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Thursday, September 17, 2020

Treat Sleep Apnea to Control Blood Glucose and Diabetes - Diabetes and Blood Glucose Link with Sleep Apnea

Treat Sleep Apnea to Control Blood Glucose and Diabetes - Diabetes and Blood Glucose Link with Sleep Apnea

Diabetes

If you are depressed or irritable, fall asleep during driving or are suffering from hypertension, you may be a victim of sleep apnea that is able to make your diabetes even trickier to manage. In this article, you will discover the treatment of this widespread issue and assist control your diabetes and blood sugar.

You will have to Manage Sleep Apnea to Manage Diabetes?

Your diabetes can be influenced by sleep apnea in lots of methods. As you struggle for air in apnea, which will put your body in fight or flight manner, simply discharging hormones of stress, which are sure to increase the levels of glucose in you. And if you are exhausted, you will not be desirous enough to take a walk after lunch. You possibly will be taking snacks to keep you awake, while at work.

However, does sleep apnea treatment really helps in improving the glucose levels in the blood? An endocrinologist, Arvind Cavale of Pennsylvania sends nearly 60% of his type 2 diabetic sufferers for the examination of sleep apnea. Arvind talks about that the treatment of sleep apnea minimizes insulin resistance, make better motivation and alertness, and help in stabilizing, levels of glucose in the blood. He further stresses that they utilize sleep apnea treatment as a gadget to control diabetes.

 

Do you have Sleep Apnea?

The situation is not happier, when you are so much exhausted and immediately after you go to bed, you fall asleep. However, sometime afterwards, somebody pushes you to wake up. But, you fall asleep again. And as soon as you start enjoying the deep sleep, somebody, pushes you again. The same process continues whole night. Sleep….push…..sleep…..push.

In the morning, you may get up with a head aching, while breakfasting; you crack on your family members, find difficulty in focusing while at work.

Hypertension, depression, car accidents, irritability, all these conditions just because of those frightening pushes that you have been receiving all through the nighttime.

You are receiving those pushes because you have an Obstructive Sleep Apnea. Your body fights for air. Therefore, we can explain sleep apnea as a cause of trouble in managing hypertension and glucose levels in the blood. 

Partly blockage of air

Having obstructive sleep apnea, something blocks your air passages either completely or partially in the night. It possibly will be your tongue or throat back tissues that are loosening in excess.

If the air tries to forcibly pass the partly obstructed area, you will snore. You will get out of sleep, maybe entirely gasping for air in case of entire obstruction. Your go into sleep again, however, the blockage of the airways happens again. This process continues the whole night hundreds of time. You are not conscious of these intervals; however, you pay the penalties in the daytime.

Perhaps, you are considering other factors of your symptoms, for example stress, age, diabetes. But, it is now right time to get checked up for obstructive sleep apnea. After getting the cure, you will be able to sleep well and delighted to see the difference. 

Testing of Sleep Apnea

Your therapist will be able to diagnose your sleep apnea and its severity with the help of a whole night sleep study. The therapist may carry out sleep study at the sleep lab or he may refer you for an in-home testing.  Verify with your insurance plan as it may entail you for an in-lab sleep study.

While you are at the sleep lab, a medical staff fix sensor on you with the help of tape and then you are left along to have a sleep. The electrodes that are fixed on your scalp will calculate your brain waves that evaluate when you went to sleep and how long was your sleep. The eye sensors record the (REM) length of your restorative sleep. The finger tip sensors trace the levels of oxygen in your blood. Similarly, the airflow by way of your nose and mouth, your breathing rate and heart rate are also traced. This type of sleep testing is known as polysomnography. The professional therapist will then check out the results.

Curing Sleep Apnea

Two curing options were found in the 2008 consensus for obstructive sleep apnea by the “International Diabetic Federation (IDF)” that are mostly helpful to people. Firstly, losing of weight for obese people and secondly, the use of Continuous positive airway pressure CPAP for people having moderate-severe apnea.

Reduction in Weight

In a AHEAD recently held study, around 306 bulky people who were also suffering from Type 2 diabetes had to go through in-home sleep study. The results proved that 86% had obstructive sleep apnea. On a normal scale, contributors received almost negligible air around 20 times in an hourly time period.

Majority of the contributors also took part in one more study to examine the effect of weight reduction on their sleep apnea. Considerable reduction was seen in the apnea of the contributors who lost 22 pounds in excess and some were able to resolve their apnea completely.

Treatment through CPAP

According to IDF, the CPAP treatment is considered as the most excellent cure in recent times to overcome moderate-severe sleep apnea and it has to be taken into consideration as per the requirement.

In this therapy, a patient has to use mask over his nose and/or mouth during nighttime, while a CPAP device softly blows air throughout the mask.  The pressure of the air is tuned so that it is just sufficient to maintain the opening of the airway.

It is possible to take some weeks in the turning of the device earlier than the CPAP treatment starts functioning for you. But, you should not lose heart too early because the CPAP treatment can bring a considerable change in your life’s quality.

Case Studies with Continuous Positive Airway Therapy

According to Catherine, David was impossible when they first met each other. But, with the passage of time, she started observing improvement in him and fell in love with him and lived a cheerful life from then onwards.

A lot of other CPAP users have a similar kind of experience. William Plaud, a Type 2 sufferer, from Washington, had his primary CPAP experience two years back. He said that he was about to throw his device away.

William came to know about his apnea at a diabetic center. He was facing two major signs, bad sleep and noisy snoring. He said that he used to wake up in the sleep and it was very painful for him.  He added that he never had a complete sleep at night for many years.

His therapist referred him to a sleep center. William went through sleep study in two parts. The lab technician connected so many sensors and examined his sleep for some hours. His apnea was obvious.  Afterwards, the lab assistant fixed William with a CPAP device and sent him to sleep again. The assistant distantly corrected CPAP settings with the help of the responses received on the display monitors. After examining the reports, the William’s therapist recommended him CPAP treatment.

In a two weeks time afterwards, a CPAP manufacturer arranged a CPAP device delivery to William’s house and explained him its usage. After a week’s trying, William called the manufacturer and asked him to return back this CPAP device because it’s not working for him.

A lab assistant visited his house another day and adjusted the setting of the CPAP ramp timings, that was the length of time it requires to increase the pressure of the air while you are at sleep. A small ramp time is required in case you are getting into sleep fast. However, William required an extended time of ramp.

The assistant also recommended William to use a chin strap in order to maintain his mouth shut. But that approach could not be implemented as William was habitual of sleeping while keeping his mouth open for all his life of 64 years. He was surely uncomfortable with a chin strap and expressed that feeling like wearing a helmet.

Later than one more phone call, the manufacturer shifted William to a Bi-Level Pap device. In this device, while breathing in the pressure of air is higher and while breathing out is lower. 

Just after 10 days of use, William informed the manufacturer that this Bi-PAP device appeared to be functioning now for him.

William is now on the device for above 110000 hours. He is not getting sound sleep for about 7-8 hours daily. He expresses that he is now getting sound sleep 6 nights out of every 7 and even do not feel like the need of using his bathroom at night. Further, he is also not feeling the need of taking an afternoon nap. His levels of glucose in the blood are also extra steady.

Check yourself with the STOP test

In case your reply is in affirmation for 2 or more below queries, you should check with your therapist for sleep apnea.

S- Are you snoring in loud voice at night? (Enough loud voice, which can be listened all the way through closed room or loud enough than you talk)

T- Are you feeling like exhausted, wiped out or drowsy throughout the day?

O: Did you experience stopping of your breathing or anybody else has observed you in this condition throughout your sleeping time?

P: Are you suffering from or under treatment for hypertension?

The above STOP test is created by Canadian therapists, according to May 2008, Anesthesiology reports; to check sufferers listed for surgical procedure, for the reason that sleep apnea can make surgical procedure scarier.

References:

http://journal.chestnet.org/article/S0012-3692(17)30930-3/fulltext

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3874482/

http://clinical.diabetesjournals.org/content/20/3/126

http://spectrum.diabetesjournals.org/content/29/1/14

 

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