Curious, how many have diabetes as well as SA?

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
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rock and roll
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Curious, how many have diabetes as well as SA?

Post by rock and roll » Tue Sep 13, 2005 8:52 am

Having just been diagnosed with severe diabetes to add to my collection of illness, sigh, and knowing that most cpapers have other illnesses, I wonder how many of us have this affliction? Just wantg to get a percentage in mind.


Also, any advise from those that have treated theirs? Diet, cheap supplies, etc.

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WAFlowers
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Post by WAFlowers » Tue Sep 13, 2005 9:20 am

I was diagnosed with type 2 (insulin resistive) diabetes about 4 years ago. Looking back this appears to be when my OSA started to become really bad.

Coincidence? I don't think so!

I've been on Avandia to increase the efficacy of the insulin my body produces. Between that and beginning xPAP treatment, I've responded so well that my doc has ordered another blood workup for next month to determine if I can go off the Avandia. It appears that my diabetes is being completely controlled!

Now, to get my cholesterol under control. I'm getting there!
The CPAPer formerly known as WAFlowers

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derek
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Post by derek » Tue Sep 13, 2005 9:47 am

Rock,
I'll respond in this thread rather than the Benadryl thread where you asked the question.

I was diagnosed Type II about six years ago. I am on Glucophage (1500 mg) and Glyburide (7.5 mg), and monitor every morning - averaging about 120 mg/dl, which is borderline.

I have noted a strong correlation between starchy foods (potatos, bread, etc) and morning readings, so I make an effort to avoid foods with a high glycemic load. You might want to take a look at some books that talk about the glycemic index, for example:

"The New Glucose Revolution" Brand-Miller, Wolever, Foster-Powell, Colagiuiri. Malowe and Company, 2003

It makes a lot of sense to me.

I do my best just to accept it, and keep it in the back of my mind, modifying my behavior as I go through life.

wildangel718
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Post by wildangel718 » Sun Sep 18, 2005 12:35 pm

Hi...
Yes, add me to the numbers for diabetes. I was diagnosed insulin resistant diabetic (type 2) about a year ago...just about 4 months before I was diagnosed with OSA. I'm taking Actos and watching my diet. My A1C's have been perfect for about 6 months now so my Dr. is happy. My cholesterol is great. And as a side note, my CPAP and I get along famously with relatively few problems. I've been SO VERY pleased that my machine and mask(s) have only won a handfull of times since I've had it.
I do so love this site....I highly recommend it to everyone!


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rock and roll
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Post by rock and roll » Sun Sep 18, 2005 12:45 pm

How wonderful and very incouraging! I am 4 days into treatment now for diabetes. I hope I can be as successful as you.

nodding off
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Post by nodding off » Sun Sep 18, 2005 1:38 pm

Hi Rock and Roll'
Add me to the list. Type 2 diagnosed about 5 years ago. Losing weight, walking daily, and watching my carb intake has helped incredibly. I was on CPAP about 5 years before I was diagnosed, but it was not a factor. My abuse of food and alcohol and lack of exercise while knowing diabetes ran in my family was the cause. I'm now healthy and fit enough to scuba dive and (I hate doing it) jog. The pills and my innards did not get along well, so I control my diabetes with a daily injection of Lantus. Find yourself a good Endocrinologist and a dietician to work with and do exactly what they say, and you'll be OK. With diabetes, I have found that my behavior is the major factor in my success or lack of it in controlling the disease. There is no fooling our bodies. We react to what we eat! Good luck!


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rock and roll
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Post by rock and roll » Sun Sep 18, 2005 2:12 pm

Can I ask what the drug you inject is? Since starting the oral medication, I have gotten dizzy several times and some stomach and colon discomfort. Not good with Crohn's but nothing too distressing. I am hoping I lose the side effects. I have ta good doctor, he knows how to read me the riot act in spite of my strong personality and he got my attention. I am reading several books, I am cutting the carbs and fat, I have always gone for walks with my dog in the evening if home or climbed stairs if in a hotel. Thanks for the encouragement! I have the blood sugar testing down pat now and I see I am making a little progress.[/list]

Im2tired
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Post by Im2tired » Sun Sep 18, 2005 3:18 pm

I have had Type 1 diabetes for 32 years - my body does not produce insulin because my immune system thought my pancreas for an invader)! In fact I now have 4 autoimmune diseases because apparently my immune system does not know the difference between me and the enemy! I have felt over the last couple of years that insulin resistance was a problem. Actually several years ago I took Rezulin which is more for insulin resistance and it did help some. Then I switched to an insulin pump 6 years ago and I love it but still don't have good blood sugars because my other conditions don't play well with my blood sugar. Last year I told my endocrinologist that I felt like my insulin stopped working at night. After the dx of OSA I asked about oral medicine for insulin resistance and he said it would not work for a type 1. I did start taking Symlin which is the hormone amylin that is also not made in my body any more. I take it by injection with meals having more than 30 carbs and it helps control the 2 hours after eating blood sugars.

BTW - Lantus is a long acting type of insulin. It lasts 24hours and has the advantage of being peakless which means you get a steady amount and don't have to worry about eating at a certain time to cover a rise in insulin. Some people (like my daughter who is also a type 1) take Lantus and then a fast acting insulin with meals to cover the carbs.
Laurie

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TXKajun
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Post by TXKajun » Mon Sep 19, 2005 10:36 am

Count me in as one of those Type 2 diabetics who was diagnosed about 2 months prior to starting on CPAP (diagnosed Type 2 back in November, 2004, started CPAP February, 2005). I take one Avandia tablet in the evening and one in the morning and watch my sugar and simple carbohydrate intakes. Since CPAP therapy, my blood sugar stays consistently between 95 and 105 (I check in the morning when I get up and in the afternoon about 4:45 PM when I get home from work).

I need to start an exercise program, but that has been delayed due to a double hernia repair about 9 weeks ago (let me say, for the record, the hernia was NOT due to OSA!! LOL). My last 2 long term blood tests have been perfect, so between the Avandia, watching diet and CPAP, I'm in great shape for the shape I'm in!

This therapy WORKS!!!


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akpacfan
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Post by akpacfan » Mon Sep 19, 2005 3:58 pm

Yup, add me to the list also. I was diagnosed type II seven years ago but, am now certain Ive been insulin resistant much longer than that due too the magnatude of organ damage at my age, (just turned 50).

I take 2000 mg Glucophage, 8mg Avandia, 4 mg Amaryl, 240mg Diovan, 100 mg Atenolol, 25 mg HCTZ, 40 mg Lipitor. (high BP & colesterol too).

Then I top it all off with finding out in the past two months, I have Fibromyalgia, degenertaive joint and tissue disease and OSA. The Doctor recommended I file for disability retirement. She also put me on 100 mg Amitriptyline for that.

What I have learned in regards to control your glucose levels are to avoid all but complex carbs. Stay away from the "diabetic treats" Like sugar free candy and ice cream as these are loaded with fats which make your system retain and digest simple carbs easier which in turn raise your glucose level.

For the most part losing weight is the key to control. Excersize of course is important in all respects. Avoid simple carbs, avoid high fat content and red meats as much as you can. Eat more chicken and fish and raw veggies.

Hope some of this helps you and that I didn't come off as a whiner!

Good luck,

Robb

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rock and roll
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Post by rock and roll » Mon Sep 19, 2005 4:23 pm

No, you are right. I have been reading books on the subject like I was cramming for a final in college.

I just love your area of the world. I have visited twice and can't wait to visit again. As close to visiting heaven as you can get. I will never forget renting a helicopter and flying up and landing on a glazier and all the BLUE. Gorgeous!

I wish you the best of luck and welcome to the forum, I look forward to reading posts from you.

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Patrick A
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Post by Patrick A » Tue Sep 20, 2005 12:14 am



I have had Type II since 1987, I went up and down , I was originally diagnosed as having Sleep Apnea in 1988 by my medical group Kaiser. They never did anything , I got injured could not walk well after injury. I gained a lot of weight took all kinds of Meds, Glyburide, Glucohpage xr, actos. 70 units of lantus, in the morning and again at night, also took 25 units of Novolg breakfast, lunch ,dinner and at bedtime, also I started gaining more weighyt everyday. I started loosing weight, so far I have lost a large enough amount of weight that I am off insulin completely, and am only taking 4 glyburide, 1 actos, and 4 gluchopage xr dailey, my mg/dl or running 100 to 140 average which is great for me and my doctor is relly pleased.

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rock and roll
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Post by rock and roll » Tue Sep 20, 2005 12:19 am

Good for you Patrick, way to go!