СРАР therapy for obstructive sleep apnea syndrome in patients with carbohydrate metabolic disturbances and type 2 diabetes mellitus


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Abstract

The review presents the data of clinical trials assessing the association between type 2 diabetes mellitus (DM) and obstructive sleep apnea syndrome (OSAS). The factors influencing the development of OSAS are analyzed in patients with DM; and disturbed sleep patterns are described in detail in patients with OSAS. The relationship of OSAS, diabetic autonomic neuropathy, and insulin resistance is analyzed. Whether CPAP therapy may be used to correct metabolic disturbances in patients with DM is considered.

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Применение СРАР-терапии при синдроме обструктивного апноэ во сне у больных с нарушениями углеводного обмена и сахарным диабетом 2-го типа. - Аннотация. В обзоре представлены данные клинических исследований, в которых оценивалась взаимосвязь сахарного диабета (СД) 2-го типа и синдрома обструктивного апноэ во сне (СОАС). Приведен анализ факторов, влияющих на развитие СОАС у больных СД, а также подробно описываются нарушения структуры сна у пациентов с СОАС. Анализируется взаимосвязь СОАС, диабетической автономной невропатии и инсулинорезистентности. Рассматривается возможность применения СРАР-терапии для коррекции метаболических нарушений у пациентов с СД.
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