Obstructive Sleep Apnea
Abstract
Obstructive sleep apnea (OSA) is prevalent with type 2 diabetes. Conversely, nondiabetic patients with OSA are at increased risk of developing insulin resistance and diabetes. These disorders independently contribute to increased cardiovascular and cerebrovascular morbidity and mortality. The pathophysiology of OSA may help explain these associations. Evidence demonstrates that treatment of OSA with continuous positive airway pressure may lead to improvement in insulin sensitivity, hemoglobin A1c, systemic hypertension, and other components of the metabolic syndrome. Recognizing and treating OSA in patients with insulin resistance or diabetes ameliorates OSA-related symptoms and improves cardiometabolic risk.
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The odds for the presence of metabolic syndrome in OSA ranges from five to nine fold compared to individuals without OSA.
“The odds for the presence of MetS in OSA ranges from five to nine fold when compared to individuals without OSA.(94)”
From Sleep: important considerations for the prevention of cardiovascular disease (2016) · cites this paper as [94]
The prevalence of OSA in patients with a history of diabetes mellitus ranges from 58-87%.
“The prevalence of OSA in patients with history of diabetes mellitus (DM) ranges from 58-87%.(94)”
From Sleep: important considerations for the prevention of cardiovascular disease (2016) · cites this paper as [94]
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- Authors
- Morgenstern, M., Wang, J., Beatty, N., Batemarco, T., Sica, A. L., & Greenberg, H.
- Affiliations
- Northwell Health (US)
- Corresponding author
- Greenberg, Harly
- Venue
- Endocrinology and Metabolism Clinics of North America
- Publisher
- Elsevier BV
- Published
- 2014-03
- Volume
- 43
- Issue
- 1
- Pages
- 187-204
- ISSN
- 0889-8529 (ISSN-L)
- OpenAlex
- W1767473471
- Cited by
- 76
- References
- 84
- Citations by year
- 2026: 4 · 2025: 5 · 2024: 10 · 2023: 6 · 2022: 5 · 2021: 4 · 2020: 5 · 2019: 5 · 2018: 3 · 2017: 4 · 2016: 10 · 2015: 10 · 2014: 5
- FWCI
- 0.90
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Endocrinology and Metabolism Clinics of North America (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 › Pharmacology › Apelin-related biomedical research
- Keywords
- obstructive sleep apnea, type 2 diabetes, insulin resistance, continuous positive airway pressure, metabolic syndrome, cardiovascular risk, cerebrovascular risk, HbA1c, hypertension, cardiometabolic risk
- MeSH terms
- Diabetes Mellitus, Type 2, Humans, Insulin Resistance, Comorbidity, Sleep Apnea, Obstructive
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