All patients with type 2 diabetes or hypertension should be evaluated for sleep apnea by a board-certified sleep medicine physician, the American Academy of Sleep Medicine (AASM) advised this week in a position statement.
“Type 2 diabetics and people with hypertension are much more likely to have obstructive sleep apnea [OSA] than other people, and as a result, should immediately discuss their risk for sleep apnea with a sleep specialist,” AASM president Dr M Safwan Badr said in statement.
Obstructive sleep apnea (OSA) is a sleep disorder seen in overweight and obese individuals where patients have obstruction of their upper airways during sleep leading to disruption of sleep. This disturbed sleep at night causes excessive daytime somnolence and fatigue. This disorder also causes hypertension, increase in blood sugars and increased incidence of a heart beat disorder called atrial fibrillation.
New research has consistently proved that sleep apnea may drive uncontrolled BP. Prompt recognition and treatment of sleep apnea improves BP control and also reduces average 24-hour blood sugar by 11 mg/dl. This also improves diabetes control and reduces the number of drugs required for BP control.
Prompt recognition of sleep apnea and its treatment will improve control of BP and diabetes!