Characterization of sleep breathing pattern in patients with type 2 diabetes: sweet sleep study

PloS One
Albert LecubeRafael Simó

Abstract

Although sleep apnea-hypopnea syndrome (SAHS) is highly prevalent in patients with type 2 diabetes (T2D), it is unknown whether or not subjects with and without T2D share the same sleep breathing pattern. A cross-sectional study in patients with SAHS according to the presence (n = 132) or not (n = 264) of T2D. Both groups were matched by age, gender, BMI, and waist and neck circumferences. A subgroup of 125 subjects was also matched by AHI. The exclusion criteria included chronic respiratory disease, alcohol abuse, use of sedatives, and heart failure. A higher apnea hypopnea index (AHI) was observed in T2D patients [32.2 (10.2-114.0) vs. 25.6 (10.2-123.4) events/hours; p = 0.002). When sleep events were evaluated separately, patients with T2D showed a significant increase in apnea events [8.4 (0.1-87.7) vs. 6.3 (0.0-105.6) e/h; p = 0.044), as well as a two-fold increase in the percentage of time spent with oxygen saturation <90% [15.7 (0.0-97.0) vs. 7.9 (0.0-95.6) %; <0.001)], higher rates of oxygen desaturation events, and also higher daily sleepiness [7.0 (0.0-21.0) vs. 5.0 (0.0-21.0); p = 0.006)] than subjects without T2D. Significant positive correlations between fasting plasma glucose and AHI, the apnea events, and CT90 we...Continue Reading

References

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Citations

Apr 26, 2017·Endocrinología, Diabetes Y Nutrición·Albert LecubeRafael Simó
May 22, 2017·Chest·Sirimon Reutrakul, Babak Mokhlesi
Nov 25, 2017·Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova·D I Burchakov, A Yu Mayorov
Sep 25, 2017·Endocrine Reviews·Albert LecubeFerran Barbé
Jun 10, 2016·Diabetic Medicine : a Journal of the British Diabetic Association·A LecubeR Simó
Jun 19, 2018·Frontiers in Endocrinology·Tamara S HannonSilva A Arslanian
Apr 9, 2020·Journal of Clinical Medicine·Liliana Gutiérrez-CarrasquillaAlbert Lecube
Apr 23, 2020·Nigerian Medical Journal : Journal of the Nigeria Medical Association·Victor Aniedi UmohEyo Effiong Ekpe

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