Actively Recruiting

Phase Not Applicable
Age: 14Years - 19Years
All Genders
NCT06627504

Type 1 Diabetes REst for Metabolic Health

Led by University of Colorado, Denver · Updated on 2025-08-26

50

Participants Needed

1

Research Sites

211 weeks

Total Duration

On this page

Sponsors

U

University of Colorado, Denver

Lead Sponsor

N

National Heart, Lung, and Blood Institute (NHLBI)

Collaborating Sponsor

AI-Summary

What this Trial Is About

Research has shown a link between poor sleep health and late circadian timing with cardiometabolic health in adolescents with type 1 diabetes (T1D). Cardiovascular disease (CVD) is the leading cause of morbidity and mortality in T1D, which begins as early as adolescence, and current therapies are limited. Therefore, this study plans to investigate whether cardiometabolic health can be improved with increased sleep duration and advanced circadian timing in adolescents with T1D with habitually insufficient sleep. To answer this question, investigators will study adolescents with T1D who get \<7h sleep on school nights and measure changes in insulin sensitivity, glycemic control, and vascular function after one month of a sleep and circadian intervention (1+ hour longer time in bed each night plus evening melatonin and morning light therapy) compared to one month of typical sleep (usual school schedule).

CONDITIONS

Official Title

Type 1 Diabetes REst for Metabolic Health

Who Can Participate

Age: 14Years - 19Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • High school students between the ages of 14-19 years
  • Diagnosed with T1D for 1 year
  • Using an insulin pump or other automated insulin delivery system
  • Have typically insufficient sleep, defined by 4 hours per night on school days (assessed by actigraphy)
  • With or at risk for obesity based on either above-average weight (BMI 50th percentile) or parental history of obesity (BMI 30 kg/m2)
  • Tanner stage 4 or 5, based on breast development for girls and testicular size for boys
Not Eligible

You will not qualify if you...

  • Prior diagnosis of a sleep disorder (e.g., insomnia, obstructive sleep apnea) or an elevated screening score on the OSA subscale of the Sleep Disorders Inventory for Students-Adolescents measure
  • Regular use of medications affecting sleep (e.g., stimulants, atypical antipsychotics, melatonin or other sleep aids)
  • Regular use of medications affecting insulin resistance (systemic steroids, adjunctive diabetes medications)
  • Hemoglobin A1c (HbA1c) 12%
  • Severe illness or diabetic ketoacidosis within 60 days
  • IQ less than 70 or severe mental illness impacting sleep or ability to participate in the study
  • Night-shift employment or other obligations that would prevent following the intervention

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 1 location

1

Children's Hospital Colorado

Aurora, Colorado, United States, 80045

Actively Recruiting

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Research Team

A

Angel Bernard, BS

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

RANDOMIZED

Model

CROSSOVER

Primary Purpose

TREATMENT

Number of Arms

2

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