Cited by 667Obstructive Sleep Apnea ResearchSleep and related disordersNeuroscience of respiration and sleep

Obstructive Sleep Apnea and Diabetes

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Reutrakul, Sirimon, Mokhlesi, Babak·2017·Chest

Abstract

OSA is a chronic treatable sleep disorder and a frequent comorbidity in patients with type 2 diabetes. Cardinal features of OSA, including intermittent hypoxemia and sleep fragmentation, have been linked to abnormal glucose metabolism in laboratory-based experiments. OSA has also been linked to the development of incident type 2 diabetes. The relationship between OSA and type 2 diabetes may be bidirectional in nature given that diabetic neuropathy can affect central control of respiration and upper airway neural reflexes, promoting sleep-disordered breathing. Despite the strong association between OSA and type 2 diabetes, the effect of treatment with CPAP on markers of glucose metabolism has been conflicting. Variability with CPAP adherence may be one of the key factors behind these conflicting results. Finally, accumulating data suggest an association between OSA and type 1 diabetes as well as gestational diabetes. This review explores the role of OSA in the pathogenesis of type 2 diabetes, glucose metabolism dysregulation, and the impact of OSA treatment on glucose metabolism. The association between OSA and diabetic complications as well as gestational diabetes is also reviewed.

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Crossref · 10.1016/j.chest.2017.05.009

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Authors
Reutrakul, S., & Mokhlesi, B.
Affiliations
  • Mahidol University (TH)
  • University of Chicago (US)
Corresponding author
Mokhlesi, Babak
Venue
Chest
Publisher
Elsevier BV
Published
2017-11
Volume
152
Issue
5
Pages
1070-1086
ISSN
0012-3692 (ISSN-L)
OpenAlex
W2735970289
Cited by
667
References
130
Citations by year
2026: 65 · 2025: 104 · 2024: 108 · 2023: 89 · 2022: 91 · 2021: 75 · 2020: 50 · 2019: 42 · 2018: 42 · 2017: 1
FWCI
4.53
Type
journal article
Language
en
Open access
Locations
  • CHEST Journal (publishedVersion)
  • Europe PMC (PubMed Central) (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • Novo Nordisk
  • Sanofi
  • Medtronic
  • National Institutes of Health (R01HL119161)
  • Merck Sharp and Dohme
Topics
  • Health Sciences › Medicine › Physiology › Obstructive Sleep Apnea Research
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
  • Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Neuroscience of respiration and sleep
Keywords
obstructive sleep apnea, type 2 diabetes, type 1 diabetes, gestational diabetes mellitus, intermittent hypoxemia, sleep fragmentation, glucose metabolism, CPAP therapy, CPAP adherence, diabetic neuropathy, sleep-disordered breathing, diabetes complications
MeSH terms
Diabetes Mellitus, Type 2, Humans, Preventive Medicine, Risk Factors, Global Health, Comorbidity, Prevalence, Sleep Apnea, Obstructive

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