Background: Much less research has been done on technology usage at night after nine pm and its relationship with glycemic control among diabetic patients especially Jordanian adolescents with type 1 diabetes mellitus. However, a study was conducted among Turkish adolescents with type 1 diabetes found that daily electronic media use was higher among adolescents with poor glycemic control.

Objective: Examining the relationship between night time technology use index after nine pm and HbA1c levels among adolescents with type 1 diabetes. 

Methods: A cross-sectional study was conducted including 96 adolescents with type 1 diabetes, aged 13 to 18 years, who were selected from three public hospitals and one university hospital in Jordan. A modified self-administered questionnaire was used, which called Adolescent Sleep, Caffeine Intake and Technology Use (ASCT) tool. Descriptive analysis was done to describe sample characteristics and the pairwise Pearson correlation was applied to determine the association among the technology use index and HbA1c levels.

Results: Out of 190 participants, 96 adolescents having type 1 diabetes mellitus participated in the research which was conducted within the time frame of May 18, 2021, and October 18, 2021. The mean age was 14.7±1.7 years old. The HbA1c level had a mean value of 9.3% with a ±2.3% deviation. The findings revealed that the technology use index was correlated with glycemic control (r= 0.22, p= 0.03). 

Conclusion: This study highlights a significant relationship between increased night-time technology use and poorer glycemic control among Jordanian adolescents with type 1 diabetes. These findings underscore the need for raising awareness among adolescents and healthcare providers. Future research, including experimental and longitudinal studies, are recommended to further explore the impact of nighttime technology use on diabetes management and to support its integration into clinical counseling and care strategies.