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The Relationship and Potential Mechanistic Pathways Between Sleep Disturbances and Maternal Hyperglycemia

  • Diabetes and Pregnancy (CJ Homko, Section Editor)
  • Published:
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Abstract

This paper reviews recent work investigating the influence of sleep disturbances on maternal hyperglycemia, particularly gestational diabetes mellitus (GDM). The incidence and prevalence of hyperglycemia are increasing worldwide, which is cause for concern because GDM and even mild hyperglycemia are associated with adverse pregnancy outcomes. A better understanding of sleep-related risk factors for maternal hyperglycemia is an important health matter. Evidence demonstrates associations between sleep disturbances, especially sleep-disordered breathing, and hyperglycemia, but causal effects and the underlying mechanisms linking these conditions have not been fully elucidated. Subjective sleep assessments show associations between sleep disturbances and maternal hyperglycemia. There are, however, few studies using objective measures to support these findings. Large prospective studies are required to examine causal relationships between sleep disturbances and maternal hyperglycemia. There is also a need for smaller mechanistic studies to understand the pathophysiology. Furthermore, interventional studies are required to address whether improvement of sleep parameters can prevent/decrease the risk of developing maternal hyperglycemia. Taken together, the data suggests that sleep disturbances during pregnancy are important to identify and manage in order to minimize maternal hyperglycemia and GDM, and improve maternal and fetal well-being.

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Bilgay Izci-Balserak declares that he has no conflict of interest. Grace W. Pien declares that she has no conflict of interest.

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Authors and Affiliations

  1. Center for Sleep and Circadian Neurobiology, Perelman School of Medicine, University of Pennsylvania, 3624 Market Street, Suite 205, Philadelphia, PA, 19104, USA

    Bilgay Izci-Balserak

  2. Division of Sleep Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA

    Bilgay Izci-Balserak

  3. School of Nursing, University of Pennsylvania, Philadelphia, PA, USA

    Bilgay Izci-Balserak

  4. Division of Pulmonary and Critical Care Medicine, Department of Medicine, John Hopkins University School of Medicine, Baltimore, MD, USA

    Grace W. Pien

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  1. Bilgay Izci-Balserak
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Correspondence to Bilgay Izci-Balserak.

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This article is part of the Topical Collection on Diabetes and Pregnancy

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Izci-Balserak, B., Pien, G.W. The Relationship and Potential Mechanistic Pathways Between Sleep Disturbances and Maternal Hyperglycemia. Curr Diab Rep 14, 459 (2014). https://doi.org/10.1007/s11892-013-0459-8

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