SDB is common among patients with type 2 diabetes1 and is independently associated with glucose intolerance2, insulin resistance2, 3, and metabolic syndrome4.
However, despite the number of type 2 diabetes patients with SDB, sleep apnea largely goes undiagnosed.5
Screen your patients for type 2 diabetes and SDB
As a result of accumulated research, the International Diabetes Federation (IDF) recognises the association between type 2 diabetes and sleep apnea, and recommends routinely screening OSA patients for type 2 diabetes, and considering the possibility of OSA in all type 2 diabetes patients.6
Aronsohn RS, et al. Impact of untreated obstructive sleep apnea on glucose control in type 2 diabetes. Am J Respir Crit Care Med. 2010, 181(5):507-13.
Punjabi NM, et al. Alterations in glucose disposal in sleep-disordered breathing. Am J Respir Crit Care Med., 179(3):235-40 3. Coughlin SR et al. Obstructive sleep apnoea is independently associated with an increased prevalence of metabolic syndrome. Eur Heart J 2004, 25:735-741.
Coughlin SR et al. Obstructive sleep apnoea is independently associated with an increased prevalence of metabolic syndrome. Eur Heart J 2004, 25:735-741.
T. Young, L. Evans, L. Finn, et al., Estimation of the clinically diagnosed proportion of sleep apnea syndrome in middle-aged men and women, Sleep 20 (1997) 705–706.
Sleep-disordered breathing and type 2 diabetes. A report from the International Diabetes Federation Taskforce on Epidemiology and Prevention. Jonathan E. Shaw, Naresh M. Punjabi, John P. Wilding, K. George M.M. Alberti, Paul Z. Zimmet. Diabetes Research and Clinical Practice 81 (2008) 2–12