Obstructive Sleep Apnea and Glycemic Variability in People With Diabetes: A Systematic Review and Meta-Analysis.
Jinjin Yuan, Yueying Wang, Pei Chen et al.
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In 30 seconds
This systematic review and meta-analysis examined the relationship between obstructive sleep apnea (OSA) and glycemic variability (GV) in individuals with diabetes. The analysis included 14 studies, primarily focusing on type 2 diabetes. CPAP treatment was associated with a significant reduction in nocturnal standard deviation (SD) of glycemic levels (mean difference = -0.37, p = 0.001).
Key findings
- CPAP treatment led to a significant reduction in nocturnal SD of glycemic levels (mean difference = -0.37, p = 0.001).
- There was a marginally significant reduction in nocturnal mean amplitude of glycemic excursions (MAGE) (mean difference = -0.23, p = 0.050).
- Significant reductions in mean of daily difference and mean of nocturnal glucose difference were observed after CPAP treatment.
- Cross-sectional studies indicated possible associations between OSA severity and glycemic variability.
Why it matters
Understanding the impact of obstructive sleep apnea on glycemic variability is crucial for managing diabetes effectively. This association may influence treatment strategies and improve glycemic control in affected patients.