Study of Sleep Disturbances in Children with Type 1 Diabetes Mellitus. | ||||
| Minia Journal of Medical Research | ||||
| Articles in Press, Accepted Manuscript, Available Online from 07 September 2025 | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/mjmr.2025.419092.2091 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
Ibtehal Saad Ali AbuElela1; Basma Abdelmoez Ali 2; Miral Al Sherif3; Huda Zaki Mohammed  2
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| 1pediatrics, faculty of medicine, Minia university | ||||
| 2Pediatric Department, Faculty of Medicine, Minia University, Minia, Egypt | ||||
| 3Chest Department, Faculty of Medicine, Minia University, Minia, Egypt | ||||
| Abstract | ||||
| Background: Type 1 diabetes mellitus (T1DM) is a chronic disease in children that can affect growth, metabolism, and quality of life. Sleep disorders are increasingly recognized as a comorbidity that may influence glycemic control, neurocognitive function, and psychosocial well-being. Aim: To evaluate the frequency and characteristics of sleep disorders in children with T1DM. Methods: A case–control study was conducted on 50 children with T1DM and 50 age- and sex-matched healthy controls. Demographic and anthropometric data were collected, and sleep quality was assessed using a standardized sleep disturbance scale. Results: Children with T1DM demonstrated significantly higher rates of certain sleep-related problems, including loud or heavy breathing (12% vs. 0%, p = 0.02), mouth breathing during the day (44% vs. 2%, p < 0.001), enuresis (16% vs. 4%, p = 0.04), daytime sleepiness (46% vs. 6%, p < 0.001), and teacher-observed daytime sleep episodes (42% vs. 0%, p < 0.001). Behavioral indicators such as inattention, disorganization, distractibility, and hyperactivity were also significantly higher in the T1DM group. The mean total sleep disorders score was significantly higher in cases (26.6 ± 16.4) compared to controls (12.8 ± 5.1, p < 0.001). Overall, 42% of children with T1DM were classified as high risk for sleep disturbance compared to none of the controls. Conclusion: Sleep disorders are frequent in children with T1DM, encompassing breathing-related problems, daytime somnolence, and behavioral dysregulation. Routine screening and management of sleep disturbances should be integrated into diabetes care to improve outcomes and quality of life. | ||||
| Keywords | ||||
| Type 1 diabetes mellitus (T1DM); Children; Sleep disorders | ||||
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