People with type 1 diabetes often face unique challenges when it comes to getting a good night’s sleep. From managing blood sugar fluctuations to dealing with alarms and device discomfort, many factors can disrupt rest. However, with the right strategies, it’s possible to improve sleep quality and minimize overnight disturbances.
Optimizing Device Settings and Comfort
One of the most immediate improvements can come from adjusting continuous glucose monitor (CGM) alarm settings. Many devices allow customization of alerts for daytime versus nighttime use, reducing interruptions without sacrificing safety. Dr. Kristin Arcara, a pediatric endocrinologist, emphasizes the importance of discussing these customizations with a healthcare provider to avoid “alarm fatigue” while staying aware of blood sugar trends.
Physical discomfort is another common issue. Experiment with different device locations on your body. If you sleep on one side, avoid placing a CGM or pump there to prevent constant alerts. Manufacturers provide guidance on appropriate placement, though some patients find alternative sites work better for them.
Managing Blood Sugar Overnight
Blood sugar stability is crucial for uninterrupted sleep. If your glucose tends to drop overnight, a bedtime snack containing carbohydrates and protein can help maintain steady levels. Focus on fiber-rich foods, lean protein, and healthy fats rather than high-sugar options.
Beware of the “pizza effect”—how different meals impact glucose levels. Monitoring trends with food choices is essential, especially if using an automated insulin delivery (AID) system. For those without AID, preprogramming insulin doses or eating richer meals earlier in the day can help manage post-meal spikes.
Proactive Measures and Tech Breaks
Beyond immediate fixes, proactive steps can further improve sleep. Avoid overtreating compression lows by confirming readings with a fingerstick before acting. Strategize exercise timing, as physical activity can affect overnight blood sugar. Individuals on injections may adjust long-acting insulin doses, while pump users can leverage exercise-specific settings.
Sometimes, the solution is simpler: consider a “tech break” if devices are causing stress. Discuss alternative pumps or CGM alert adjustments with your provider. Keeping a hypo snack nearby minimizes the risk of dangerous lows during sleep.
Long-Term Solutions: Automation and Routine
For sustained improvement, switch to an automated insulin delivery (AID) system. These systems communicate between CGM and pump, reducing the cognitive load of constant insulin adjustments, particularly overnight.
Finally, establish a bedtime safety check routine : verify blood sugar, pump charge, reservoir levels, and CGM expiration. A consistent routine minimizes disruptions from equipment malfunctions or unexpected lows.
Consistent proactive management is key to ensuring restful nights with type 1 diabetes. Small adjustments to routines and technology can significantly improve sleep quality and overall health.
