RSSDI clinical practice recommendations for screening, diagnosis, and treatment in type 2 diabetes mellitus with obstructive sleep apnea

AbstractPurpose of the study Type 2 diabetes mellitus (T2DM) and obstructive sleep apnea (OSA) are closely associated diseases with a significant impact on public health. Both diseases are highly prevalent and the common overlapping risk factors include obesity, old age, and a generally high preponderance in men. A growing body of evidence suggests a bidirectional association between OSA and T2DM; both, in turn, constitute as strong risk factors for cardiovascular diseases, the leading cause of premature deaths and morbidity in India. Several studies have reported a higher prevalence of OSA in Indian patients with T2DM, despite lower levels of obesity. However, OSA remains an underdiagnosed condition in Indian patients with T2DM due to lack of awareness, uncertainty about treatment options, and non-availability of diagnostic facilities.MethodsThis document embodies evidence-based clinical practice recommendations and outlines an optimized care pathway for patients with T2DM and OSA, based on consensus multidisciplinary observations and clinical experiences.Results and conclusionsImplementation of screening, diagnosis, and treatment of OSA in patients with T2DM at initial stages could potentially alleviate the risk of cardiovascular disease and substantially improve their quality of life. The recommendations emphasize the need for collaborative efforts from diabetologists, endocrinologists, and sleep medicine specialists towards systematic screening, diagnosis, and treatment o...

Source: International Journal of Diabetes in Developing Countries - February 25, 2021 Category: Endocrinology Source Type: research