Obstructive sleep apnea syndrome accompanied by diabetes mellitus.
A 66-year-old man with diabetes mellitus was hospitalized with sleeping and dyspnea. Polysomnography determined an apnea hypopneas index (AHI) of 56/hr and that the events occurred in association with continued diaphragm electromyogram activity and thoraco-abdominal wall movement. Obstructive sleep apnea syndrome was then diagnosed and nasal continuous positive airway pressure (nCPAP) (11cmH2O) was set. AHI subsequently became 21/hr. Six months' later, uvulopalatopharyngoplasty (UPPP) for the narrowing middle pharynx was performed and the AHI became 7/hr. After starting nCPAP and UPPP, body weight and insulin resistance had decreased. Treatment for sleep apnea may improve insulin resistance in diabetes mellitus.
Department of Internal Medicine, Public Tomioka General Hospital, 2073-1 Tomioka, Tomioka, Gunma 370-2393, Japan.
Takashi
T
Nagai
Makoto
M
Imamura
Yasuki
Y
Iwasaki
Masatomo
M
Mori
D000368:Aged; D001794:Blood Pressure; D045422:Continuous Positive Airway Pressure; D003920:Diabetes Mellitus / Q000503:physiopathology*; D004417:Dyspnea / Q000150:complications / Q000503:physiopathology; D006801:Humans; D006943:Hyperglycemia / Q000097:blood; D007333:Insulin Resistance; D008297:Male; D017286:Polysomnography / Q000379:methods; D020181:Sleep Apnea, Obstructive / Q000150:complications* / Q000503:physiopathology / Q000628:therapy*