The study of the effect of C-PAP therapy in type-II diabetic patients with obesity and obstructive sleep apnea

P. Sarkar, Arun Kumar, K. Gopal, Poonam Kachhawa, Seema Singh
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Abstract

Type II diabetes mellitus (T2DM) is closely associated with Obstructive sleep apnea (OSA) and obesity. Type 2 diabetes and OSA may be pathophysiologically independent conditions although the joint association with obesity or visceral adiposity. There is a consistent relationship between obesity and OSA, which has been reported in 60-90% of OSA patients. The prevalence of obesity increases with a parallel increase in the prevalence of OSA. Continuous positive airway pressure (CPAP) therapy is an effective choice of treatment for OSA, an overnight test, or titration some patients may reduce apnea events by minimizes airway collapse by CPAP. Several studies showed that the effect of drug treatment with 3 months of C-PAP in patients with type 2 diabetes. In the present study, we include 300 patients in different groups, out of the 100 patients undergoing treatment of CPAP therapy minimum for three months. Blood sugar, HbA1c, and lipid profile were measured and an overnight sleep study was done. The obtained data shows the significant effect of therapy on physiological and biochemical parameters. AHI and BMI were highly significant in group II and Group III when compared to group I. FBS, HbA1C, and Lipid profile parameters also gave significance results (p-value <0.001) in group II and group III when compared with healthy subjects (group I).
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C-PAP治疗ii型糖尿病合并肥胖和阻塞性睡眠呼吸暂停的疗效研究
2型糖尿病(T2DM)与阻塞性睡眠呼吸暂停(OSA)和肥胖密切相关。2型糖尿病和阻塞性睡眠呼吸暂停可能是病理生理上独立的疾病,尽管它们与肥胖或内脏脂肪相关。肥胖与阻塞性睡眠呼吸暂停之间存在一致的关系,据报道,60-90%的阻塞性睡眠呼吸暂停患者存在这种关系。肥胖的患病率随着OSA患病率的增加而增加。持续气道正压(CPAP)治疗是治疗阻塞性睡眠呼吸暂停的有效选择,通过夜间试验或滴定,一些患者可以通过CPAP最小化气道塌陷来减少呼吸暂停事件。多项研究表明,2型糖尿病患者采用3个月的C-PAP药物治疗效果较好。在本研究中,我们从100例接受CPAP治疗至少3个月的患者中选取了300例不同组的患者。测量了血糖、糖化血红蛋白(HbA1c)和血脂,并进行了夜间睡眠研究。所获得的数据表明,治疗对生理生化参数有显著影响。与健康受试者(I组)相比,II组和III组的AHI和BMI均有显著性差异。与I组相比,II组和III组的FBS、HbA1C和血脂参数也有显著性差异(p值<0.001)。
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