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The primary outcome was self-reported sleep quality (Pittsburgh Sleep Quality Index, PSQI). Secondary outcomes included actigraphy-based sleep measures, glycemic control (A1C, fasting glucose), insomnia symptoms, anxiety, depression, and quality of Life. Data were collected at baseline, week 8, and week 16. Mixed-effects linear regression was used to assess between-group differences.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      At week 8, no significant difference in PSQI was observed between groups, but the CBTI group showed improved actigraphy-based sleep regularity (variation of sleep duration), mean difference \u2212\u200921.84\u00a0min (95% CI -41.64, -2.05;\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.031). At week 16, CBTI led to a greater reduction in anxiety symptoms (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.039). There were no differences in other outcomes. In per-protocol analysis (CBTI:\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200915; HE:\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200910), CBTI resulted in improved subjective sleep quality (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.042), sleep regularity (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.018) and fasting glucose at week 8 (mean difference \u2212\u200934.27\u00a0mg\/dL; 95% CI -55.16, -13.37;\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.001). Satisfaction was high in both groups.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>CBTI improved sleep regularity and anxiety in T2D patients with insomnia. Adherence to CBTI also led to fasting glucose reductions, supporting its role in glycemic management. Sleep-focused interventions like CBTI should be integrated into care for T2D with insomnia to optimize sleep and metabolic outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s11325-025-03469-y","type":"journal-article","created":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T13:33:03Z","timestamp":1760967183000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Effects of remotely-delivered cognitive behavioral therapy for insomnia in type 2 diabetes: a randomized controlled trial"],"prefix":"10.1007","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-2149-3866","authenticated-orcid":false,"given":"Similan","family":"Kirisri","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0686-1069","authenticated-orcid":false,"given":"Sirimon","family":"Reutrakul","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8294-8601","authenticated-orcid":false,"given":"Chutintorn","family":"Sriphrapradang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-6828-1250","authenticated-orcid":false,"given":"Saratcha","family":"Tiensuntisook","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0945-3757","authenticated-orcid":false,"given":"Naricha","family":"Chirakalwasan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0501-7760","authenticated-orcid":false,"given":"Sunee","family":"Saetung","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chanatpon","family":"Aonnuam","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9540-2907","authenticated-orcid":false,"given":"Chatvara","family":"Areevut","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ratanaporn","family":"Jerawatana","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-8462-1772","authenticated-orcid":false,"given":"Jarturong","family":"Siritienthong","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,10,20]]},"reference":[{"issue":"Supplement1","key":"3469_CR1","doi-asserted-by":"publisher","first-page":"S86","DOI":"10.2337\/dc25-S005","volume":"48","author":"American Diabetes Association Professional Practice Committee","year":"2025","unstructured":"American Diabetes Association Professional Practice Committee (2025) 5. 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