Diabetes?

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
john44077
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Diabetes?

Post by john44077 » Mon Jul 02, 2007 12:21 pm

I was wondering if anyone on here has diabete's? I went last week to my primary care doctor and was told that my blood work came back with high sugar. Same with the sugar level from the last labs 7 months ago. So in 2 months i will need to do a test where i fast for 8 hrs (like i did with the labs) then drink some supper sugar drink then get redrawn.

John
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socknitster
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Post by socknitster » Mon Jul 02, 2007 12:27 pm

John, unfortunately, diabetes can often be associated with sleep apnea. Fortunately if you are only mildly affected you might be able to control it with diet alone or trying to lose weight if you are oveweight.

A good book for you to look at is called the GI diet. It explains the glycemic index in very clear laymans terms--which is to say that it basically tells you good carbohydrates that won't increase your sugar from bad ones to avoid that can make your sugar skyrocket.

My husband lost 70 lbs in less than a year by striclty following the book. I lost 20 by using it as a "guideline" and I had undiagnosed (severe) apnea at the time and wasn't even able to excercise much. Neither of us is diabetic although a high percentage of my family is.

The glycemic index is what most diabetic diets is based on. Hope that helps you.

Jen

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Post by topher » Mon Jul 02, 2007 1:10 pm

I have diabetes, before I was on cpap I had to take 5 pills a day and still had high sugar levels, now that I am on cpap I only take 3 pills and now have b/s in lower 70"s some times. I have also lost 37 pounds in the last 3 months or so


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john44077
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Post by john44077 » Mon Jul 02, 2007 1:14 pm

THanks for the book idea. I will look for it. YEs i am over weight by around 60-70lbs. I would rather loose weight and not have to take pills or shots.
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Post by 6PtStar » Mon Jul 02, 2007 1:19 pm

John

I have type II insulin dependent diabetes. Like socknitster said there is a real corralation between sleep apnea and diabetes. When I was told I had sleep apnea and had to go on the hose it did not cure my diabetes but the amount of insulin I had to take was cut almost in half.


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Post by SleepGuy » Mon Jul 02, 2007 2:03 pm

There's definitely a relationship between untreated sleep apnea and diabetes.

In cruising around the Net a few months ago I came across an interesting technical discussion about the relationship between untreated OSA and diabetes. It looks like OSA is causal to diabetes but once diabetes starts, it is irreversible!

Unfortunately, the article is no longer posted to the net, but here are some portions that I copied:

"Sleep debt strongly affects glucose utilization as well as circadian cycles of thyrotropin, cortisol, growth hormone, and other physiological variables. Sleep debt alone is reported to result in impaired glucose effectiveness similar to that found in non-insulin-dependent diabetics. Severe OSA significantly influences plasma insulin and glycemia and may increase the risk of diabetes independently of obesity."

"Insulin resistance is found in both obese and non-obese OSA patients. Blood pressure and fasting insulin correlate closely with both BMI and the severity of OSA. Thus, both the sleep debt and the sympathetic activation that accompany OSA may speed the deterioration of glucose tolerance. Insulin resistance and hyperinsulinemia lead to further sympathetic activation, thus completing the circle of obesity, diabetes, hypertension, and the related metabolic abnormalities.

"Clearly, it is important to manage all the risk factors for diabetes and hypertension. Patients with diabetes, obesity, and hypertension have about a 70% chance of having significant OSA. Thus,OSA must be included in the differential diagnosis for hypertension. Treatment of OSA in the obese, diabetics, and hypertensives may improve insulin responsiveness (32%), reduce blood pressure, and normalize the abnormal growth hormone cycle – and may possibly improve the impaired lipid metabolism seen in OSA. Patients with hypertension and diabetes should be asked specific questions that can reveal undiagnosed OSA. A positive answer to the following two questions provides a 90% predictability for identifying a sleep disorder:

• Do you snore?
• Have you ever been told that you stop breathing during sleep?

"Physicians who ask these questions can expect an eightfold increase in OSA patients in their office. After treatment of OSA, they can also expect improvement in the management of both hypertension and diabetes."

Recent articles in Chest and Cardio Thoracic Journals state that after the onset of insulin resistance, little can be done to reverse it. But if you have diabetes, therapy should make it easier to maintain your blood glucose. I'm glad my OSA was diagnosed before the onset of diabetes (I was certainly headed that direction!).
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Post by Babette » Mon Jul 02, 2007 2:36 pm

I'm pretty sure I have Metabolic Syndrome, though my Primary Doc hasn't said so. I've read about the GI diet, but haven't tried it yet. My big problem with diet and exercise has been fatigue. Now that I have more energy, I'm expending it cleaning house and doing yard work that hasn't been done in 4 years....

Soon as the yard is cleaned up I'm going on the diet and starting all the exercise plans I've bought. Just love infomercials...

GOOD LUCK!
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Post by Goofproof » Mon Jul 02, 2007 3:36 pm

I have had Type II Diabetes for over 15 years, Treated with pills the first ten, not successful. Now I'm on pills and 190 units of two types of insulin, still too high, but fighting. Lots of damage has been done.

Been on XPAP almost two years, not made much difference but like I said I can't get out and burn up much fuel, so it's a daily fight. Jim
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socknitster
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Post by socknitster » Mon Jul 02, 2007 4:01 pm

SleepGuy,

Thank you for the article you posted. It so clearly describes what both my Mom and her parents have/had. My Mom has high bp, diabetes and I'm sure she has apnea because I've heard it! I used to just think it was snoring, now I know better. When I told her what I thought she just got angry. Some people don't make sense. I'm printing your post and sending it to her in the mail with a note.

At age 35 I was headed down this road. I was misdiagnosed with depression 10 years ago. About a year ago, I was diagnosed with high blood pressure after a sinus surgery--I had some scary moments when my bp shot up and I started bleeding and they couldn't get it to stop. I went on bp meds then. A couple of years before that I had a 10+ lb baby. I was never diagnosed with preg induced diabetes, but they sure watched my sugars like a hawk. And I'm told that having a baby over 10 lb is a sure sign that you will develop diabetes later in life. I'm so glad that I'm not doomed to that now. Early diagnosis is key!

My grandfather had everything including breast cancer. He died from complications related to the treatment well after it was in remission (he went to a va hospital). He too had diabetes, hi bp, cardiac probs etc. etc. My Grandmother is still living, but she has already had a couple of strokes.

Anyway, I always felt like I was doomed to follow in their footsteps. THanks to the hose and the good Lord above, I don't feel that way anymore.

Jen


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gasparama
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Post by gasparama » Mon Jul 02, 2007 7:51 pm

I've been a type II for 17 years. I just had my annual eye exam and was relieved that I still have no damage.

If you get a firm diagnosis, may I suggest that you read a book whose title is very much like this,"Dr. Bernstein's Diabetes Solution"? It is an excellent primer on the disease, and there are many people on several diabetes message boards and email lists who have found this book to be just one of the factors in keeping BG under control. By using the glycemic index, counting carbs, and testing frequently, you can control diabetes and offset many of the complications. There is a diabetes mail list that is owned by an endocrinologist who is on staff at Harvard Medical School and Joslin's as well. There is a huge collection of information through the listers as well as the doctor. If you want more info, please PM me

My sleep specialist told me that many of his diabetic patients have lost weight and brought down BG after getting apnea under control. I can't wait to see if I've had improvement after using my CPAP for a few months.

Jane


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Diabetes?

Post by Yoga » Mon Jul 02, 2007 9:12 pm

John and others with diabetes,

There is a wonderful web site by David Mendosa who is a writer with diabetes and writes exclusively about diabetes. If you sign up for his newsletter, it comes to your e-mail address about once a month.

It is probable that you can control your diabetes without medications if you watch what you eat and exercise and it is preferable to using medications which require much more careful monitoring and side effects. The protocol now seems to be to put patients on medications immediately because most will not bother to adequately control their blood sugars. Eat high fiber foods such as barley (we prefer hulled barley which has more fiber and is chewier than pearl barley and is available at health food stores), steel cut oats which are much tastier than rolled or instant oats and eat more beans such as kidney, black beans, etc. - do a google on high fiber foods. You MUST REFRIGERATE OR FREEZE hulled barley or insects will appear. Also google for steel cut oat and barley recipes. High fiber is beneficial for everyone and is much too low in most American diets. If you and others would like, I can post our favorite steel cut oat recipe that we eat every day.


john44077
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Post by john44077 » Mon Jul 02, 2007 9:30 pm

What is the site of David Mendosa's? I am sure cpaptalk wont mind. Seems like this is something a lot of people on here have issues with. Thanks

John
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oldvaham
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Post by oldvaham » Tue Jul 03, 2007 7:08 am

Hi John,

I too have Type II diabetes. I am now insulin dependent after 12 years of pills as it is a progressive disease. I, too. am a hosehead for the past 6 months, thanks in part to my wife. She finally convinced me and my doctor to do a sleep study after several years. I find the xPAP very helpful in maintaining activity and alertness throughout the day. As for the insulin and testing every two hours, it's not a real bother just inconvenient at times.

I too would recommend both David Mendosa's web site/articles and the Dr. Bernstein book. His battle experiences with diabetes simply restated my experiences.

Good luck in your battle.

Ken

Yoga
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Diabetes?

Post by Yoga » Tue Jul 03, 2007 9:42 pm

John,

Just type in David Mendosa and google.

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Post by Vasily » Wed Jul 04, 2007 4:44 am

John,

There is currently a LONGTERM study being done currently regarding the relationship with undiagnosed OSA and Type II (Adult Onset) diabetes. While this won't help a majority of those of you that have already been diagnosed with diabetes, but the link has been identified and work is under way to prove this. When the study is done and published, hopefully it will pave the way for future preventive treatment and earlier detection and diagnosis of OSA.