Doumit Jimmy, Prasad Bharati
Jesse Brown VA Medical Center and University of Illinois at Chicago, Chicago, IL.
Diabetes Spectr. 2016 Feb;29(1):14-9. doi: 10.2337/diaspect.29.1.14.
IN BRIEF Obstructive sleep apnea (OSA) alters glucose metabolism, promotes insulin resistance, and is associated with development of type 2 diabetes. Obesity is a key moderator of the effect of OSA on type 2 diabetes. However, chronic exposure to intermittent hypoxia and other pathophysiological effects of OSA affect glucose metabolism directly, and treatment of OSA can improve glucose homeostasis.
简而言之,阻塞性睡眠呼吸暂停(OSA)会改变葡萄糖代谢,促进胰岛素抵抗,并与2型糖尿病的发生有关。肥胖是OSA对2型糖尿病影响的关键调节因素。然而,长期暴露于间歇性缺氧及OSA的其他病理生理效应会直接影响葡萄糖代谢,而OSA的治疗可改善葡萄糖稳态。