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Thorax 2006;61:928-929; doi:10.1136/thx.2006.062513
Copyright © 2006 BMJ Publishing Group Ltd & British Thoracic Society.

EDITORIAL

Diabetes and OSA

Diabetes and sleep apnoea: a hidden epidemic?

J Wilding

Correspondence to:
Correspondence to:
Professor J Wilding
School of Clinical Sciences, Clinical Sciences Centre, University Hospital Aintree, Liverpool L9 7AL, UK; j.p.h.wilding@liv.ac.uk


A diagnosis of OSA should be considered in patients with type 2 diabetes

Keywords: obstructive sleep apnoea; type 2 diabetes; prevalence

The first 150 words of the full text of this article appear below.

It is now well established that obstructive sleep apnoea (OSA) is associated with an increased risk for cardiovascular disease, and that this is probably related to the fact that patients with sleep apnoea are likely to have a high prevalence of the risk factors that comprise the metabolic syndrome—namely, central adiposity, dyslipidaemia (low HDL cholesterol, raised triglycerides), high blood pressure, insulin resistance, and hyperglycaemia—even after correction for adiposity.1–3 Type 2 diabetes is also typically associated with a similar metabolic profile, so it is not surprising that the prevalence of diabetes in obese hypertensive patients with sleep apnoea may be as high as 40%.4 Given that both type 2 diabetes and OSA are highly prevalent in the general population, it is important to establish the prevalence of OSA in people with type 2 diabetes as this may represent a significant population with undiagnosed sleep apnoea that may be . . . [Full text of this article]


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