Details

Autor(en) / Beteiligte

• 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

Titel

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

Ist Teil von

• Diabetes research and clinical practice, 2020-02, Vol.160, p.107988-107988, Article 107988

Ort / Verlag

Ireland: Elsevier B.V

Erscheinungsjahr

2020

Quelle

Alma/SFX Local Collection

Beschreibungen/Notizen

• 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.