Introduction and Objective: Poor sleep is a risk factor for suboptimal glycemic outcomes, and the ADA recommends addressing sleep health as part of routine diabetes care. However, little is known about the specific aspects of sleep that are most relevant to T1D outcomes. Comparing general and diabetes-specific sleep factors in relation to key diabetes outcomes can guide effective T1D sleep interventions. Methods: Young adults with T1D (n=100, M age=19.9±1.3, 42% male, M HbA1c=8.8±2.0%, 52% pump, 76% CGM) self-reported self-management behaviors, quality of life, diabetes resilience, and sleep health. HbA1c was collected clinically or via home kits. Regression models for each diabetes outcome included sleep quality, duration, and sleep disruptions, including 2 study-developed items assessing trouble sleeping due to diabetes-related symptoms or stress/worries. Results: See table. Conclusion: Trouble sleeping due to diabetes-related stress or worries was significantly related to all outcomes above and beyond general sleep factors; for HbA1c, sleep disruption due to diabetes symptoms was also significant. Emotional aspects of T1D should be a target of sleep interventions for young adults with T1D. Disclosure M.C. Barron: None. H.E. Johnston: None. C.G. Minard: None. S. Lyons: None. R. Streisand: None. T.S. Tang: None. S. Mckay: None. B.J. Anderson: None. S. Devaraj: None. M.E. Hilliard: None. S. Carreon: None. Funding National Institutes of Diabetes and Digestive and Kidney Diseases (1R01DK119246); National Institutes of Diabetes and Digestive and Kidney Diseases (3R01DK11924603S1); National Institutes of Diabetes and Digestive and Kidney Diseases (1K26DK138332)
BARRON et al. (Fri,) studied this question.