{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T15:02:22Z","timestamp":1790694142882,"version":"4.1.0"},"reference-count":0,"publisher":"American Diabetes Association","license":[{"start":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T00:00:00Z","timestamp":1790640000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.diabetesjournals.org\/journals\/pages\/license"}],"funder":[{"DOI":"10.13039\/100000062","name":"National Institute of Diabetes and Digestive and Kidney Diseases","doi-asserted-by":"publisher","award":["U01 DK094157"],"award-info":[{"award-number":["U01 DK094157"]}],"id":[{"id":"10.13039\/100000062","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000062","name":"National Institute of Diabetes and Digestive and Kidney Diseases","doi-asserted-by":"publisher","award":["U01 DK094176"],"award-info":[{"award-number":["U01 DK094176"]}],"id":[{"id":"10.13039\/100000062","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["diabetesjournals.org"],"crossmark-restriction":true},"short-container-title":[],"abstract":"\n OBJECTIVE<\/jats:title>\n To investigate the prevalence of sleep problems and their risk factors among older adults with type 1 diabetes.<\/jats:p>\n <\/jats:sec>\n \n RESEARCH DESIGN AND METHODS<\/jats:title>\n Participants with type 1 diabetes in the Diabetes Control and Complications Trial\/Epidemiology of Diabetes Interventions and Complications (DCCT\/EDIC) study completed validated questionnaires to assess sleep-related problems, including risk of obstructive sleep apnea (OSA) (intermediate\/high risk: STOP-Bang \u22653), poor sleep quality (Pittsburgh Sleep Quality Index &gt;5), and mild or greater levels of excessive daytime sleepiness (Epworth Sleepiness Scale &gt;10). Logistic regression models assessed the odds of each sleep problem by demographic and clinical variables, glycemia, and diabetes complications.<\/jats:p>\n <\/jats:sec>\n \n RESULTS<\/jats:title>\n In 963 participants (52% male, mean [SD] age 64 [7] years) with type 1 diabetes (mean [SD] duration 43 [5] years), diagnosed OSA and current positive airway pressure device use were reported by 29% and 19% of participants, respectively. Increased OSA risk was present in 64%, poor sleep quality in 43%, and daytime sleepiness in 10% of participants. Each 1% absolute increase (11 mmol\/mol) in current or mean HbA1c was associated with 15% to 20% higher odds of any sleep problem. In models adjusted for age, sex, BMI, and mean HbA1c, cardiovascular autonomic neuropathy was associated with higher odds of intermediate\/high OSA risk, and albuminuria and severe hypoglycemia were associated with higher odds of poor sleep quality.<\/jats:p>\n <\/jats:sec>\n \n CONCLUSIONS<\/jats:title>\n OSA risk and poor sleep quality were common among DCCT\/EDIC participants. Sleep assessments for older individuals with long-standing type 1 diabetes and research to identify mechanisms to explain the observed associations are warranted.<\/jats:p>\n <\/jats:sec>","DOI":"10.2337\/dc26-1678","type":"journal-article","created":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T14:52:52Z","timestamp":1790693572000},"update-policy":"https:\/\/doi.org\/10.2337\/ada-journal-policies","source":"Crossref","is-referenced-by-count":0,"title":["Increased Risk of Obstructive Sleep Apnea and Poor Sleep Quality Among Older Adults With Type 1 Diabetes: The DCCT\/EDIC Study"],"prefix":"10.2337","author":[{"given":"Catherine L.","family":"Martin","sequence":"first","affiliation":[{"name":"1Department of Internal Medicine, University of Michigan, Ann Arbor, MI"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew","family":"Bott","sequence":"additional","affiliation":[{"name":"2Biostatistics Center, George Washington University, Bethesda, MD"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William H.","family":"Herman","sequence":"additional","affiliation":[{"name":"1Department of Internal Medicine, University of Michigan, Ann Arbor, MI"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Barbara H.","family":"Braffett","sequence":"additional","affiliation":[{"name":"2Biostatistics Center, George Washington University, Bethesda, MD"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Victoria R.","family":"Trapani","sequence":"additional","affiliation":[{"name":"2Biostatistics Center, George Washington University, Bethesda, MD"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4944-7968","authenticated-orcid":false,"given":"Ionut","family":"Bebu","sequence":"additional","affiliation":[{"name":"2Biostatistics Center, George Washington University, Bethesda, MD"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Harsha","family":"Karanchi","sequence":"additional","affiliation":[{"name":"3College of Medicine, Medical University of South Carolina, Charleston, SC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean M.","family":"Lawrence","sequence":"additional","affiliation":[{"name":"4National Institute of Diabetes and Digestive and Kidney Diseases, Bethesda, MD"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer","family":"Sherr","sequence":"additional","affiliation":[{"name":"5Yale School of Medicine, New Haven, CT"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gayle M.","family":"Lorenzi","sequence":"additional","affiliation":[{"name":"6University of California, San Diego, La Jolla, CA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pearl G.","family":"Lee","sequence":"additional","affiliation":[{"name":"1Department of Internal Medicine, University of Michigan, Ann Arbor, MI"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David M.","family":"Nathan","sequence":"additional","affiliation":[{"name":"7Massachusetts General Hospital, Harvard Medical School, Boston, MA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ronald D.","family":"Chervin","sequence":"additional","affiliation":[{"name":"8Sleep Disorders Center and Department of Neurology, University of Michigan, Ann Arbor, MI"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rose A.","family":"Gubitosi-Klug","sequence":"additional","affiliation":[{"name":"9Case Western Reserve University School of Medicine, Cleveland, OH"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"DCCT\/EDIC Research Group","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1167","published-online":{"date-parts":[[2026,9,29]]},"container-title":["Diabetes Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/diabetesjournals.org\/care\/article-pdf\/doi\/10.2337\/dc26-1678\/897300\/dc261678.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/diabetesjournals.org\/care\/article-pdf\/doi\/10.2337\/dc26-1678\/897300\/dc261678.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T14:52:53Z","timestamp":1790693573000},"score":1,"resource":{"primary":{"URL":"https:\/\/diabetesjournals.org\/care\/article\/doi\/10.2337\/dc26-1678\/172658\/Increased-Risk-of-Obstructive-Sleep-Apnea-and-Poor"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,29]]},"references-count":0,"URL":"https:\/\/doi.org\/10.2337\/dc26-1678","relation":{},"ISSN":["0149-5992","1935-5548"],"issn-type":[{"value":"0149-5992","type":"print"},{"value":"1935-5548","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,29]]},"article-number":"dc261678"}}