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Strong Relationship between Diabetes and Obstructive Sleep Apnea

Diabetes joins hypertension as a major risk factor for sleep apnea….

A cross-sectional study examined the relationship between obstructive sleep apnea (OAS) and type 2 diabetes (T2DM), and risk factors (obesity, hypertension, and impaired glucose tolerance). Research questionnaires including sociodemographic information, medical records, medications and hemoglobin A1C were completed by 297 participants with T2DM from a university-based Family Medicine Center. Berlin Questionnaire was used to determine OSA risk in participants. The results of the data were evaluated by bivariate analyses and covariate adjusted logistic regression models.

Of 297 T2DM participants, 37 participants had OSA and 124 remaining participants were at high risk of OSA according to the Berlin Questionnaire. Participants with symptoms of depression had a higher risk of OSA. However, glycemic control ( HB1Ac) and gender were not associated with risk of OSA.

In conclusion, patients with type 2 diabetes have a higher risk of obstructive sleep apnea compared to the general population. Berlin Questionnaire is a beneficial tool that should be commonly used to assess T2DM patients for OAS.

Cass AR, Alonso WJ, Islam J, Weller SC. Risk of obstructive sleep apnea in patients with type 2 diabetes mellitus. Fam Med. 2013 Jul-Aug;45(7):492-500