Diabetes

[giantred]

I heard that there is a chance that if you have sleep apnea you can also get debtees. I Saw it on the internet a while ago on some news report. Does a person with pre-diabetes have a greater chance of getting full or type 2 diabetes if the person DOES NOT USE THE CPAP equipment compared to those who USE THE EQUIPMENT? So does using the equipment help prevent getting diabetes is my question?

[LSAT]

I am certainly not an expert on diabetes, but I cannot see any relationship between CPAP/apnea and blood sugar levels.

[JohnBFisher]

I heard that there is a chance that if you have sleep apnea you can also get debtees. I Saw it on the internet a while ago on some news report. Does a person with pre-diabetes have a greater chance of getting full or type 2 diabetes if the person DOES NOT USE THE CPAP equipment compared to those who USE THE EQUIPMENT? So does using the equipment help prevent getting diabetes is my question?

I have two answers to that:

First, researchers have not conclusively built a link between sleep apnea and diabetes.

However, I know from my own experience that it *MUST* be connected. Without the unit (prior to developing SEVERE sleep apnea), I would use food to try to stay awake. During meetings. During driving. NOT a good habit to develop. With CPAP, I found I had LOTS more energy and less of a need to eat to stay alert.

Is there a direct correlation? Probably not. But I will bet that if someone *really* looked at the population they would find more folks with diabetes also have problems with obstructive sleep apnea. Some researchers think that means the weight causes the sleep apnea. I know from my own experience that the sleep apnea came LONG before I was overweight. I would argue - convincingly - that the sleep apnea led to weight gain.

But then, that's just my own opinion based on my own experience. You get what you pay for ...

[JohnBFisher]

... but I cannot see any relationship between CPAP/apnea and blood sugar levels. ...

Unfortunately, speaking as a Type 2 Diabetic, who now needs to go on insulin, I can *clearly* sleep a direct correlation in my blood glucose levels. If I do not sleep well and/or have more central apneas, then my blood glucose levels go higher. If I've slept well, my blood glucose levels return to more normal levels.

Is there some direct connection between the apnea and blood glucose levels? No. The issue is that an increase in the number / severity of the apneas tends to increase the stress on the body. That stress (regardless of the source) tends to elevate blood glucose levels. So, the connection is indirect.

At least that is my own personal experience.

[giantred]

Thanks John. I'll try attempt using the equipment again. I used it last night. First time in a long long time, can't remember before.

[avi123]

Check:

http://www.apneasupport.org/about80.html

and

http://www.apneasupport.org/viewtopic.p ... nea#155124

[giantred]

thanks for the research.

[Goofproof]

Thanks John. I'll try attempt using the equipment again. I used it last night. First time in a long long time, can't remember before.

If you don't treat the Sleep Apnea and Diabetes both agressively, you won't have to treat either as long......

I fight to treat both daily, I just wish I could do as well with the type 2 as I am with Sleep Apnea. Jim

[wm_hess]

While I don't have any direct knowledge on any linkage between the two, I can say that when my doctor gave me my diabetes diagnosis, he also said a lot of type II diabetics also had undiagnosed sleep apnea. He said that I had several risk factors for sleep apnea (shirt neck size > 17, over 40, male, and overweight). He told me that untreated, sleep apnea would make the diabetes issues worse. From that, he prescribed a visit to a Pulmonologist, and started the journey of being a hose-head.

-Bill

[wolewyck]

My understanding: yes, using CPAP DOES help keep you healthy when it comes to diabetes concerns.

For example, see: http://ajrccm.atsjournals.org/cgi/conte ... /169/2/156

"Continuous Positive Airway Pressure Treatment Rapidly Improves Insulin Sensitivity in Patients with Obstructive Sleep Apnea Syndrome"

[wolewyck]

Also, there's this, from Resmed's website:

"A recent study from the University of Chicago demonstrated that CPAP treatment of significant sleep apnea in patients with impaired glucose tolerance (IGT) or impaired fasting glucose (IFG) produced a marked improvement in glucose control and insulin sensitivity. The same study also suggested CPAP treatment may prevent or delay progression to diabetes in sleep apnea patients.14 In several other studies, CPAP treatment has resulted in a rapid improvement in insulin sensitivity, glycemic control and leptin levels.13,15,16" (http://www.resmed.com/au/clinicians/sdb ... clinicians)

The cited studies are:

14. Babu AR, Herdegen J, Fogelfeld L, Shott S et al. Type 2 diabetes, glycemic control and continuous positive airway pressure in obstructive sleep apnea. Archives of Internal Medicine 2005; 165:447-452

15. Harsch IA, Schahin SP, Radespiel-Troger M, Weintz O et al. Continuous positive airway pressure treatment rapidly improves insulin sensitivity in patients with obstructive sleep apnea syndrome. Am J Respir Crit Care Med 2004; 169:156-162

16. Harsch I, Schahin S, et al. Continuous positive airway pressure treatment rapidly improves insulin sensitivity in patients with obstructive sleep apnea syndrome. Am J Respir Crit Care Med 2004;169(2):156-62.

[Muse-Inc]

Can't remember where I read it but it was when I was researching apnea. Study showed that within 5 yrs of untreated apnea, something like 60-75% of people developed Type II diabetes.

[bap40]

I have been on cpap for 3 yrs now and was diagnosed with diabetes type 2 about a year ago. So don't know but seems as if a lot of us have both problems.

[john_dozer]

Here's my rationale on the matter.

The weak die first.

I'm not talking about people, I'm talking about cells in your body. The insulin producing cells are relatively fragile. The are easy to kill or damage. I believe apnea degrades the number of your insulin producing cells and degrades the remaining cells ability to function. This puts pressure on your remaining insulin producing cells which may not be quite up to the task. Also your insulin release is tied to past performance of the last insulin release and the varying health of your insulin producing cells probably leads to inconsistent self-regulation.

[secret agent girl]

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