The clinical presentation of obstructive sleep apnea syndrome is different in diabetic patients

2016 
Background: Obstructive sleep apnea (OSA) is a highly prevalent disease with different clinical presentations. Diabetes and OSA may coexist. Objectives: To evaluate the possible different clinical presentations of OSA in diabetic patients. Methods: Retrospective analysis of the data of patients visiting a Sleep Clinic. Antropometric data, Epworth Sleepiness Scale (ESS), STOP BANG(SB), Athens Insomnia Scale (AIS) were completed and sleep studies were performed. Results: From 1248 included, 27(2%) had type 1 diabetes and 176(14%) type 2 with no gender difference. Diabetic patients were older (61±10 vs 52.2±14 p 2 =0.002). Significant differences were found in ESS (10.25 ± 5 vs 9.4 ±4.6, P=0.02), SB (5.5 ±1.5 vs 4.4 ±1.6, p Conclusions: Diabetic OSA patients were older, more obese, and sleepier,with more insomnia symptoms and arousals than non diabetic.
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