Last updated July 11, 2026
Key finding
Sleep duration did not differ significantly between groups (7.9 hours vs 7.8 hours, p=0.89).
This study evaluated the impact of hybrid closed-loop insulin delivery on sleep in young people newly diagnosed with type 1 diabetes and their parents, finding no significant differences in sleep outcomes compared to standard care.
Quick read
The essential study design details in one scan.
EvidenceScore™
Moderate
Study type
RCTs
Follow-up
Long-Term (1–5 y)
Risk of bias
Some Concerns
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Plain-language summary
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Study focus
This study evaluated the impact of hybrid closed-loop insulin delivery on sleep in young people newly diagnosed with type 1 diabetes and their parents, finding no significant differences in sleep outcomes compared to standard care.
Understanding the effects of diabetes management strategies on sleep is crucial, as sleep quality can impact overall health and diabetes control. This study highlights that while hybrid closed-loop insulin delivery is a promising technology, it may not provide additional benefits for sleep quality in this population, suggesting the need for further research into optimizing diabetes care.
The study may have limited generalizability due to a specific population. Sample size and power calculations were not detailed. Outcomes were primarily subjective and reliant on self-reported measures.
Published in
Publication details and source links for this paper.
Juan JM, Eleanor MS, Charlotte KB, et al. Closed-Loop Therapy and Sleep in Young People Newly Diagnosed With T1D and Their Parents. Journal of Diabetes Science and Technology. 2024;20(2):335-341. doi:10.1177/19322968241286816
Sleep duration at 6 months showed no significant difference (7.9 hours vs 7.8 hours, p=0.89).
Sleep efficiency at 6 months was similar (84.0% vs 83.0%, p=0.50).
Wake after sleep onset at 6 months did not differ significantly (36.5 minutes vs 35.5 minutes, p=0.73).
Evidence network
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This study contributes evidence to Hybrid closed-loop system and Average number of awakenings at 24 months, Average number of awakenings at 6 months, Average sleep duration at 24 months, and 6 more.
This study contributes evidence to
Primary intervention
Hybrid closed-loop system
Primary outcomes
Primary intervention
Intervention and outcome relationships this study adds to the evidence network.
Editorial context
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Evidence network role
This section describes how the study fits into the current evidence network. It does not determine whether an intervention works on its own.
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Related topics
9
Evidence pairs
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Primary evidence
Evidence relationship
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Intervention
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Outcome
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Core evidence
The primary outcomes reported in this study.
Hybrid closed-loop system → Average number of awakenings at 24 months
Hybrid closed-loop system → Average number of awakenings at 24 months
Hybrid closed-loop system → Average number of awakenings at 6 months
Hybrid closed-loop system → Average number of awakenings at 6 months
Hybrid closed-loop system → Average sleep duration at 24 months
Hybrid closed-loop system → Average sleep duration at 24 months
Hybrid closed-loop system → Average sleep duration at 6 months
Hybrid closed-loop system → Average sleep duration at 6 months
Hybrid closed-loop system → Average sleep latency at 24 months
Hybrid closed-loop system → Average sleep latency at 24 months
Hybrid closed-loop system → Average sleep latency at 6 months
Hybrid closed-loop system → Average sleep latency at 6 months
Hybrid closed-loop system → Sleep efficiency
Hybrid closed-loop system → Sleep efficiency
Hybrid closed-loop system → Wake time after sleep onset in minutes
Hybrid closed-loop system → Wake time after sleep onset in minutes
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Relationships organized using the Dediabetes Evidence Intelligence™ framework.
This study contributes to evidence on Insulin Delivery Systems and Sleep efficiency, Insulin Delivery Systems and Quality of Life Outcomes.
This study contributes to the evidence on the following intervention-outcome relationships.
Devices & Technology
Devices & Technology
Curated evidence collections and hubs this study is part of.
All studies on Insulin Delivery Systems
Contributes to Insulin Delivery Systems evidence base.
All studies measuring Quality of Life Outcomes
Measures Quality of Life Outcomes as a key outcome.
All studies measuring Sleep efficiency
Measures Sleep efficiency as a key outcome.
Latest published studies
Published within the last 2 years.
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2 results
2 results
2 results
2 results
2 results
Generated from the study's connected evidence using Evidence Intelligence™.
Insulin Delivery Systems may improve Quality of Life Outcomes.
ConsistencyScore™: Results are consistent across studies.
Ranked evidence signals
Sleep quality
EvidenceScore™ Moderate | EvidenceScore™ 69.0 | moderate positive | ConsistencyScore™ Mixed | 1 study
Why this answer: This answer is based on 4 supporting studies with consistent results and a positive effect signal.
Limitations
Hybrid closed-loop system may worsen Sleep efficiency or be associated with harm.
ConsistencyScore™: Results are mixed and should be interpreted cautiously.
Ranked evidence signals
Sleep efficiency
EvidenceScore™ Moderate | EvidenceScore™ 69.0 | weak negative | ConsistencyScore™ Mixed | 1 study
Why this answer: This answer is cautious because the available studies report mixed findings.
Limitations
Hybrid closed-loop system may worsen Wake time after sleep onset in minutes or be associated with harm.
ConsistencyScore™: Results are mixed and should be interpreted cautiously.
Ranked evidence signals
Wake time after sleep onset in minutes
EvidenceScore™ Moderate | EvidenceScore™ 69.0 | weak negative | ConsistencyScore™ Mixed | 1 study
Why this answer: This answer is cautious because the available studies report mixed findings.
Limitations
Current evidence does not show a clear benefit of Hybrid closed-loop system for Average number of awakenings at 24 months.
ConsistencyScore™: Consistency cannot yet be determined from the available evidence.
Ranked evidence signals
Average number of awakenings at 24 months
EvidenceScore™ Emerging | EvidenceScore™ 59.0 | neutral | ConsistencyScore™ Unclear | 1 study
Why this answer: This answer is based on a single supporting study.
Limitations
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