Screening Patients with Type 2 Diabetes at High Risk of Obstructive Sleep Apnea: A Single Tertiary Center Experience

Authors : Tuğba Barlas, Hande Özkılıçaslan, Bengisu Çinici, Mehmet Muhittin Yalçın, Mujde Akturk, Füsun Baloş Törüner, Ayhan Karakoc, Alev Eroğlu Altınova

Pages : 127-134

View : 56 | Download : 49

Publication Date : 2024-08-30

Article Type : Research Paper

Abstract :Objective: Current guidelines suggest screening patients with type 2 diabetes (T2D) for obstructive sleep apnea (OSA). However, there is no consensus regarding the optimal method for OSA risk assessment. We aimed to identify those with diabetes who are at high risk for OSA and investigate the concordance among questionnaires utilized in assessing high OSA risk. Method: STOP, STOP-BANG, and Berlin questionnaires for the assessment of the risk of OSA and the Epworth Sleepiness Scale (ESS) for an investigation of daytime sleepiness were utilized. Results: We included 108 patients, with a median HbA1c of 7.5%, a BMI of 30.7 kg/m², and waist and neck circumferences measuring 104.3 cm and 38.9 cm, respectively. On ESS, 10.2% of patients had excessive daytime sleepiness. According to Berlin (38.9%), the number of patients at high risk of OSA was found to be lower than that of in STOP (53.7%) and STOP-BANG (68.5%) questionnaires. For patients with a BMI 30 kg/m², while Berlin and STOP were consistent (p=0.824), no concordance was detected between Berlin and STOP-BANG, as well as between STOP and STOP-BANG (p<0.05). The insulin therapy was the associated factor with a high OSA risk in multivariate logistic regression analysis (p=0.041). Conclusion: The questionnaires used to predict the risk of OSA in T2D exhibit insufficient compatibility. Insulin therapy contributes to the increased risk of OSA in individuals diagnosed with T2D.
Keywords : Berlin anketi, Epworth uykululuk ölçeği, STOP BANG, Obezite, Tip 2 diyabet