Diabetes and Sleep Apnea Discussions - SleepGuide2024-03-28T21:18:37Zhttps://www.sleepguide.com/group/DiabetesSleepApnea/forum?feed=yes&xn_auth=noJust wondering - has it helped?tag:www.sleepguide.com,2011-07-19:2549090:Topic:1654612011-07-19T04:42:19.634ZRLhttps://www.sleepguide.com/profile/RL
<p>For anyone who has had diabetes for awhile, and then been diagnosed and treated for OSA, has the OSA treatment affected your diabetes management? Positive/Negative? </p>
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<p>I imagine it could be overwhelming to deal with constant monitoring of blood glucose levels, and then have to add daily CPAP treatment and management too. Do you struggle with these things? What has helped you keep up with it all? Do you feel better when you do? </p>
<p>For anyone who has had diabetes for awhile, and then been diagnosed and treated for OSA, has the OSA treatment affected your diabetes management? Positive/Negative? </p>
<p> </p>
<p>I imagine it could be overwhelming to deal with constant monitoring of blood glucose levels, and then have to add daily CPAP treatment and management too. Do you struggle with these things? What has helped you keep up with it all? Do you feel better when you do? </p> Sleep - Diabetes connection - an article on WebMDtag:www.sleepguide.com,2011-03-27:2549090:Topic:1294252011-03-27T21:00:08.590ZRLhttps://www.sleepguide.com/profile/RL
<p><a href="http://www.webmd.com/sleep-disorders/excessive-sleepiness-10/diabetes-lack-of-sleep">http://www.webmd.com/sleep-disorders/excessive-sleepiness-10/diabetes-lack-of-sleep</a></p>
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<p>Overall, this is a good article. It is somewhat basic in it's explanation of diabetes and sleep apnea. It does offer a good discussion of the relationship between the two and how one may affect the other and visa versa. If you have either, and have not considered the possibility of the other,…</p>
<p><a href="http://www.webmd.com/sleep-disorders/excessive-sleepiness-10/diabetes-lack-of-sleep">http://www.webmd.com/sleep-disorders/excessive-sleepiness-10/diabetes-lack-of-sleep</a></p>
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<p>Overall, this is a good article. It is somewhat basic in it's explanation of diabetes and sleep apnea. It does offer a good discussion of the relationship between the two and how one may affect the other and visa versa. If you have either, and have not considered the possibility of the other, it might encourage you to investigate further. At least it is a good reminder for both to keep up with monitoring a variety of health aspects as they relate to each condition. </p> Poorly controlled diabetes - would it keep you from considering if you had OSA?tag:www.sleepguide.com,2011-02-11:2549090:Topic:1089852011-02-11T01:47:33.793ZRLhttps://www.sleepguide.com/profile/RL
If you have/had poorly controlled diabetes, you may often feel tired and generally not well. So what would lead you to consider getting checked for OSA?
If you have/had poorly controlled diabetes, you may often feel tired and generally not well. So what would lead you to consider getting checked for OSA? Diabetes and Sleep Apnea - which was diagnosed first?tag:www.sleepguide.com,2011-02-11:2549090:Topic:1090972011-02-11T01:34:35.208ZRLhttps://www.sleepguide.com/profile/RL
<p>If you have been diagnosed with both diabetes and sleep apnea, which one was diagnosed first, and how long was it between the diagnosis for each?</p>
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<p>How long do you think you had one or the other before it was diagnosed?</p>
<p>If you have been diagnosed with both diabetes and sleep apnea, which one was diagnosed first, and how long was it between the diagnosis for each?</p>
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<p>How long do you think you had one or the other before it was diagnosed?</p> New Guidelines Announced for Exercise in Type 2 Diabetestag:www.sleepguide.com,2010-12-27:2549090:Topic:982732010-12-27T20:39:54.591ZMikehttps://www.sleepguide.com/profile/MichaelG
<div>December 16, 2010 — New guidelines issued jointly by the American Diabetes Association and the American College of Sports Medicine stress the crucial role that physical activity plays in the management of type 2 diabetes. They replace recommendations made in the American College of Sports Medicine Position Stand "Exercise and Type 2 Diabetes" that were issued in 2000.</div>
<br></br>Developed by a panel of 9 experts, the new guidelines are published concurrently in the December issue of…
<div>December 16, 2010 — New guidelines issued jointly by the American Diabetes Association and the American College of Sports Medicine stress the crucial role that physical activity plays in the management of type 2 diabetes. They replace recommendations made in the American College of Sports Medicine Position Stand "Exercise and Type 2 Diabetes" that were issued in 2000.</div>
<br/>Developed by a panel of 9 experts, the new guidelines are published concurrently in the December issue of Medicine & Science in Sports & Exercise and Diabetes Care. <br/>"High-quality studies establishing the importance of exercise and fitness in diabetes were lacking until recently," the expert panel writes, "but it is now well established that participation in regular physical activity improves blood glucose control and can prevent or delay type 2 diabetes mellitus, along with positively affecting lipids, blood pressure, cardiovascular events, mortality, and quality of life."
<br/>Most of the benefits of exercise are realized through acute and long-term improvements in insulin action, accomplished with both aerobic and resistance training, the experts write. <br/>For people who already have type 2 diabetes, the new guidelines recommend at least 150 minutes per week of moderate to vigorous aerobic exercise spread out at least 3 days during the week, with no more than 2 consecutive days between bouts of aerobic activity. These recommendations take into account the needs of those whose diabetes may limit vigorous exercise.
<br/>"Most people with type 2 diabetes do not have sufficient aerobic capacity to undertake sustained vigorous activity for that weekly duration, and they may have orthopaedic or other health limitations," said writing chair Sheri R. Colberg, PhD, professor of exercise science at Old Dominion University and adjunct professor of internal medicine at Eastern Virginia Medical School, Norfolk, Virginia, in a statement. "For this reason, the ADA [American Diabetes Association] and ACSM [American College of Sports Medicine] call for a regimen of moderate-to-vigorous activity and make no recommendation for a lesser amount of vigorous activity."
<br/>The panel specifically recommends that such moderate exercise correspond to approximately 40% to 60% of maximal aerobic capacity and states that for most people with type 2 diabetes, brisk walking is a moderate-intensity exercise.
<br/>The expert panel also recommends that resistance training be part of the exercise regimen. This should be done at least twice a week — ideally 3 times a week — on nonconsecutive days. The panel also recommends that people just beginning to do weight training be supervised by a qualified exercise trainer "to ensure optimal benefits to blood glucose control, blood pressure, lipids, and cardiovascular risk and to minimize injury risk."
<br/>Regular use of a pedometer is also encouraged. In a meta-analysis of 8 randomized controlled trials and 18 observational studies, people who used pedometers increased their physical activity by 27% over baseline. Having a goal, such as taking 10,000 steps per day, was an important predictor of increased physical activity, according to the expert panel.
<br/>Finally, the new guidelines emphasise that exercise must be done regularly to have continued benefits and should include regular training of varying types.
<br/>Physicians should prescribe exercise, Dr. Colberg said in a statement. "Many physicians appear unwilling or cautious about prescribing exercise to individuals with type 2 diabetes for a variety of reasons, such as excessive body weight or the presence of health-related complications. However, the majority of people with type 2 diabetes can exercise safely, as long as certain precautions are taken. The presence of diabetes complications should not be used as an excuse to avoid participation in physical activity."
<br/>Dr. Colberg and the other authors have disclosed no relevant financial relationships.<div>Med Sci Sports Exerc. 2010;42:2282-2303.
<div><span style="font-family: 'lucida grande', tahoma, verdana, arial, sans-serif; font-size: 11px; color: #666666;"><a href="http://www.medscape.org/viewarticle/734359">http://www.medscape.org/viewarticle/734359</a></span></div>
<div><strong>Study Highlights</strong></div>
<div><ul>
<li>Acute effects of physical activity</li>
<li>Physical activity increases glucose uptake into active muscles, with greater effect as the intensity of physical activity increases.</li>
<li>Muscle contractions during physical activity stimulate blood glucose transport via a mechanism that is separate and additive to insulin-stimulated blood glucose uptake into skeletal muscle at rest.</li>
<li>Moderate physical activity acutely improves blood glucose and insulin action with minimal risk for hypoglycemia in those not taking insulin or insulin analogues.</li>
<li>Intense physical activity can cause transient hyperglycemia.</li>
<li>Resistance exercise leads to lower fasting for at least 24 hours in those with impaired fasting glucose levels.</li>
<li>The acute effects of resistance exercise in type 2 diabetes are not reported.</li>
<li>Combined aerobic and resistance exercise vs separately might be more effective in blood glucose control, but more studies are needed.</li>
<li>Milder exercise has mixed results on blood glucose control.</li>
<li>Physical activity acutely improves systemic insulin action for 2 to 72 hours.</li>
<li>Long-term effects of physical activity</li>
<li>Aerobic and resistance training improve insulin action, blood glucose control, and fat oxidation and storage in muscle.</li>
<li>Resistance exercise improves skeletal muscle mass.</li>
<li>Physical activity might reduce low-density lipoprotein cholesterol levels, but does not increase high-density lipoprotein cholesterol levels or reduce triglyceride levels.</li>
<li>Combined weight loss and physical activity vs physical activity alone might have greater effect on lipids.</li>
<li>Physical activity might improve systolic more than diastolic blood pressure in type 2 diabetes.</li>
<li>Physical activity and physical fitness are linked with reduced risk for all-cause and cardiovascular mortality.</li>
<li>If relying on exercise alone for weight loss, up to 60 minutes per day of physical activity might be needed.</li>
<li>Supervised vs unsupervised training in type 2 diabetes results in greater compliance and blood glucose control.</li>
<li>Physical activity and fitness can decrease depression symptoms and improve health-related quality of life in type 2 diabetes.</li>
</ul>
<div><strong>Prevention of type 2 diabetes</strong></div>
<ul>
<li>In high-risk adults, at least 2.5 hours per week of moderate to vigorous physical activity is recommended as part of lifestyle changes to prevent type 2 diabetes.</li>
<li>Physical activity might decrease the risk for the development of gestational diabetes.</li>
</ul>
<strong>Pre-exercise evaluation for patients with type 2 diabetes</strong><br/>
<ul>
<li>Pre-exercise evaluation is recommended for sedentary patients with type 2 diabetes who plan physical activity more intense than brisk walking.</li>
<li>Pre-exercise electrocardiogram exercise stress testing for asymptomatic patients might be indicated for those at high risk for cardiovascular disease.</li>
</ul>
<strong>Physical activity for patients with type 2 diabetes</strong><br/>
<ul>
<li>The recommended physical activity for persons with type 2 diabetes is at least 150 minutes per week of moderate to vigorous aerobic exercise spread out during at least 3 days of the week, with no more than 2 consecutive days between physical activity.</li>
<li>Persons with type 2 diabetes need moderate to vigorous resistance training at least 2 to 3 days per week.</li>
<li>Supervised and combined aerobic and resistance training might have greater benefits.</li>
<li>Milder physical activity has mixed results.</li>
<li>Increase in total daily unstructured physical activity is recommended.</li>
<li>Flexibility training should not replace other recommended physical activity.</li>
<li>Patients with blood glucose levels greater than 300 mg/dL should use caution.</li>
<li>Carbohydrate supplementation or medication dose changes might be needed to prevent hypoglycemia in those taking insulin and insulin secretagogues.</li>
<li>Recommendations for patients with diabetes complications include a supervised cardiac rehabilitation program if angina is present and is classified as moderate or high risk, foot care if there is peripheral neuropathy, possible exercise stress test and prescribed exercise intensity if there is cardiovascular autonomic neuropathy, avoidance of physical activity that increases intraocular pressure and hemorrhage risk in uncontrolled proliferative retinopathy, and screening for cardiovascular disease in kidney disease.</li>
<li>Promoting physical activity should include development of self-efficacy, social support, and encouragement of mild or moderate physical activity.</li>
</ul>
<strong>Clinical Implications</strong><br/>
<ul>
<li>For adults at risk for type 2 diabetes mellitus, the recommended physical activity is at least 2.5 hours per week of moderate to vigorous physical activity to prevent the development of this disease.</li>
<li>The recommended physical activity for persons with type 2 diabetes mellitus is at least 150 minutes per week of moderate to vigorous aerobic exercise during at least 3 days of the week, with no more than 2 consecutive days between exercise. Moderate to vigorous resistance training for 2 to 3 days per week is also recommended.</li>
</ul>
</div>
</div> Blood Glucose-Sleep Connection Brought Hometag:www.sleepguide.com,2010-12-16:2549090:Topic:940322010-12-16T05:07:38.729ZMikehttps://www.sleepguide.com/profile/MichaelG
<p>Just posted about my personal revelations around BG and sleep at <a href="http://www.sleepguide.com/forum/topics/been-measuring-blood">http://www.sleepguide.com/forum/topics/been-measuring-blood</a></p>
<p>Just posted about my personal revelations around BG and sleep at <a href="http://www.sleepguide.com/forum/topics/been-measuring-blood">http://www.sleepguide.com/forum/topics/been-measuring-blood</a></p> Newer Blood Test Predicts Diabetes, Heart Diseasetag:www.sleepguide.com,2010-11-28:2549090:Topic:919272010-11-28T21:38:14.789ZRLhttps://www.sleepguide.com/profile/RL
<a href="http://www.sparkpeople.com/resource/health_news_detail.asp?health_day=636649">http://www.sparkpeople.com/resource/health_news_detail.asp?health_day=636649</a><br></br><div><br></br></div>
<div>This article talks about the use of A1C blood tests to predict potential for diabetes and hear disease. According to the article, this had not previously been considered a good tool for this but the study referenced is changing that. I think it may be worth checking with your doctor to monitor this if…</div>
<a href="http://www.sparkpeople.com/resource/health_news_detail.asp?health_day=636649">http://www.sparkpeople.com/resource/health_news_detail.asp?health_day=636649</a><br/><div><br/></div>
<div>This article talks about the use of A1C blood tests to predict potential for diabetes and hear disease. According to the article, this had not previously been considered a good tool for this but the study referenced is changing that. I think it may be worth checking with your doctor to monitor this if you are prediabetic or have other reasons to be concerned about developing diabetes or heart disease, such as having sleep apnea, family history, etc. </div> Newer Blood Test Predicts Diabetes, Heart Diseasetag:www.sleepguide.com,2010-11-28:2549090:Topic:915982010-11-28T21:36:18.593ZRLhttps://www.sleepguide.com/profile/RL
<a href="http://www.sparkpeople.com/resource/health_news_detail.asp?health_day=636649">http://www.sparkpeople.com/resource/health_news_detail.asp?health_day=636649</a><div><br></br></div>
<div>This article talks about the use of A1C blood tests to predict potential for diabetes and hear disease. According to the article, this had not previously been considered a good tool for this but the study referenced is changing that. I think it may be worth checking with your doctor to monitor this if you…</div>
<a href="http://www.sparkpeople.com/resource/health_news_detail.asp?health_day=636649">http://www.sparkpeople.com/resource/health_news_detail.asp?health_day=636649</a><div><br/></div>
<div>This article talks about the use of A1C blood tests to predict potential for diabetes and hear disease. According to the article, this had not previously been considered a good tool for this but the study referenced is changing that. I think it may be worth checking with your doctor to monitor this if you are prediabetic or have other reasons to be concerned about developing diabetes or heart disease, such as having sleep apnea, family history, etc. </div> A.W.A.K.E. group focuses monthly topic on diabetestag:www.sleepguide.com,2010-11-17:2549090:Topic:906402010-11-17T05:18:00.379ZRLhttps://www.sleepguide.com/profile/RL
One of our local A.W.A.K.E. groups is having a program called "Sugar and Sleep" to be presented by an RN who is a Certified Diabetes Educator, on Wed. Nov 17. I plan to attend, so I'll let you know what they cover. They are also having a "Holiday Low Sugar Recipe Exchange".
One of our local A.W.A.K.E. groups is having a program called "Sugar and Sleep" to be presented by an RN who is a Certified Diabetes Educator, on Wed. Nov 17. I plan to attend, so I'll let you know what they cover. They are also having a "Holiday Low Sugar Recipe Exchange". My Story: the Beginning of my Journey with Diabetestag:www.sleepguide.com,2010-11-16:2549090:Topic:901152010-11-16T04:23:37.831ZMikehttps://www.sleepguide.com/profile/MichaelG
<div>It's funny, but I find that the way I'm coming around to a diagnosis of Diabetes is almost the same as the way I came to a diagnosis of OSA -- fighting an uphill battle against doctors, physicians assistants and other so-called professionals to get the care and attention I so desperately need, but which is not in their interest to provide. Let me explain.</div>
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<div>I asked my Primary Care doc to run up blood work because I've been gaining weight lately and knew from…</div>
<div>It's funny, but I find that the way I'm coming around to a diagnosis of Diabetes is almost the same as the way I came to a diagnosis of OSA -- fighting an uphill battle against doctors, physicians assistants and other so-called professionals to get the care and attention I so desperately need, but which is not in their interest to provide. Let me explain.</div>
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<div>I asked my Primary Care doc to run up blood work because I've been gaining weight lately and knew from previous tests that my fasting blood glucose level was creeping upward (it had once been 105 and the normal was <100). When the results came back, a physician's assistant called and said only that my Vitamin D level was too low. No mention of the fasting blood glucose level, which was the purpose of the test. When I questioned her about it specifically, she said that it was 117, which was a "little high, but nothing to be concerned about." I asked for the normal range, and she got defensive and asked why i wanted to know: did i have a family history of diabetes? When she relented and gave me the normal range (<100), I asked to take the Glucose Tolerance Test, which i understand to be the gold standard of diabetes tests. She said that she "didn't think the doctor would go for it," because I didn't have a fasting glucose level that reached the threshold for diabetes --- only "pre-diabetes." But she said she would check with the doctor and get back to me. She didn't call me for a couple days, and when she did, she got my voicemail and instead of leaving a substantive message, told me just to call back. I called back immediately, but she had left for the day, and I left her voicemail. I then spent the next 3 days trying to get her on the phone, without her returning any of my calls. </div>
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<div>So without any professional assistance, I turned to the internet and found out that a FGL of 117 was cause for concern and that diabetes is on a continuum of severity and that the determination of when to declare someone "diabetic" is a political decision motivated by powerful special interests, and has very little to do with good medicine. So it would be wise to test my blood sugar levels with a blood glucose monitor to determine how different types of food and different times of the day effect my blood sugar levels. I went to the pharmacy without any clue what to get other than i needed a blood glucose monitor. Without any real education on this stuff, I chose a colorful one that looked pretty cool -- the One Touch ultra mini -- then learned from looking on the shelves of the pharmacy that i would also need to buy lancets and testing strips. When i got to the counter to pay, the pharmacist discouraged me from buying it without checking first whether my insurance covered it. Foolishly, I allowed him to persuade me to walk away and go another day without doing what I needed to do. The next day, when i still couldn't get in touch with my doctor to even discuss the test results let alone whether I could get a prescription for the supplies, I came to my senses and went in and just paid out of pocket. For about $100, I was able to start taking control of my life and not get caught up in the health "care" system's way of doing things: to dawdle and delay while things aren't catastrophically bad so that you wait until the sh*t really hits the fan with your health and of course then it's easy to get a prescription for whatever you need... only problem is you lose a leg/ some nerve endings by that time. No matter. It's not the doctor's leg. And this time he gets to chop off a leg instead of answer a ton of questions about prevention! Higher billing code. And more fun for the doctor to boot! (no pun intended)</div>
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<div>So . . . I got home with the blood glucose monitoring supplies and read the instruction packets that came with the supplies word-for-word as I tried to figure out how to prick my finger properly and collect this sample in the right way for testing. I supplemented my read of the instruction packet with some internet searches and voila: after sticking myself about half a dozen times in the wrong way, I got a decent sample and started collecting data on what was going on in my body. I've been doing that for the past week. I even found an app on the iphone/ internet site -- <a href="http://www.glucosebuddy.com/">Glucose Buddy</a> -- that helps me log my blood test results and graph them out in a way that helps me make sense of it all. </div>
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<div>Still, I am very much in the dark and don't know what I'm doing. I understand there are Diabetes "Educators" out there who would probably walk me through all of this along with the rest of a good diabetes team: which i believe consists of an endo and a nutritionist as well. I set up an appointment with my PCP tomorrow to walk through the results of my bloodwork and to "fire" him and tell him why: because of his and his staff's lack of interest in giving me the most important information about my health, and worse still, trying to lull me into a false sense of security by telling me I have nothing to worry about. </div>
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<div>My next step is to find a primary care doctor who specializes in diabetes/ who is an endo too. Then maybe i'll feel a little more secure about what I'm doing on my own.</div>
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<div>In the meantime, I'm cutting out carbs and hitting the gym at least 4 times a week. I'm determined to get control of this before it gets any worse. I plan to post about my experiences in the new SleepGuide group I created for those here who also are living with Diabetes (or pre-diabetes): <a href="http://www.sleepguide.com/group/DiabetesSleepApnea">http://www.sleepguide.com/group/DiabetesSleepApnea</a> -- please join me there if you are interested in this subject.</div>
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<div>With Sleep Apnea, i let the system have its way a little bit with me -- I had a cheap, stripped down CPAP drop shipped to me which I put aside after a day and never used and waited for the "professionals" to come to my rescue before I found out about the choices of all sorts of machines that were available and took control myself. This time, with Diabetes, I'm on to the health care game. I know the rules and how the game is played. Should be interesting to see what happens . . . </div>
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