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Screening for sleep-disordered breathing in people with type 1 diabetes by combining polysomnography with glucose variability assessment

Abstract : Aims: There are few published data on sleep-disordered breathing (SDB) in type 1 diabetes (T1DM). Here, we used a combination of polysomnography and glucose variability assessment to screen for SDB. Methods: In a prospective, single-centre study, adults with T1DM underwent polysomnography and continuous glucose monitoring during a single night. We measured high glucose variability and the occurrence of a low or very low glucose level. Mild and moderate-to-severe SDB were defined as an apnoea-hypopnoea index above 5/h and 15/h, respectively. Results: We studied 46 patients (25 men; median age: 42 [35-54]; diabetes duration: 18 years [13-29]; body mass index (BMI): 24.8 kg/m(2) [23.0-28.9]). SDB was present in 17 patients (37.0%) overall (mild SDB: n = 9; moderate-to-severe SDB; n = 8). When compared with the absence of SDB or mild SDB, moderate-to-severe SDB was associated with a higher BMI (29.8 kg/m(2) [27.8-31.1]) and a longer diabetes duration (26 years [18-31]) but not with above-target glucose variability or more sleep disorder symptoms. Conversely, sleep disorder symptoms were not more frequent in patients with above-target glucose variability. Conclusion: SDB was highly prevalent and associated with obesity. According to the methods used here, sleep disorders were not associated with above-target glucose variability or low glucose values.
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https://hal-u-picardie.archives-ouvertes.fr/hal-03732940
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Soumis le : jeudi 21 juillet 2022 - 10:40:14
Dernière modification le : vendredi 5 août 2022 - 11:25:53

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Damien Basille, Marine Timmerman, Aurelie Basille-Fantinato, Abdallah Al-Salameh, Salha Fendri, et al.. Screening for sleep-disordered breathing in people with type 1 diabetes by combining polysomnography with glucose variability assessment. Diabetes Research and Clinical Practice, Elsevier, 2022, 185, ⟨10.1016/j.diabres.2022.109786⟩. ⟨hal-03732940⟩

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