Table 1.
Characteristics of the studies and their sleep variables included in the meta-analyses.
| Study | Setting | T1D participants | Control participants | Study design | Sleep measurement | Sleep characteristics in meta-analyses | |||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| N | Age(y) | BMI(kg/m2) | HbA1c(%) | N | Age(y) | BMI(kg/m2) | |||||
| Studies comparing sleep in type 1 diabetes vs control participants | |||||||||||
| Barone et al. [35] | Brazil | 18 | 26.3 | 23.0 | 7.8 | 9 | 28.8 | 22.0 | Matched case–control (age, BMI) | Sleep diary, actimeter, PSGc | Duration, quality |
| Janovsky et al. [20] | Brazil | 20 | 28.6 | 22.9 | 7.2 | 22 | 23.2 | 21.8 | Matched case–control (age, BMI) | PSGa | Stages, duration, quality, OSA |
| Jauch-Chara et al. [21] | Germany | 14 | 31.3 | 24.2 | 7.7 | 14 | 28.9 | 23.1 | Matched case–control (age, BMI, sex) | PSGb | Stages, duration, quality |
| Mandl et al. [43] | Sweden | 31 | 52.0 | 23.9 | NA | 200 | 45.0 | 24.4 | Unmatched case-control | Questionnaire (8 sleep questions from Autonomic Symptom Profile) | Quality |
| Matyka et al. [40] | UK | 15 | 9.4 | 8.8 | 15 | 9.2 | Matched case–control (age, sex) | PSGa | Duration | ||
| Olsson et al. [13] | Norway | 138 | 54.3 | 29.2 | NA | 51050 | 43.0 | 24.8 | Prospective study, mean follow up 15.3 y | Questionnaire of insomnia symptoms | Quality |
| Palladino et al. [44] | USA | 117 | 18.5 | 25.7 | 8.9 | 122 | 18.0 | Case–control | Questionnaire (first five questions of PSQI) | Quality | |
| Perfect et al. [23] | USA | 50 | 13.4 | 67.6 percentile | 9.1 | 40 | 13.5 | 65.8 percentile | Matched case–control (age, BMI, sex) | PSGc (40 matched pairs) Actigraphyc (diabetes cohort) |
Duration |
| Pillar et al. [41] | Israel | 15 | 12.6 | 18.5 | 8.5 | 15 | 13.3 | 19.3 | Matched case–control (age, BMI) | PSGc | Stages, duration, quality |
| Sivertsen et al. [12] | Norway | 40 | 19.9 | 233.2 | NA | 9843 | 19.9 | 22.2 | Unmatched case–control | Questionnaire (sleep duration, insomnia symptoms, snoring) | Duration, quality |
| van Dijk et al. [17] | The Netherlands | 99 | 43.9 | 24.5 | 7.8 | 99 | 44.1 | 24.5 | Matched case–control (age, BMI, sex) | Questionnaires (PSQI and OSA risk) | Duration, quality |
| Studies exploring the relationship between sleep and glycemic control in type 1 diabetes patients | |||||||||||
| Bachle et al. [45] | Germany | 202 | 19.4 | 23.7 | 8.3 | Cross-sectional | Questionnaire (Patient Health Questionnaire, PHQ-9, sleeping difficulties) | Quality | |||
| Borel et al. [24] | France | 37 | 43.0 | 24.9 | 7.8 | Cross-sectional | Oximetrya (N = 37) PSGa (N = 18) |
Stages, duration, quality, OSA | |||
| Borel et al. [16] | France | 79 | 39.5 | 24.5 | 7.9 | Cross-sectional | Actigraphya Questionnaire evaluating OSA risk | Duration, quality, OSA | |||
| Bot et al. [10] | The Netherlands | 277 | 43.9 | 25.4 | 7.8 | Cross-sectional | Questionnaire (Patient Health Questionnaire, PHQ-9, sleeping difficulties) | Quality | |||
| Bouhassira et al. [25] | France | 297 | 48.3 | 25.4 | 7.9 | Cross-sectional | Questionnaire (Medical Outcome Sleep Scale assessing sleep quantity and disturbances) | Duration | |||
| Estrada et al. [26], ages 6–13 | USA | 36 | 9.8 | BMI z-score −1.11 | 8.3 | Cross-sectional | Questionnaire | Duration | |||
| Estrada et al. [26], ages >13–17 | USA | 50 | 15.1 | BMI z-score −0.40 | 9.5 | Cross-sectional | Questionnaire | Duration | |||
| Estrada et al. [26], adults | USA | 20 | 25.9 | 29.7 | 8.6 | Cross-sectional | Questionnaire | Duration | |||
| Feupe et al. [7] | USA | 17 | 19–26 | NA | 7.3 | Cross-sectional | Wireless sleep monitorsc | Stages, duration | |||
| Manin et al. [29] | France | 67 | 54.0 | 25.8 | 7.6 | Cross-sectional | PSGa (N = 54) PSGa (N = 13) |
Stages, duration, quality, OSA | |||
| Matejko et al. [27] | Poland | 148 | 26.3 | 23.3 | 7.2 | Cross-sectional | Questionnaire (Self-reported sleep duration) | Duration | |||
| Perfect [22], ages 10–13 | USA | 24 | 11.5 | BMI z-score 0.36 | 8.2 | Cross-sectional | Questionnaire (Self-reported sleep duration) | Duration | |||
| Perfect [22], ages >13–17 | USA | 26 | 15.2 | BMI z-score 0.88 | 9.7 | Cross-sectional | Questionnaire (Self-reported sleep duration) | Duration | |||
| Schober et al. [28] | Germany | 62 | 41.7 | 25.5 | 8.1 | Cross-sectional | Apnea linka (pulse oximetry and air flow measurement) | OSA | |||
Abbreviations: BMI, body mass index; OSA, obstructive sleep apnea; PSG, polysomnography; T1D, type 1 diabetes.
Recordings performed without glucose measurements.
Recordings performed under nonhypoglycemic condition.
Recordings performed with glucose measurements. Some participants had hypoglycemia.