OBSTRUCTIVE SLEEP APNEA AND TYPE 2 DIABETES: IS THERE A LINK?
Type 2 diabetes is a chronic illness that is increasing in epidemic proportions worldwide. Major factors contributing to the development of type 2 diabetes include obesity and poor lifestyle habits (eg. excess dietary intake and limited physical activity). Despite the proven efficacy of lifestyle in...
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doaj-6e2083aaf16a401895b359eaba93c6f42020-11-24T23:49:39ZengFrontiers Media S.A.Frontiers in Neurology1664-22952012-08-01310.3389/fneur.2012.0012631582OBSTRUCTIVE SLEEP APNEA AND TYPE 2 DIABETES: IS THERE A LINK?Sushmita ePamidi0Esra eTasali1McGill University Health CentreThe University of ChicagoType 2 diabetes is a chronic illness that is increasing in epidemic proportions worldwide. Major factors contributing to the development of type 2 diabetes include obesity and poor lifestyle habits (eg. excess dietary intake and limited physical activity). Despite the proven efficacy of lifestyle interventions and the use of multiple pharmacological agents, the economic and public health burden of type 2 diabetes remains substantial. Obstructive sleep apnea (OSA) is a treatable sleep disorder that is pervasive among overweight and obese adults, who represent about two thirds of the U.S. population today. An ever-growing number of studies have shown that OSA is associated with insulin resistance, glucose intolerance and type 2 diabetes, independent of obesity. Evidence from animal and human models that mimic OSA provides potential mechanisms for how OSA may alter glucose metabolism. Up to 83% of patients with type 2 diabetes suffer from unrecognized OSA and increasing severity of OSA is associated with worsening glucose control. However, it is still unclear whether OSA may lead to the development of diabetes over time. More data from large-scale longitudinal studies with rigorous assessments of diabetes and OSA are needed. There is still controversy whether continuous positive airway pressure (CPAP) treatment of OSA improves glucose metabolism. Large scale randomized controlled trials of CPAP treatment of OSA with well-validated assessments of insulin sensitivity and glucose tolerance are needed. These studies may reveal that OSA represents a novel, modifiable risk factor for the development of prediabetes and type 2 diabetes.http://journal.frontiersin.org/Journal/10.3389/fneur.2012.00126/fullInsulin Resistanceglycemic controldiabetesobstructive sleep apneacardiovascularCPAP |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Sushmita ePamidi Esra eTasali |
spellingShingle |
Sushmita ePamidi Esra eTasali OBSTRUCTIVE SLEEP APNEA AND TYPE 2 DIABETES: IS THERE A LINK? Frontiers in Neurology Insulin Resistance glycemic control diabetes obstructive sleep apnea cardiovascular CPAP |
author_facet |
Sushmita ePamidi Esra eTasali |
author_sort |
Sushmita ePamidi |
title |
OBSTRUCTIVE SLEEP APNEA AND TYPE 2 DIABETES: IS THERE A LINK? |
title_short |
OBSTRUCTIVE SLEEP APNEA AND TYPE 2 DIABETES: IS THERE A LINK? |
title_full |
OBSTRUCTIVE SLEEP APNEA AND TYPE 2 DIABETES: IS THERE A LINK? |
title_fullStr |
OBSTRUCTIVE SLEEP APNEA AND TYPE 2 DIABETES: IS THERE A LINK? |
title_full_unstemmed |
OBSTRUCTIVE SLEEP APNEA AND TYPE 2 DIABETES: IS THERE A LINK? |
title_sort |
obstructive sleep apnea and type 2 diabetes: is there a link? |
publisher |
Frontiers Media S.A. |
series |
Frontiers in Neurology |
issn |
1664-2295 |
publishDate |
2012-08-01 |
description |
Type 2 diabetes is a chronic illness that is increasing in epidemic proportions worldwide. Major factors contributing to the development of type 2 diabetes include obesity and poor lifestyle habits (eg. excess dietary intake and limited physical activity). Despite the proven efficacy of lifestyle interventions and the use of multiple pharmacological agents, the economic and public health burden of type 2 diabetes remains substantial. Obstructive sleep apnea (OSA) is a treatable sleep disorder that is pervasive among overweight and obese adults, who represent about two thirds of the U.S. population today. An ever-growing number of studies have shown that OSA is associated with insulin resistance, glucose intolerance and type 2 diabetes, independent of obesity. Evidence from animal and human models that mimic OSA provides potential mechanisms for how OSA may alter glucose metabolism. Up to 83% of patients with type 2 diabetes suffer from unrecognized OSA and increasing severity of OSA is associated with worsening glucose control. However, it is still unclear whether OSA may lead to the development of diabetes over time. More data from large-scale longitudinal studies with rigorous assessments of diabetes and OSA are needed. There is still controversy whether continuous positive airway pressure (CPAP) treatment of OSA improves glucose metabolism. Large scale randomized controlled trials of CPAP treatment of OSA with well-validated assessments of insulin sensitivity and glucose tolerance are needed. These studies may reveal that OSA represents a novel, modifiable risk factor for the development of prediabetes and type 2 diabetes. |
topic |
Insulin Resistance glycemic control diabetes obstructive sleep apnea cardiovascular CPAP |
url |
http://journal.frontiersin.org/Journal/10.3389/fneur.2012.00126/full |
work_keys_str_mv |
AT sushmitaepamidi obstructivesleepapneaandtype2diabetesistherealink AT esraetasali obstructivesleepapneaandtype2diabetesistherealink |
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