Sleep and Glycemic Control in Type 2 Diabetes Adolescents

Eligibility Criteria

• 1. Subjects age 12-20
• 2. Diagnosed with T2DM by standard laboratory criteria without pancreatic autoimmunity
• 3. Low probability of obstructive sleep apnea (OSA) assessed via validated sleep survey
• 4. Subjects will be included if they are taking T2DM treatments (i.e., diet modification, Metformin and/or insulin)
• 5. Parental/guardian permission and child assent
• 1. Parent or legal guardian of child that meets inclusion criteria for Aim 1.
• 1. Completed Aim 1 evaluation
• 2. Average sleep duration \< 8 hours per night as determined by actigraphy in Aim 1
• 3. HbA1c ≤ 10% as HbA1c \>10 correlates to poor adherence
• 4. Adherence \> 80%
• 1. Subjects aged 12-20
• 2. Diagnosed with type 2 diabetes without pancreatic autoimmunity
• 1. Non-English speaking subject (as questionnaires used are validated in English)
• 2. Institutionalized patients as sleep duration will not be of their own accord, and therefore is not generalizable to the rest of the adolescent T2DM population.
• 3. Patients with other forms of Diabetes Mellitus (e.g. Type 1 Diabetes)
• 4. Behavioral disorders that may affect data collection (e.g. autism spectrum disorder) will be determined on a case-by-case basis. These include patients that are unable to answer questionnaires on their own, participate in a sleep diary, wear devices and/or understand incentives.
• 5. Oral or IV steroid treatment within the past month
• 6. Females with known pregnancies as these patients will not be generalizable to the rest of the adolescent T2DM population and pregnancy may alter sleep duration.
• 7. Subjects with known hyperthyroidism, pain syndrome, or serious medical condition that can affect sleep.
• 8. Subjects with hemoglobinopathies that affect hemoglobin A1c measurement.
• 9. Unable to obtain point-of-care hemoglobin A1c in clinic on date of recruitment
• 10. Known diagnosis of obstructive sleep apnea or other sleep disorder
• 1. Non-English speaking subject (as questionnaires used are validated in English)
• 2. Parent/guardians with cognitive disorders that may affect data collection (determined on a case-by-case basis)
• 1. Do not own a smart phone or tablet
• 1. Non-English speaking subject (as focus group will be conducted in English)
• 2. Lack of access to a computer, tablet or smartphone that can accommodate participation in video conferencing