Introduction and Objective: Persons with type 1 diabetes (PWD) often experience nighttime fluctuations in blood glucose levels, which require active management. Those who sleep with a partner may receive instrumental support in diabetes management tasks. We examined whether partner nighttime awakenings that coincided with PWD awakenings predicted better blood glucose management following excursions.Methods: Eight emerging adult couples with one PWD and one partner participated in a two-week daily diary study with Actigraphy measured sleep and CGM measured glucose. We identified diabetes management types (PWD only, Partner only, co-management, or other) by inspection of graphic displays.Results: Of the 103 nighttime excursions recorded, 35 were low excursions and 68 were high excursions. The PWD managed 29.13%, partners managed only 8.74%, and co-management occurred during 29.13% of excursions. Length of euglycemia following excursions was examined across nighttime diabetes management types (PWD, Partner, co-management) using ANOVA. No differences in euglycemia length were found between management types.Conclusion: Partners were highly involved in nighttime glucose management. Management types did not determine length of euglycemia after an excursion. This study suggests that T1DP are equal to PWD in management abilities. The current study confirms different nighttime diabetes management types along with blood glucose excursions.
K. Burfeind: None. J. Dick: None. J.B. Yorgason: None. B. Child: None. E.L. Arnett: None. L. Cobian: None.
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