Summary:
In adults with type 2 diabetes and comorbid insomnia, remotely delivered cognitive behavioral therapy for insomnia (CBTI) significantly improved sleep regularity, reduced anxiety symptoms, and lowered fasting glucose levels (per-protocol analysis) compared to weekly online health education sessions, though it was associated with no reported adverse effects and high satisfaction in both groups.
| PICO | Description |
|---|---|
| Population | Adults with non-insulin-treated type 2 diabetes and clinically diagnosed insomnia. |
| Intervention | Eight weekly one-hour online sessions of cognitive behavioral therapy for insomnia (CBTI). |
| Comparison | Eight weekly one-hour online health education (HE) sessions. |
| Outcome | CBTI resulted in improved objective sleep regularity at week 8 (mean difference -21.84 min; P = 0.031), reduced anxiety symptoms at week 16 (P = 0.039), and in per-protocol analysis, improved subjective sleep quality (P = 0.042), greater sleep regularity (P = 0.018), and significant reductions in fasting glucose (-34.27 mg/dL; P = 0.001). No adverse effects were noted. |
Source: Kirisri, Similan, et al. “Effects of remotely-delivered cognitive behavioral therapy for insomnia in type 2 diabetes: a randomized controlled trial.” Read article here.
