| dc.description.abstract | Abstract. – OBJECTIVE: This study aimed
to investigate the frequency of sleep disorders,
and the relationship between glycemic control
and sleep characteristics in diabetic children
and adolescents.
PATIENTS AND METHODS: Sixty-one pa tients followed for at least one year for type 1
diabetes mellitus (T1DM) aged 6-16 years old,
and eighty-three group-matched healthy con trols were included in the study. Time in range
(TIR) and hypoglycemia episode numbers were
recorded using the freestyle libre sensor data.
The sleep characteristics were evaluated using
the Sleep Disturbance Scale for Children (SDSC)
validated survey. The diabetic patients were tri chotomized according to SDSC scores, as low,
medium, and high score groups.
RESULTS: Sleep duration, SDSC total score,
and subgroup scores except for sleep hyperhi drosis (3.11±1.53 vs. 2.16±0.85, p<0.001, respec tively) were similar (p>0.05) between the dia betic and control group. According to the sur vey, 1.6% of diabetic cases and 6.1% of the con trol group had clinically significant sleep distur bances (p>0.05). Duration of diabetes (DD) was
lower (p=0.01), and the level of HbA1C was high er (p=0.02) in the high-score group than the oth ers. Regression analysis revealed that TIR was
the only independent determinant for the SDSC
score (β=-1.27, t=-1.90; p=0.012).
CONCLUSIONS: Sleep habits and problems
should be routinely evaluated in diabetic chil dren and adolescents. | tr |
