CPAP Helps Lower Blood Sugar In Diabetics With Sleep Apnea:
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This meta-analysis was performed to determine the effects of continuous positive airway pressure (CPAP) treatment on glycemic control and insulin resistance in patients with type 2 diabetes and obstructive sleep apnea (OSA).

A systematic search was made and randomized controlled trials on treatment of type 2 diabetes and OSA with CPAP, compared with sham CPAP or no CPAP, were reviewed. Studies were pooled to standardized mean differences (SMD), with 95% confidence interval (CI).

Results: Seven trials (enrolling 691 participants) met the inclusion criteria. CPAP presented significant effects on glycated hemoglobin (HbA1c), fasting glucose, Homeostasis Model Assessment-Insulin Resistance (HOMA-IR), systolic blood pressure (SBP), and diastolic blood pressure (DBP).

Conclusively, CPAP treatment significantly improved glycemic control and insulin resistance which is indicated by the decreased levels of HbA1c, fasting glucose, and HOMA-IR in patients with type 2 diabetes and contemporary OSA.

Source: https://dom-pubs.onlinelibrary.wiley.com/doi/10.1111/dom.14247
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