1593-P: Strategies and Support for Sleep among Young Adults with Type 1 Diabetes (T1D)



Introduction and Objective: Sleep impacts diabetes health and mental and physical well-being, and young adulthood can bring new sleep situations (e.g., late nights, living with roommates). Sleep may also be impacted by T1D symptoms and treatment. While previous research links daytime social support to positive diabetes outcomes, less is known about nighttime support and strategies for overnight self-management. We evaluated young adults’ experiences related to sleep and T1D.Methods: We used thematic analysis to code and analyze qualitative interviews from n=20 young adults (mean age=20.3±1.7 years; 55% female, 45% male; 5% Asian, 10% Black, 35% Hispanic, 50% White; mean HbA1c=9.0±2.7%).Results: The interviews revealed two major themes: Sleep Preparation Strategies and Nighttime Diabetes Support. See theme descriptions and example quotes in the Table.Conclusion: Despite no existing interventions targeting sleep in this population, young adults with T1D described proactive approaches to improve their sleep experience. Common strengths young adults used emphasized the importance of others for overnight T1D management and developing multi-step processes to prepare for bed and prevent overnight symptoms. Aligned with ADA Standards of Care, discussing nighttime T1D management processes and support young adults receive with T1D overnight may guide clinicians in supporting sleep health for young adults with T1D.

Disclosure

H.E. Johnston: None. C.G. Minard: None. S. Lyons: None. R. Streisand: None. T. Tang: None. S. Mckay: None. B.J. Anderson: None. S. Nowakowski: None. M. Hilliard: None. S. Carreon: None.

Funding

National Institutes of Diabetes and Digestive and Kidney Disease (1R01DK119246, 3R01DK119246-03S1, 1K26DK138332, 1K26DK138330)



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