Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

Enhancing Night and Day Circadian Contrast through Sleep Nursing Education in Prediabetes and Type 2 Diabetes Mellitus: A Randomized Controlled Trial

Version 1 : Received: 27 April 2022 / Approved: 29 April 2022 / Online: 29 April 2022 (11:38:26 CEST)

How to cite: García-Serrano, C.; Pujol Salud, J.; Aran Solé, L.; Sol, J.; Ortiz Congost, S.; Artigues-Barberà, E.; Ortega Bravo, M. Enhancing Night and Day Circadian Contrast through Sleep Nursing Education in Prediabetes and Type 2 Diabetes Mellitus: A Randomized Controlled Trial . Preprints 2022, 2022040301 (doi: 10.20944/preprints202204.0301.v1). García-Serrano, C.; Pujol Salud, J.; Aran Solé, L.; Sol, J.; Ortiz Congost, S.; Artigues-Barberà, E.; Ortega Bravo, M. Enhancing Night and Day Circadian Contrast through Sleep Nursing Education in Prediabetes and Type 2 Diabetes Mellitus: A Randomized Controlled Trial . Preprints 2022, 2022040301 (doi: 10.20944/preprints202204.0301.v1).

Abstract

Background: Evidence supports a causal relationship between circadian disturbance and impaired glucose homeostasis. Method: To determine the effect of a nursing educational intervention on improving healthy sleep, a parallel, open-label clinical trial in subjects with Impaired Fasting Glucose (IFG) or Type 2 Diabetes Mellitus (T2DM) and 18 and older was performed. Study variables were sex, age, fasting glucose, glycated hemoglobin A1c (HbA1c), Pittsburgh Sleep Quality Index (PSQI), sleep duration and efficiency, BMI, antidiabetic treatment and diet and physical exercise. An individual informative educational intervention was carried out following a bidirectional feedback method. It was intended to develop skills to improve sleep through 9 simple tips. An analysis of covariance was performed on all the mean centered outcome variables controlling for the respective baseline scores. Results: After the intervention, in the experimental group, PSQI dropped, the duration and quality of sleep increased. Further, a decrease in fasting glucose and in HbA1c levels was observed. Conclusion: The proposed intervention has proven to be effective to improve sleep quality, time, and efficiency and in only 3 months, to achieve a decrease in fasting glucose and HbA1c levels. These findings support the importance of sleep and circadian rhythms education focused on improving in T2DM or IFG.

Keywords

glucose metabolism disorders; circadian clocks; sleep; blood glucose; glycated hemoglobin H1Ac

Subject

BIOLOGY, Other

Comments (0)

We encourage comments and feedback from a broad range of readers. See criteria for comments and our diversity statement.

Leave a public comment
Send a private comment to the author(s)
Views 0
Downloads 0
Comments 0
Metrics 0


×
Alerts
Notify me about updates to this article or when a peer-reviewed version is published.
We use cookies on our website to ensure you get the best experience.
Read more about our cookies here.