Sleep apnea and diabetes - the link

Sleep apnea and diabetes - the link

Another reason to lose weight - Being overweight can not only increase the individual's likelihood of developing obstructive sleep apnea (OSA), but also to develop type 2 diabetes. Excess fat around a sleeping throat and mouth press down the airways and block them. When the air is cut off, an extremely loud noise is produced that often awakes the sleeper. This leads to very disturbed sleep, which can lead to decreased activity levels that can aggravate type 2 diabetes. Even if a person does not wake up completely, the usual interruptions of oxygen flow have occurred.

OSA is not only painful for the patient, but for someone who needs to live with the patient. Unlike most snoring, OSA is noted for its volume. The sudden gagging or choking sound that may not wake the author will certainly wake up some house guests or bedroom partners. Some OSA patients are so high that they can be heard in every room in a house. This stigmatizes the OSA patient, even among family and friends, which can discourage a patient from trying to lose weight. But getting fat is an even worse option.

In the October 2009 edition of "Thorax", details of a major Canadian study showed that despite the sleepiness caused by the OSA despite retaining an ideal body weight, the development of type 2 diabetes led. OSA doubled and tripled the study participants' risk of developing type 2 diabetes. Over 2 100 Canadian men and women with OSA volunteered for the study. The average age of a volunteer was 50 years, about ten years before type 2 diabetes was collected. This suggests that even individuals who already have OSA need to pay careful consideration to their diet and exercise.

The good news - The good news is that by losing weight, diabetics can not better manage their blood sugar, but can also lead to a significant reduction in OSA noise. This was the result of "A randomized study on the effect of weight loss on obstructive sleep apnea among obese patients with type 2 diabetes". Gary D. Foster, PhD, et al .; Internal Medicine Archive September 28, 2009. The one-year study examined 264 volunteers with type 2 diabetes. The group who had weight loss as part of diabetes management went best, some totally lost all traces of OSA. Most of the volunteers were over 60 years, a time when obese people most risk developing diabetes.

The study authors suggest that all obese diabetics need medical or psychological intervention in order not only to consult them on how to achieve weight loss goals, but to ensure that they actually achieve these goals. When a diabetic loses weight, he or she should get more energy to hold regular exercise.

What is obstructive sleep apnea? This is not to say that all types of sleep apnea can benefit from weight loss, just OSA. Sleep apnea can also be caused by growth or deformity of the throat or soft palate. It is this mass or deformity that causes sudden blockage of sleep airways. In these cases, only surgery to the affected areas may eliminate apnea.

However, OSA is different because the airway of the sleeper is blocked by external airway pressure. During deep sleep, the muscles of the body relax. This usually leads to a sleeping mouth still open during the evening. The displacement of the jaw that is open again may induce sufficient pressure to trigger full airway blocking. If the apnea is mild, treatment is often done by means of sleep aids like a dentist's mouthpiece to keep your mouth open during deep sleep.

But over the counter, drugs or dentures do not help serious OSA sufferers, who can have as many as 30 blockages to their airways per hour. These patients are often asked to use a continuous positive airway pressure (CPAP) oxygen machine. Patients must then try to sleep with face mask to prevent airway blockages. Not surprisingly, some OSA patients hate the CPAP machine. If they are overweight, a strict weight loss program may be their only way to have a good night's sleep, as well as stopping their progress towards type 2 diabetes.

How about bariatric surgery? - A very aggressive weight loss option is bariatric surgery, also known as gastric bypass surgery. However, although this drastic form of weight loss can temporarily relieve the symptoms of type 2 diabetes and sleep apnea, if the patient does not continue to lose weight and exercise, patients often become important again. They may still have problems arising from the OSA, or see that these difficulties return only months after surgery.

Bariatric surgery also reduces OSA. Advocates of bariatric surgery claim that studies performed on OSA patients were too small to be true. In a new study by American veterans at Walter Reed Memorial Hospital, only 4% of the 24 patients who had surgery significantly reduced respiratory failure while sleeping a year after the procedure.


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