The relationship and potential mechanistic pathways between sleep disturbances and maternal hyperglycemia topical collection on diabetes and pregnancy

Bilgay Izci-Balserak, Grace W. Pien

Research output: Contribution to journalArticlepeer-review

Abstract

This paper reviews recent work investigating the influence of sleep disturbances on maternal hyperglycemia, particularly gestational diabetes mellitus (GDM). The incidence and prevalence of hyperglycemia are increasing worldwide, which is cause for concern because GDM and even mild hyperglycemia are associated with adverse pregnancy outcomes. A better understanding of sleep-related risk factors for maternal hyperglycemia is an important health matter. Evidence demonstrates associations between sleep disturbances, especially sleep-disordered breathing, and hyperglycemia, but causal effects and the underlying mechanisms linking these conditions have not been fully elucidated. Subjective sleep assessments show associations between sleep disturbances and maternal hyperglycemia. There are, however, few studies using objective measures to support these findings. Large prospective studies are required to examine causal relationships between sleep disturbances and maternal hyperglycemia. There is also a need for smaller mechanistic studies to understand the pathophysiology. Furthermore, interventional studies are required to address whether improvement of sleep parameters can prevent/decrease the risk of developing maternal hyperglycemia. Taken together, the data suggests that sleep disturbances during pregnancy are important to identify and manage in order to minimize maternal hyperglycemia and GDM, and improve maternal and fetal well-being.

Original languageEnglish (US)
Article number459
JournalCurrent diabetes reports
Volume14
Issue number2
DOIs
StatePublished - Feb 2014

Keywords

  • Adverse pregnancy outcomes
  • Daytime nap
  • Excessive daytime sleepiness
  • Gestational diabetes mellitus
  • Maternal hyperglycemia
  • Mechanistic pathways
  • Narcolepsy
  • Obesity
  • Obstructive sleep apnea
  • Pittsburgh Sleep Quality Index
  • Restless leg syndrome
  • Sleep disturbance
  • Sleep duration
  • Sleep parameters
  • Sleep-disordered breathing
  • Sleep-disordered breathing symptoms
  • Slow wave sleep
  • Snoring

ASJC Scopus subject areas

  • Internal Medicine
  • Endocrinology, Diabetes and Metabolism

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