title: Variations in Daily Sleep Quality and Type 1 Diabetes Management in Late Adolescents.
abstract: OBJECTIVE : To determine how between- and within-person variability in perceived sleep quality were associated with adolescent diabetes management.
  
  
  
  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.
authors.affiliation: Department of Psychology, University of Utah and sara.turner@psych.utah.edu.
authors.forename: Sara L
authors.initials: SL
authors.lastname: Turner
authors.affiliation: Department of Psychology, University of Utah and.
authors.forename: Tara L
authors.initials: TL
authors.lastname: Queen
authors.affiliation: Department of Psychology, University of Utah and.
authors.forename: Jonathan
authors.initials: J
authors.lastname: Butner
authors.affiliation: Department of Psychological Sciences, University of California.
authors.forename: Deborah
authors.initials: D
authors.lastname: Wiebe
authors.affiliation: Department of Psychology, University of Utah and.
authors.forename: Cynthia A
authors.initials: CA
authors.lastname: Berg
mesh_terms: D000293:Adolescent; D015415:Biomarkers / Q000097:blood; D001786:Blood Glucose / Q000378:metabolism; D015190:Blood Glucose Self-Monitoring; D003922:Diabetes Mellitus, Type 1 / Q000097:blood / Q000175:diagnosis / Q000523:psychology / Q000628:therapy*; D005260:Female; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D057566:Self Report; D012890:Sleep
chemical_list: D015415:Biomarkers; D001786:Blood Glucose
keywords: adolescents; diabetes management; sleep quality; type 1 diabetes