Obstructive sleep apnoea and Type 2 diabetes mellitus: are they connected?
| Autor: | Choon How How, Yingjuan Mok, Hang Siang Wong, Kah Leong Alvin Tan, Chee Wei Tan, Pon Poh Hsu |
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| Rok vydání: | 2017 |
| Předmět: |
Pediatrics
medicine.medical_specialty medicine.medical_treatment Comorbidity 03 medical and health sciences 0302 clinical medicine stomatognathic system Risk Factors Weight loss Practice Integration & Lifelong Learning Diabetes mellitus Weight Loss Prevalence medicine Humans Obesity 030212 general & internal medicine Continuous positive airway pressure Sleep study Risk factor Sleep Apnea Obstructive Continuous Positive Airway Pressure business.industry Type 2 Diabetes Mellitus 030206 dentistry General Medicine medicine.disease nervous system diseases respiratory tract diseases Diabetes Mellitus Type 2 Cardiovascular Diseases medicine.symptom business |
| Zdroj: | Singapore Medical Journal. 58:179-183 |
| ISSN: | 0037-5675 |
| DOI: | 10.11622/smedj.2017027 |
| Popis: | Obstructive sleep apnoea (OSA), a sleep-related breathing condition, is diagnosed based on a patient’s apnoea-hypopnea index from a sleep study, and the presence or absence of symptoms. Diabetes mellitus (DM) and OSA share a significant common risk factor, obesity, with all three conditions contributing to the risk of developing cardiovascular diseases. The pathophysiological links between OSA and DM are still unclear, but intermittent hypoxia may be an important mechanism. More awareness of the possible link between OSA and DM is needed, given their increasing prevalence locally and worldwide. Continuous positive airway pressure is the standard treatment for OSA, while weight loss through dietary and lifestyle modifications is important to holistically manage patients with either condition. There is currently insufficient evidence to support the benefits of screening every diabetic patient for OSA. However, diabetic patients with symptoms suggestive of OSA should be referred to a sleep specialist for further evaluation. |
| Databáze: | OpenAIRE |
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