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.
Nagai
Takashi
T
Department of Internal Medicine, Public Tomioka General Hospital, 2073-1 Tomioka, Tomioka, Gunma 370-2393, Japan.
Imamura
Makoto
M
Iwasaki
Yasuki
Y
Mori
Masatomo
M
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*