The risk of obstructive sleep apnea syndrome in patients with type 2 diabetes mellitus
Background. The prevalence of obstructive sleep apnea in patients with type 2 diabetes mellitus (DM) is 18–36 %. The purpose of the research was to study the incidence of obstructive sleep apnea among men and women with type 2 DM. Materials and methods. Total of 300 patients were examined (mean age 59.40 ± 6.66 years). They were divided into 2 groups: 150 women (mean age 57.4 ± 7.6 years), mean body mass index (BMI) 31.2 ± 5.0 kg/m2, neck circumference 38.04 ± 2.00 cm, and 150 men with type 2 DM (mean age 54.0 ± 8.3 years), mean BMI — 28.9 ± 7.2 kg/m2, neck circumference 41.8 ± 3.0 cm. Results. According to results of our questionnaire survey, 45.4 % of men and 75.7 % of women suffering from type 2 DM had a snore. In each group, 87 % of subjects complained of weakness during the day. 25.7 % of women and 10.6 % of men had periodic respiratory arrest while sleeping. The increase of blood pressure, mainly in the morning, was observed in patients with type 2 DM, in women (96.9 %) more often than in men (65.1 %). BMI > 30 kg/m2 was detected in 57.8 % of men and 63.6 % of women. According to the STOP-bang questionnaire, the risk of developing obstructive sleep apnea among Uzbek population was 37.5 % in men and 40.9 % in women with type 2 DM, a gender difference was revealed. Conclusions. Quality of life is indicator of the state of health, any its violation dictates the need for timely detection and correction of obstructive sleep apnea. The results obtained make it possible to recommend further examination of patients using polysomnography to determine the diagnosis of obstructive sleep apnea and its treatment.
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