Wednesday, 13 November 2019 | Staff Reporter | Bhopal
On the occasion of Diabities Week Dr Ashwini Malhotra, Bansal Malhotra said that the connection between Obstructive Sleep Apnea (OSA) and Diabetes Mellitus is somewhat indirect.
Sleep disorders such as insomnia, parasomnias, REM Sleep Behavior and other recognised disturbances of sleep would all have a similar impact in terms of Diabetes Mellitus. Further, OSA is just one of the causes of Sleep Disorders; there are several others. Another very common reason is already being described in medical literature as Shift Workers’ Disorder, seen in those who work odd-hours and sometimes throughout the night. The estimated number of Indian people believed to be suffering from OSA is about 34 million, not all of whom are diabetic. On the other hand, WHO South Asia Regional Office (SEARO) has estimated that 8.7% of Indian people have already developed diabetes.
While these numbers are alarming enough, the scientific explanation for this phenomenon is equally intriguing. What happens is as follows: when you sleep, your body generates less of cortisol and other hormones than in your waking hours. These hormones are needed to tackle the myriad physical and psychological challenges that you encounter from morning till night.
These hormones enable your body to remain alert and energetic with extra glucose and oxygen being pumped into your blood.
This risk of chronic disease is an important reason why OSA must be treated aggressively, through surgery, CPAP (Continuous Positive Air Pressure) or by other means. The form of treatment varies, depending on the cause of OSA.But the therapy of first choice in most cases is CPAP.