Research Article

Characterizing Glycemic Control and Sleep in Adults with Long-Standing Type 1 Diabetes and Hypoglycemia Unawareness Initiating Hybrid Closed Loop Insulin Delivery

Table 2

Sleep characteristics at baseline and at 3 months, 6 months, and 9 months after initiating hybrid closed loop insulin delivery and the change values from baseline to 9 months in sleep characteristics.

Accelerometry derived variableBaseline
Mean (SD)
3 months
Mean (SD)
6 months
Mean (SD)
9 months
Mean (SD)
-testEffect sizea
Baseline to 9 months

Sleep onset latency (minutes)4.77 (1.41)4.05 (0.60)3.85 (1.99)2.81 (1.14)4.48<0.011.53
Sleep onset (hr : min)22 : 00 (00 : 43)22 : 22 (00 : 23)22 : 36 (1 : 15)22 : 49 (00 : 53)-1.760.141.06
Sleep offset (hr : min)7 : 02 (00 : 38)6 : 58 (00 : 43)7 : 18 (00 : 47)7 : 06 (00 : 46)-0.240.810.10
Total sleep time (minutes)541.54 (33.16)515.23 (44.47)518.03 (71.39)499.02 (59.77)1.140.300.88
Sleep duration (minutes)490.37 (26.03)465.64 (51.16)466.47 (68.60)451.93 (64.05)1.060.340.79
Wake after sleep onset (minutes)46.39 (7.45)45.54 (12.98)47.72 (4.97)44.27 (12.78)0.620.560.20
Nighttime awakenings (number)15.67 (4.46)16.61 (4.20)17.57 (4.16)15.73 (3.91)-0.040.970.01
Average awakening length (minutes)3.31 (0.81)2.84 (0.69)2.89 (0.95)2.97 (0.69)1.100.320.46
Sleep fragmentation index24.85 (6.97)26.65 (9.47)25.31 (6.56)24.79 (9.93)0.040.970.01
Total activity counts (number)32,175.92 (4185.06)29,503.42 (6974.19)29,291.94 (6322.80)25,803.08 (5372.96)2.170.081.32
Sleep efficiency (percent)90.70 (1.14)90.30 (3.02)89.86 (1.53)90.35 (3.46)0.340.750.14
Sleep midpoint (hr : min)2 : 32 (00 : 38)2 : 42 (00 : 27)3 : 00 (00 : 51)3 : 00 (00 : 37)-1.900.120.72

aBaseline to 9 months.