Cited by 142Obstructive Sleep Apnea ResearchSleep and related disordersDiabetes Treatment and Management

The effect of continuous positive airway pressure on glucose control in diabetic patients with severe obstructive sleep apnea

Hassaballa, Hesham A., Tulaimat, Aiman, Herdegen, James J., Mokhlesi, Babak·2005·Sleep And Breathing

Abstract

Obstructive sleep apnea (OSA) is independently associated with glucose intolerance and insulin resistance, and recent studies have shown that continuous positive airway pressure (CPAP) improves insulin sensitivity. The objective of this study was to describe the change in glycosylated hemoglobin (HbA1c) after treatment with CPAP in patients with type 2 diabetes mellitus and OSA. To test this hypothesis, we performed a retrospective analysis of 38 patients seen in the sleep clinic of an urban public teaching hospital. All patients had OSA and type 2 diabetes mellitus, and their diabetic medication regimen had remained unchanged during the period of CPAP therapy. Sixty-one percent were men, body mass index was 42+/-9.5 kg/m(2), and the Apnea-Hypopnea Index was 53+/-36 per hour. HbA1c before therapy with CPAP was 7.8+/-1.4% and decreased to 7.3+/-1.3% after 134+/-119 days of therapy (p<0.001). Treatment with CPAP leads to a clinically significant drop in HbA1c in patients with type 2 diabetes mellitus and severe OSA.

Integrity signals

Registry

Crossref · 10.1007/s11325-005-0033-y

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26 of 26 references verified0 citation errors · 0 not checkable

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  • Improvement in glycemic control has been demonstrated after 3 months of CPAP use, with improvement related to number of hours of nightly CPAP use.

    “Improvement in glycemic control has been demonstrated after 3 months of CPAP use, with improvement related to number of hours of nightly CPAP use(107, 108).”

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Authors
Hassaballa, H. A., Tulaimat, A., Herdegen, J. J., & Mokhlesi, B.
Affiliations
  • Rush University Medical Center (US)
  • John H. Stroger, Jr. Hospital of Cook County (US)
Corresponding author
Tulaimat, Aiman
Venue
Sleep And Breathing
Published
2005-11-08
Volume
9
Issue
4
Pages
176-180
ISSN
  • 1520-9512 (ISSN-L)
  • 1522-1709
OpenAlex
W2091933728
Cited by
142
References
26
Citations by year
2026: 3 · 2025: 2 · 2023: 2 · 2022: 4 · 2021: 2 · 2020: 3 · 2019: 3 · 2018: 5 · 2017: 5 · 2016: 11 · 2015: 17 · 2014: 10 · 2013: 8 · 2012: 14
FWCI
4.59
Type
journal article
Language
en
Open access
closed
Locations
  • Sleep And Breathing (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Physiology › Obstructive Sleep Apnea Research
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Treatment and Management
Keywords
continuous positive airway pressure, obstructive sleep apnea, type 2 diabetes, glycemic control, HbA1c, insulin resistance, impaired glucose tolerance, CPAP therapy
MeSH terms
Blood Glucose, Diabetes Mellitus, Female, Humans, Male, Middle Aged, Retrospective Studies, Severity of Illness Index, Body Mass Index, Sleep Apnea, Obstructive, Continuous Positive Airway Pressure

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