More Sleep Benefits People With Type 1 Diabetes

Miriam E. Tucker, for Medscape

February 09, 2023

Researchers published the study covered in this summary on medRxiv as a preprint that has not yet been peer reviewed.

Key Takeaways

  • Longer sleep duration significantly associated with lower next-day general stress and reduced negative affect in people with type 1 diabetes.

  • Optimizing sleep duration in people with type 1 diabetes may help manage their stress and improve their emotional well-being.

Why This Matters

  • No prior study specifically examined the relationship between sleep duration and stress and positive or negative affect in the daily life of people with type 1 diabetes.

  • Adults with type 1 diabetes report more sleep disturbances than do people without type 1 diabetes, possibly related to the risks these people face from hypoglycemia, hyperglycemia, and increased glucose variability.

Study Design

  • The researchers measured and analyzed numerous clinical parameters, including sleep duration, general and diabetes-specific stress, and positive and negative affect.

Key Results

  • The enrollees averaged about 41 years old, and 55% were women. At baseline, 14.5% had depression and 7.8% had anxiety.

  • Average sleep duration was 7.3 hours.

  • Longer sleep duration significantly associated with lower general stress but not with diabetes-specific stress.

  • Longer sleep duration significantly associated with lower, next-day negative affect but had no significant association with any positive affect variables.

  • Among covariables, greater levels of pain significantly associated with more negative affect and higher general stress, but these variables showed no significant associations with average blood glucose levels.

  • General stress levels were lower during weekends compared with Mondays.

  • No differences existed in these associations between men and women, or for those with or without depression or anxiety.


  • The study was observational and hence the reported associations cannot address causal relationships.

  • Data collection occurred during theCOVID-19 pandemic, which interfered with sleep, stress, and mental health and may limit generalizability.


  • The study received no commercial funding.

  • None of the authors had disclosures.

This is a summary of a preprint research study, "Within-person Relationships of Sleep Duration with Next-Day Stress and Affect in the Daily Life of Adults with Type-1 Diabetes" by authors in the United Kingdom and United States on medRxiv provided to you by Medscape. It has not yet been peer reviewed. The full text of the study can be found on

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