Can a sleep therapy program help control blood sugar in older diabetes patients?
NCT ID NCT04831385
First seen Sep 11, 2026 · Last updated Sep 11, 2026
Summary
Researchers are testing whether cognitive behavioral therapy for insomnia (CBT-I) can improve blood sugar control in older Chinese adults with type 2 diabetes and insomnia. The trial compares CBT-I to usual care in 214 participants aged 60 and older. They will measure changes in HbA1c, sleep quality, mood, and thinking over time.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Cognitive behavioral therapy for insomnia (CBT-I), a structured program that changes sleep habits and thoughts
- What this could lead to
- If CBT-I helps, it could offer a non-drug way to improve blood sugar and sleep in older adults with type 2 diabetes and insomnia.
- What could go wrong
- This is a single study in one ethnic group, so results may not apply to everyone. CBT-I requires effort and may not work for all sleep problems.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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214 people
The number who actually took part.
- Started
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May 2022
- Finished
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Jul 2026
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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60 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Aged ≥60 years; 2. T2D with suboptimal glycemic control defined as HbA1c 7.1-10%; 3. Chinese ethnicity; 4. Comorbid with insomnia having ISI score \>10; 5. Able and willing to give informed written consent Exclusion criteria: 1. Cognitive impairment (HK-MoCA score of ≤22); 2. Depression (GDS-15 score \>8) and other psychiatric disorders e.g. generalized anxiety disorder, restless leg syndrome, schizophrenia to be elucidated by history from research nurse and questionnaires; 3. Benign prostatic hypertrophy by history and/or elevated PSA and any other chronic medical condition that is likely to affect sleep e.g. chronic pain; 4. Concurrent use of hypnotic drugs, psychotic medications and any drugs that are known to affect sleep; 5. Cerebrovascular accidents, vascular dementia, or any condition that are known to affect cognitive function; 6. Shift workers; 7. Haemoglobinopathies, renal failure, need of regular blood transfusion or any other conditions which will affect the validity of HbA1c in measurement of glycemia; 8. Any condition, as judged by the investigators, as ineligible to participate in this study.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Department of Medicine and Therapeutics, The Chinese University of Hong Kong (CUHK), Ward 3M, Diabetes and Endocrine Research Centre, 3/F Day Treatment Block and Children Wards (Old Block), Prince of Wales Hospital
Hong Kong, Hong Kong
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