睡眠呼吸暂停的影响远远超出了您早晨感到疲倦的。对于糖尿病患者，睡眠呼吸暂停会在一天中的任何时候都会影响您的葡萄糖水平，改变身体对胰岛素的反应方式，并在以后的生活中发挥作用。
In the general population, an estimated
继续阅读以了解有关糖尿病和睡眠呼吸暂停之间关系的更多信息，如何影响您的糖尿病管理以及如何解决影响睡眠的这种呼吸障碍。
Sleep apnea当一个人在睡觉时停止呼吸时发生。
与睡眠中断不同，这可能是由于睡眠卫生不良或各种身体或精神状况而引起的，睡眠呼吸暂停是一种呼吸障碍。
睡眠呼吸暂停的迹象包括以下内容：
- loud snoring
- gaps in breathing
- choking or gasping for air
- falling asleep during the day
睡眠呼吸暂停会使人体被剥夺氧气，进而破坏了心脏功能，血压和代谢的方式。这些作用可能很严重，并且使糖尿病患者在发生睡眠呼吸暂停时至关重要。
Of the three types of sleep apnea (central, obstructive, and complex),阻塞性睡眠呼吸暂停（OSA）最常见。使用OSA，喉咙后部的软组织塌陷，阻塞气道并打断人的呼吸。OSA与肥胖相关，但也发生在那些不是肥胖的人中。
在睡眠呼吸暂停和2型糖尿病之间观察到了共生关系。当没有解决方案时，一个似乎使另一个恶化。
Sleep apnea deprives the body of oxygen, which has a direct negative effect on glucose levels and insulin resistance. Its effect can be dramatic, promoting insulin resistance and changing glucose metabolism to the extent that
Yes, it does.
When the body is deprived of oxygen the amount of carbon dioxide in the bloodstream increases. In this state insulin resistance increases leading to higher levels of glucose in the blood. Over time these persistently higher glucose levels lead to a
除了对葡萄糖水平的影响，睡眠呼吸暂停和其他睡眠中断还可以
遵循有效糖尿病管理的标准实践 - 保持glucose levels in range，，，，healthy food choices, exercising regularly, and taking medications as prescribed) — is a good starting point for managing sleep apnea. However, there is more that can be done.
- Begin with addressing any sinus or allergy issues that interfere with breathing clearly. This might include taking medication to keep the sinuses open and uncongested.
- Being overweight or obese is another condition to address in treating sleep apnea. By reducing weight there is less pressure on the chest cavity and less likelihood of fat in the airway passage. Addressing both of these decreases the likelihood of unobstructed breathing while sleeping.
- 一个连续正气道压力（CPAP）machine can be prescribed, before our after anovernight sleep studyis completed. The person wears a mask while sleeping. Attached to that mask is a hose and a device that delivers pressurized air. The pressurized air keeps the airway open, stopping disruptions to the person’s breathing.
- Surgery is also an option. These surgeries involve removing or shrinking the tissue at the back of the back of the mouth or top of the neck. By removing this soft tissue there is less likelihood that the airway will be obstructed while sleeping.
一个medical diagnosis of sleep apnea requires aformal sleep study该人带着附着在身体上的传感器睡觉并在整个夜晚进行监控。
But with the availability of fitness trackers and mobile apps, it’s become more common for people to track and record the quality of their sleep. This can be especially helpful when sleep apnea is suspected.
重要的是，睡眠或健身追踪器不会取代医学专家的诊断睡眠呼吸暂停。但这可以帮助识别与医学专家讨论的睡眠方式。
健身追踪器使用传感器的组合来测量身体运动（不安），心率和呼吸速度来跟踪睡眠质量。然后将这些读数分析并在其应用中报告。
应用程序报告因设备而异，但可以包括以下内容：
- 入睡需要多长时间
- 这个人留着多长时间睡着了
- 这个人整夜醒了多少次
- How long they stayed awake before going back to sleep
- How long the person stayed in various stages of sleep (light, deep, and REM)
These individual readings are often combined into a composite score that reflects the overall quality of sleep (poor, fair, good, excellent).
The apps often also include information on how to improve overall sleep. This can include advice on improving sleep hygiene and notifications to reinforce a standard bedtime and daily routine for winding down.
一个mong the most popular fitness trackers,Fitbit，，，，一个pple Watch，，，，一个mazon Halo，，，，and乌拉戒指all offer some ability to track sleep. They all report on the amount of time the person is sleeping and the overall quality of that sleep.
Because of the negative effects sleep apnea can have on glucose levels it’s particularly important for people with diabetes to pay attention to the quality of their sleep. Left unaddressed, what seems like inconsequential snores in the night can lead to elevated A1Cs, high blood pressure, and heart problems.
Thankfully, we do have tools and treatments to identify and then address sleep apnea—ultimately avoiding the most serious complications.
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