Effects of Midday Naps on Glycemic Control of Diabetic Patients

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About this Research Topic

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Background

Along with meals and exercise, sleep is an important component of daily life in modern societies, and nighttime sleep quantity and quality are known to be associated with morbidity and mortality. Midday naps could modify these associations, depending on several factors such as age, sex, health status, nap duration, and the duration of nighttime sleep. Although previous studies have consistently shown that midday naps could be associated with a higher risk of diabetes, evidence for effects of midday naps on glycemic control is still limited. In this respect, recent evidence suggests that taking midday naps reduces the risk of poor glycemic control in type 2 diabetes patients who experience short nighttime sleep (<5h). Since short nighttime sleepers complained of low sleep satisfaction and daytime sleepiness, taking midday naps is considered desirable to compensate for the negative impact on glycemic control caused by insufficient nighttime sleep, especially in short sleepers (<5h).

Most previous studies regarding the effect of midday naps on morbidity or mortality have focused on midday naps per se or the nap duration which might be associated with sleep inertia. Our findings suggest that taking midday naps in response to sleep loss (i.e. replacement napping) or in preparation of sleep loss (i.e. prophylactic napping) could be specifically beneficial for glycemic control in diabetic patients who sleep fewer hours at night.

There must be clear differentiation between replacement or prophylactic napping as opposed to appetitive napping (i.e. nap for enjoyment or habitual napping such as siesta, often seen in older adults), as well as clarification of the effects of napping on glycemic control in diabetic patients, in view of the relationship between each category of napping and nighttime sleep duration/quality. This Research Topic aims to determine whether replacement or prophylactic napping is beneficial for improving glycemic control in diabetic patients, especially those with short nighttime sleep. We welcome original research, reviews, and mini reviews that discuss the following:

• Differentiation and association between types of napping (replacement/prophylactic napping against nighttime sleep loss or appetitive napping for enjoyment/habit) and their effects of glycemic control,

• Effects of the previously mentioned types of napping on related metabolic diseases (Obesity, type 1 diabetes, etc.)

• Molecular mechanisms and pathways of interest

• Translational applications

Keywords: Diabetes, midday napping, sleep, glycemic control, metabolic disease

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