3 years ago

The impact of exercise on sleep in adults with type 1 diabetes

Peter G. Jacobs, Joseph Leitschuh, Kerri Winters-Stone, Joseph El Youssef, Jessica Castle, Deborah Branigan, Ravi Reddy
The aim of this pilot study was to investigate the impact of exercise on sleep and nocturnal hypoglycemia in adults with type 1 diabetes (T1D). In a 3-week crossover trial, 10 adults with T1D were randomized to perform aerobic, resistance or no exercise. During each exercise week, participants completed two separate 45-minute exercise sessions at an academic medical center. Participants returned home and wore a continuous glucose monitor and a wrist based activity monitor to estimate sleep duration. Participants on average lost 70 (±49) minutes of sleep (p = 0.0015) on nights following aerobic exercise and 27 (±78) minutes (p=0.3) following resistance exercise relative to control nights. The odds ratio with confidence intervals of nocturnal hypoglycemia occurring on nights following aerobic and resistance exercise was 5.4 [1.3, 27.2] and 7.0 [1.7, 37.3], respectively. Aerobic exercise can cause sleep loss in T1D possibly from increased hypoglycemia.

Publisher URL: http://onlinelibrary.wiley.com/resolve/doi

DOI: 10.1111/dom.13065

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