Obstructive sleep apnea as a risk factor for type 2 diabetes mellitus
Preethi Rajan, Harly Greenberg Division of Pulmonary, Critical Care and Sleep Medicine, Department of Medicine, Hofstra-North Shore LIJ School of Medicine, New Hyde Park, NY, USA Abstract: Obstructive sleep apnea (OSA) is independently associated with cardiovascular and cardiometabolic risk in sever...
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Dove Medical Press
2015
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oai:doaj.org-article:a55750ab71bc4518922579836c8478522021-12-02T02:42:44ZObstructive sleep apnea as a risk factor for type 2 diabetes mellitus1179-1608https://doaj.org/article/a55750ab71bc4518922579836c8478522015-10-01T00:00:00Zhttps://www.dovepress.com/obstructive-sleep-apnea-as-a-risk-factor-for-type-2-diabetes-mellitus-peer-reviewed-article-NSShttps://doaj.org/toc/1179-1608Preethi Rajan, Harly Greenberg Division of Pulmonary, Critical Care and Sleep Medicine, Department of Medicine, Hofstra-North Shore LIJ School of Medicine, New Hyde Park, NY, USA Abstract: Obstructive sleep apnea (OSA) is independently associated with cardiovascular and cardiometabolic risk in several large epidemiologic studies. OSA leads to several physiologic disturbances such as intermittent hypoxia, sleep fragmentation, and increase in autonomic tone. These disturbances have been associated with insulin resistance and type 2 diabetes mellitus (T2DM) in animal and human studies. Studies also suggest a bidirectional relationship between OSA and T2DM whereby T2DM itself might contribute to the features of OSA. Moreover, successful treatment of OSA may reduce these risks, although this is controversial. The purpose of this article is to review 1) the links and bidirectional associations between OSA and T2DM; 2) the pathogenic mechanisms that might link these two disease states; 3) the role of continuous positive airway pressure therapy in improving glucose tolerance, sensitivity, and resistance; and 4) the implications for clinical practice. Keywords: Insulin resistance, metabolic syndrome, sleep disordered breathing, intermittent hypoxiaRajan PGreenberg HDove Medical PressarticlePsychiatryRC435-571Neurophysiology and neuropsychologyQP351-495ENNature and Science of Sleep, Vol 2015, Iss default, Pp 113-125 (2015) |
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Psychiatry RC435-571 Neurophysiology and neuropsychology QP351-495 |
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Psychiatry RC435-571 Neurophysiology and neuropsychology QP351-495 Rajan P Greenberg H Obstructive sleep apnea as a risk factor for type 2 diabetes mellitus |
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Preethi Rajan, Harly Greenberg Division of Pulmonary, Critical Care and Sleep Medicine, Department of Medicine, Hofstra-North Shore LIJ School of Medicine, New Hyde Park, NY, USA Abstract: Obstructive sleep apnea (OSA) is independently associated with cardiovascular and cardiometabolic risk in several large epidemiologic studies. OSA leads to several physiologic disturbances such as intermittent hypoxia, sleep fragmentation, and increase in autonomic tone. These disturbances have been associated with insulin resistance and type 2 diabetes mellitus (T2DM) in animal and human studies. Studies also suggest a bidirectional relationship between OSA and T2DM whereby T2DM itself might contribute to the features of OSA. Moreover, successful treatment of OSA may reduce these risks, although this is controversial. The purpose of this article is to review 1) the links and bidirectional associations between OSA and T2DM; 2) the pathogenic mechanisms that might link these two disease states; 3) the role of continuous positive airway pressure therapy in improving glucose tolerance, sensitivity, and resistance; and 4) the implications for clinical practice. Keywords: Insulin resistance, metabolic syndrome, sleep disordered breathing, intermittent hypoxia |
format |
article |
author |
Rajan P Greenberg H |
author_facet |
Rajan P Greenberg H |
author_sort |
Rajan P |
title |
Obstructive sleep apnea as a risk factor for type 2 diabetes mellitus |
title_short |
Obstructive sleep apnea as a risk factor for type 2 diabetes mellitus |
title_full |
Obstructive sleep apnea as a risk factor for type 2 diabetes mellitus |
title_fullStr |
Obstructive sleep apnea as a risk factor for type 2 diabetes mellitus |
title_full_unstemmed |
Obstructive sleep apnea as a risk factor for type 2 diabetes mellitus |
title_sort |
obstructive sleep apnea as a risk factor for type 2 diabetes mellitus |
publisher |
Dove Medical Press |
publishDate |
2015 |
url |
https://doaj.org/article/a55750ab71bc4518922579836c847852 |
work_keys_str_mv |
AT rajanp obstructivesleepapneaasariskfactorfortype2diabetesmellitus AT greenbergh obstructivesleepapneaasariskfactorfortype2diabetesmellitus |
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1718402242876276736 |