For the first time, the latest American Diabetes Association/European Association for the Study of Diabetes (ADA/EASD) consensus guidelines have incorporated a growing body of evidence linking health outcomes associated with type 2 diabetes to the movement behavior composition over the whole 24-h day. Of particular note, the importance of sleep as a key lifestyle component in the management of type 2 diabetes is promulgated and presented using three key constructs: quantity, quality, and timing (i.e., chronotype). In this narrative review we highlight some of the key evidence justifying the inclusion of sleep in the latest consensus guidelines by examining the associations of quantity, quality, and timing of sleep with measures of glycemia, cardiovascular disease risk, and mortality. We also consider potential mechanisms implicated in the association between sleep and type 2 diabetes and provide practical advice for health care professionals about initiating conversations pertaining to sleep in clinical care. In particular, we emphasize the importance of measuring sleep in a free-living environment and provide a summary of the different methodologies and targets. In summary, although the latest ADA/EASD consensus report highlights sleep as a central component in the management of type 2 diabetes, placing it, for the first time, on a level playing field with other lifestyle behaviors (e.g., physical activity and diet), the evidence base for improving sleep (beyond sleep disorders) in those living with type 2 diabetes is limited. This review should act as a timely reminder to incorporate sleep into clinical consultations, ongoing diabetes education, and future interventions.

中文翻译：

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认识睡眠在 2 型糖尿病管理中的重要性：叙述回顾

最新的美国糖尿病协会/欧洲糖尿病研究协会 (ADA/EASD) 共识指南首次纳入了越来越多的证据，将 2 型糖尿病相关的健康结果与整个 24 小时内的运动行为构成联系起来。 h 天。特别值得注意的是，睡眠作为 2 型糖尿病管理中关键生活方式组成部分的重要性是通过三个关键结构来阐述和呈现的：数量、质量和时间（即时间型）。在这篇叙述性综述中，我们通过检查睡眠的数量、质量和时间与血糖、心血管疾病风险和死亡率指标之间的关系，强调了证明将睡眠纳入最新共识指南的一些关键证据。我们还考虑睡眠与 2 型糖尿病之间关联的潜在机制，并为医疗保健专业人员提供有关在临床护理中启动有关睡眠的对话的实用建议。我们特别强调在自由生活环境中测量睡眠的重要性，并总结了不同的方法和目标。总之，尽管最新的 ADA/EASD 共识报告强调睡眠是 2 型糖尿病管理的核心组成部分，但首次将睡眠与其他生活方式行为（例如体力活动和饮食）置于同一水平上，改善 2 型糖尿病患者睡眠（超越睡眠障碍）的证据基础有限。这篇综述应该及时提醒人们将睡眠纳入临床咨询、持续的糖尿病教育和未来的干预措施中。