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Friday, November 21, 2014

Division of Diabetes Treatment and Prevention - Leading the effort to treat and prevent diabetes in American Indians and Alaska Natives


Standards of Care and Clinical Practice
Recommendations: Type 2 Diabetes

Last updated: July 2012

Obstructive Sleep Apnea (OSA)

Clinical Practice Recommendations

Obstructive Sleep Apnea (OSA)

recommendations icon Recommendations for Obstructive Sleep Apnea

  • Assess patients for symptoms of obstructive sleep apnea (OSA), including snoring, observed apnea during sleep, and daytime somnolence:
    • Consider using a standardized sleep apnea screening tool – see Key Tools and Resources below.
  • Refer patients who screen positive for OSA symptoms for further evaluation such as a sleep study.

The most common form of sleep-disordered breathing is OSA. An apnea is a temporary absence or cessation of breathing, lasting 10 or more seconds. With OSA, the upper airway collapses, obstructing air flow, even as the person makes an effort to breathe.

OSA is associated with comorbidities such as hypertension, obesity or overweight, memory problems, headaches, erectile dysfunction, and cardiovascular disease. In patients with diabetes, OSA increases the likelihood of worse glycemic control.

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Resources

Tools for Clinicians and Educators

tools and resources icon Key Tools and Resources

American Sleep Apnea Association.

International Diabetes Federation (IDF). IDF Consensus Statement on Sleep Apnoea and Type 2 Diabetes. Exit Disclaimer: You Are Leaving www.ihs.gov [PDF]  2008.

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Patient Education Materials

National Heart Lung and Blood Institute

Bibliography

Chung F, Yegneswaran B, Liao P, Chung SA, Vairavanathan S, Islam S, et al. STOP questionnaire: a tool to screen patients for obstructive sleep apnea. Exit Disclaimer: You Are Leaving www.ihs.gov Anesthesiology. 2008 May;108(5):822-30.

International Diabetes Federation. The IDF consensus statement on sleep apnoea and type 2 diabetes. Exit Disclaimer: You Are Leaving www.ihs.gov [PDF]  Brussels: International Diabetes Federation; 2008. 24 p.

Shaw JE, Punjabi NM, Wilding JP, Alberti KG, Zimmet PZ. Sleep-disordered breathing and type 2 diabetes: a report from the International Diabetes Federation Taskforce on Epidemiology and Prevention. Exit Disclaimer: You Are Leaving www.ihs.gov [PDF]  Diabetes Res Clin Pract. 2008;81:2-12.

Division of Diabetes Treatment and Prevention | Phone: (505) 248-4182 | Fax: (505) 248-4188 | diabetesprogram@ihs.gov