Dead in Bed – A systematic review of overnight deaths in type 1 diabetes

Jessica Jones; Steven James; Fran Brown; David O'Neal; Elif Ekinci

doi:10.1016/j.diabres.2022.110042

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Dead in Bed – A systematic review of overnight deaths in type 1 diabetes

Journal article

Peer reviewed

Dead in Bed – A systematic review of overnight deaths in type 1 diabetes

Jessica Jones, Steven James, Fran Brown, David O'Neal and Elif Ekinci

Diabetes Research and Clinical Practice, Vol.191, pp.1-8

2022

DOI: https://doi.org/10.1016/j.diabres.2022.110042

PMID: 36007797

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Abstract

continuous glucose monitoring

dead in bed syndrome

mortality

overnight

type 1 diabetes

Background: Type 1 diabetes is a significant, life-long condition which affects many people worldwide. One of the most feared causes of type 1 diabetes mortality, overnight mortality, often caused by the dead in bed syndrome, is largely underreported. A systematic literature search was undertaken to understand the frequency, risk factors, causes and impact that diabetes-related technologies have on overnight mortality, in this population. Methods: MEDLINE (Ovid), Embase (Ovid) and Cochrane were searched to June 2021, using defined inclusion and exclusion criteria. Quality appraisal was undertaken. Results: Overall, 26 records met the inclusion criteria. Large-scale cohort studies examined data up to 2013, and there were no studies published after 2018. The proportion of deaths attributable to the dead in bed syndrome was between 2 to 5% of deaths in children, adolescents, and young adults, with a slight decrease in proportion of dead in bed syndrome since 1991. Conclusion: Overnight mortality is occurring for people with type 1 diabetes, reported as recently as in 2018. Living alone, alcohol and illicit substances consistently appear as risk factors, and the impact of technology on overnight mortality is not fully understood, with more recent data, from larger cohort studies being required.

Details

Title: Dead in Bed – A systematic review of overnight deaths in type 1 diabetes
Authors: Jessica Jones (Author) - University of Melbourne
Steven James (Author) - University of the Sunshine Coast, Queensland, School of Nursing, Midwifery and Paramedicine - Legacy
Fran Brown (Author) - Melbourne Diabetes Education and Support
David O'Neal (Author) - University of Melbourne
Elif Ekinci (Corresponding Author) - Austin Health
Publication details: Diabetes Research and Clinical Practice, Vol.191, pp.1-8
Publisher: Elsevier Ireland Ltd.
DOI: 10.1016/j.diabres.2022.110042
ISSN: 1872-8227
PMID: 36007797
Organisation Unit: University of the Sunshine Coast, Queensland; School of Nursing, Midwifery and Paramedicine - Legacy; School of Health - Nursing
Language: English
Record Identifier: 99666998402621
Output Type: Journal article

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Collaboration types: Domestic collaboration
Web Of Science research areas: Endocrinology & Metabolism

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