Variations in Daily Sleep Quality and Type 1 Diabetes Management in Late Adolescents

Sara L. Turner, Tara L. Queen, Jonathan Butner, Deborah Wiebe, Cynthia A. Berg

Research output: Contribution to journalArticlepeer-review

17 Scopus citations


UNLABELLED: OBJECTIVE : To determine how between- and within-person variability in perceived sleep quality were associated with adolescent diabetes management. 

METHODS:  A total of 236 older adolescents with type 1 diabetes reported daily for 2 weeks on sleep quality, self-regulatory failures, frequency of blood glucose (BG) checks, and BG values. Average, inconsistent, and daily deviations in sleep quality were examined.  RESULTS : Hierarchical linear models indicated that poorer average and worse daily perceived sleep quality (compared with one's average) was each associated with more self-regulatory failures. Sleep quality was not associated with frequency of BG checking. Poorer average sleep quality was related to greater risk of high BG. Furthermore, inconsistent and daily deviations in sleep quality interacted to predict higher BG, with more consistent sleepers benefitting more from a night of high-quality sleep.  CONCLUSIONS : Good, consistent sleep quality during late adolescence may benefit diabetes management by reducing self-regulatory failures and risk of high BG.

Original languageEnglish (US)
Pages (from-to)661-669
Number of pages9
JournalJournal of Pediatric Psychology
Issue number6
StatePublished - Jul 1 2016


  • adolescents
  • diabetes management
  • sleep quality
  • type 1 diabetes

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Developmental and Educational Psychology


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