Lack of sleep found to be a contributing factor to gestational diabetes

by Barbara Hewitt on October 20, 2017

Lack of sleep is associated with a number of health problems and now new research indicates that for pregnant women it may be a contributing factor to the development of gestational diabetes.

Links between reduced sleep duration and increased diabetes risk have been reported in several large studies in non-pregnant women and a few studies have linked short sleep duration to elevated blood sugar levels in pregnant women, but many of them were small.

Pregnant Woman Sleeping

(By Ivica Drusany/

Dr. Sirimon Reutrakul, associate professor of endocrinology, diabetes and metabolism in the University of Illinois at Chicago College of Medicine in the United States, believes that more information is needed to determine if short sleep duration is a contributing factor to the development of gestational diabetes.

Gestational diabetes is a condition that most often occurs in the second or third trimester of pregnancy and most health care providers suggest that pregnant women undergo a blood sugar screening test between 24 and 28 weeks of pregnancy.

Elevated blood sugar levels indicate that a woman is at an increased risk for having gestational diabetes, and an additional test is then needed to diagnose gestational diabetes. Usually, there are no symptoms in the mother, and blood sugar levels return to normal after the baby is born.

However, babies born to mothers with gestational diabetes tend to have high birth weights and have an increased risk of developing type 2 diabetes later in life. Women who have gestational diabetes are also at an increased risk for developing type 2 diabetes later.

Reutrakul and her colleagues undertook a meta-analysis of eight studies that included 17,308 pregnant women who were assessed for sleep duration and gestational diabetes. All studies used self-reported questionnaires except one which measured sleep objectively using an accelerometer.

The researchers also obtained raw individual participant data from the authors of four additional studies that included measurements of blood sugar levels and measured sleep duration objectively in 287 pregnant women with gestational diabetes for further analysis.

In their analysis of the studies, the researchers found that average sleep duration of less than six hours was associated with a 1.7 fold increase in the risk of being diagnosed with gestational diabetes.

Among participants from studies where sleep was measured objectively and where individual patient data were made available, those who slept less than 6.25 hours per night had a 2.84 fold increase in risk for having gestational diabetes compared to women who slept more than 6.25 hours per night, and also had higher blood sugar levels on their screening test.

‘This is the first meta-analysis to find that both self-reported and objectively measured short sleep duration was associated with elevated blood sugar levels in pregnancy as well as an increased risk for developing gestational diabetes,’ said Reutrakul.

‘More research is needed to confirm our findings, and to determine whether sleep extension may be beneficial in lowering the risk of gestational diabetes,’ Reutrakul added.

The opinions expressed in this article do not necessarily reflect the views of the Community and should not be interpreted as medical advice. Please see your doctor before making any changes to your diabetes management plan.

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