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首页> 外文期刊>Journal of Clinical & Translational Endocrinology >May diabetes patients have trouble sleeping despite not having obesity?
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May diabetes patients have trouble sleeping despite not having obesity?

机译:糖尿病患者即使没有肥胖也可能无法入睡吗?

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Obstructive sleep apnea (OSA) and periodic limb movements during sleep (PLMs) are sleep-related disorders with a high prevalence in type 2 diabetes. Commonly OSA is considered as a consequence of obesity, but several previous studies have shown the presence of OSA in non-obese diabetic patients. A previous study showed higher PLMs prevalence in patients with type 2 diabetes, compared to age-matched controls. We speculated that both OSA and PLMs may reflect the presence of diabetic autonomic neuropathy. To test this hypothesis, we compared a group of 112 non-obese patients with type 2 diabetes with 66 age-, sex-, and body mass index- matched nondiabetic patients. Both groups have been investigated through a set of tests including the Epworth Sleepiness Scale, polysomnography, and the Orthostatic Grading Scale (OGS), a questionnaire to assess the degree of autonomic dysfunction. Diabetic patients with OSA and PLMs scored higher on the OGS than controls. Our results confirm that both OSA and PLMs are related to dysautonomy and may be unrelated to obesity in type 2 diabetes patients.
机译:阻塞性睡眠呼吸暂停(OSA)和睡眠期间周期性肢体运动(PLM)是与睡眠相关的疾病,在2型糖尿病中患病率很高。通常认为OSA是肥胖的结果,但先前的一些研究表明非肥胖糖尿病患者中存在OSA。先前的研究表明,与年龄匹配的对照组相比,2型糖尿病患者的PLM患病率更高。我们推测OSA和PLM都可能反映了糖尿病性自主神经病变的存在。为了验证这一假设,我们将112例2型糖尿病非肥胖患者与66例年龄,性别和体重指数匹配的非糖尿病患者进行了比较。两组都通过一系列测试进行了调查,包括爱泼华嗜睡量表,多导睡眠图和直立评分表(OGS),这是一种评估自主神经功能障碍程度的问卷。患有OSA和PLM的糖尿病患者在OGS上的得分高于对照组。我们的结果证实,OSA和PLM均与自主神经功能障碍有关,并且可能与2型糖尿病患者的肥胖无关。

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