bolus
feeds
(OBF)
(
n
=
2)
recorded
shorter
compared
other
Parent‐reported
QoL
suggested
disease‐related
outcomes
this
cohort.
Conclusion
subjective
disturbances
reduced
common
within
our
sample
GSD.
From
observations
these
may
be
linked
nutritional
interventions,
especially
OBFs,
rather
than
levels.
Consideration
feeding
strategies
on
should
inform
future
Journal of Sleep Research,
Год журнала:
2022,
Номер
32(3)
Опубликована: Ноя. 13, 2022
Summary
We
investigated
whether
sleep
health
(each
individual
dimension
and
a
composite
measure)
was
associated
with
better
glycaemia
among
cohort
of
young
adults
type
1
diabetes
(mean
age
21.5
years,
mean
body
mass
index
24.55
kg
m
−2
).
Multiple
validated
self‐report
questionnaires
were
completed,
raw
continuous
glucose
monitor
data
shared.
One
self‐reported
characteristic
for
each
the
five
dimensions
selected.
A
score
calculated
by
summing
number
“good”
dimensions.
evaluated
associations
between
glycaemia,
covariates,
including
age,
duration
apnea
risk,
influenced
relationships
study
variables
using
multivariable
linear
regression.
Individual
satisfaction
(
β
=
0.380,
p
0.019;
−0.414,
0.010),
timing
0.392,
0.015;
−0.393,
0.015)
efficiency
0.428,
0.007)
higher
achievement
glycaemic
targets
(J‐index
time
in
range);
however,
these
did
not
persist
after
considering
covariates.
Sleep
Health
Composite
even
Using
multidimensional
framework
can
guide
future
research
on
causal
pathways
health,
interventions
to
target
profiles,
may
improve
screening
routine
care.
