Griggs, StephanieRedeker, Nancy S.Crawford, Sybil L.Grey, Margaret2022-08-232022-08-232020-08-012021-03-11<p>Griggs S, Redeker NS, Crawford SL, Grey M. Sleep, self-management, neurocognitive function, and glycemia in emerging adults with Type 1 diabetes mellitus: A research protocol. Res Nurs Health. 2020 Aug;43(4):317-328. doi: 10.1002/nur.22051. Epub 2020 Jul 8. PMID: 32639059; PMCID: PMC7382362. <a href="https://doi.org/10.1002/nur.22051">Link to article on publisher's site</a></p>0160-6891 (Linking)10.1002/nur.2205132639059https://hdl.handle.net/20.500.14038/34486Type 1 Diabetes (T1D) affects 1.6 million Americans, and only 14% of emerging adults ages 18-25 years achieve targets for glycemic control (A1C < 7.0%). Sleep deficiency, including habitual short sleep duration ( < 6.5 hr total sleep time and high within-person variability in total sleep time), is associated with poorer glycemic control. Emerging adults with T1D have a more pronounced sleep extension on weekends compared with matched controls, consistent with sleep deficiency; however, associations among sleep variability and glycemic control have not been explored in this population. Sleep deficiency may affect the complex higher-order neurocognitive functioning needed for successful diabetes self-management (DSM). We report the protocol for an ongoing study designed to characterize sleep and the associations among sleep deficiency, neurocognitive function, DSM, diabetes quality of life, and glycemia among a sample of 40 emerging adults with T1D. We monitor sleep via wrist-worn actigraphy and glucose via continuous glucose monitoring concurrently over 14 days. We are collecting data on self-report and objective sleep, a 10-min psychomotor vigilance test on a PVT-192 device, a 3-min Trail Making Test on paper, and questionnaires, including twice-daily Pittsburgh sleep diaries using Research Electronic Data Capture (REDCap)(TM) . Results from this study will be used to support the development and testing of the efficacy of a tailored sleep self-management intervention that may improve total sleep time, sleep variability, neurocognitive function, DSM, glycemic control, and glucose variability among emerging adults with T1D.en-USType 1 diabetesemerging adultsglucose variabilityglycemic controlsleep deficiencysleep variabilityCognitive NeuroscienceEndocrine System DiseasesImmune System DiseasesMental and Social HealthNursingNutritional and Metabolic DiseasesJournal Articlehttps://escholarship.umassmed.edu/gsn_pp/15922024463gsn_pp/159