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Diabetes Mellitus and Sleep Disordered Breathing

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Prof (Dr) Nibedita Pani, Cuttack    31 January 2018

snoring, upper airway resistance syndrome, sleep apnea. Sleep apnea can be obstructive, central or mix. OSA is the most common SDB with a prevalence of 2-4% in the general population. About 40% of people with OSA have T2DM and prevalence of OSA in diabetic patients is 23%. OSA increases the severity of T2DM independent of age and obesity. Treatment with CPAP reduces IR and improves glycemic control, thereby indicating a close relationship between diabetes and OSA. We should also consider the use of various exercises, behavioral modifications, yoga and other advanced modalities like adaptive servo-ventilation, oral appliances, etc., available in our armamentarium today and various minimally invasive in-office procedures to alleviate the complications of SDB as well as diabetes mellitus in the long run.

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