Why should diabetic patients go to the respiratory department?

Inter-causal diseases

  Lao Liu is 167 cm tall but weighs 84 kg. He is the owner of a small clothing factory in Hangzhou. He is indispensable in doing business, eating, drinking and socializing. Over time, Xiao Liu, who was thin and thin when he was young, slowly became the old Liu who is now fat and obese. Diabetes also entangled him quietly.
  In recent years, Lao Liu has always felt particularly fatigued. He gets headaches in the morning and may fall asleep at any time during the day. Family members always said that he snored loudly. In the beginning, Lao Liu didn’t realize what was wrong, until he went to the hospital for diabetes not long ago. The endocrinologist learned that he was snoring severely and suggested to go to the respiratory department for examination. At first, Liu was still skeptical. After a series of examinations such as polysomnography, he was diagnosed with severe sleep apnea hypopnea syndrome. When the doctor informed that there was a possibility of sudden death in the development, Lao Liu was fortunate to listen to the doctor’s advice and stop the danger in time.
  ”I haven’t slept like this for many years!” After Lao Liu had a sleep apnea monitoring, he woke up the next day after wearing a mask ventilator, he said with emotion. Next, the doctor asked him to wear a mask ventilator while sleeping, and the quality of his sleep was obviously better. Re-examination after half a month, the symptoms of lethargy and fatigue basically disappeared, people are energetic, and diabetes is well controlled.
  Shen Zuning, deputy chief physician of the Department of Respiratory Medicine, Zhejiang Provincial People’s Hospital, said that some patients with high blood sugar and high blood pressure who have a better medical history will find that the patients are sleeping, snoring, and waking up, especially in those with obesity, stubby neck, and small jaw. More common in patients. Previous reports have shown that the incidence of snoring in adult men over the age of 40 is more than 5%, and the incidence in diabetic patients is even higher, and there are reports in the literature up to 30%. “In the outpatient department of the respiratory department, some patients said that they were sleeping and snoring, often staying awake at night, or dozing off during the day. Routine examinations found that these patients had high blood sugar.”
  Shen Zuning explained that diabetes and sleep apnea syndrome (OSAHS) can be causal to each other. Diabetic patients will aggravate the occurrence of sleep apnea syndrome due to metabolic problems. Conversely, apnea during sleep can cause hypoxia, and repeated hypoxia can cause sympathetic excitement, endocrine disorders, sleep deprivation, etc., leading to insulin resistance and high blood sugar. A considerable part of diabetic patients, after active treatment of sleep apnea syndrome, diabetes can be controlled. Especially for critically ill patients, the treatment of sleep apnea is even more important than diabetes. For some mild patients, treatment of diabetes is also helpful for sleep apnea syndrome.
Snoring ≠ sleep apnea syndrome

  Among patients with snoring, the incidence of snoring in men is 10 times higher than that in women, the proportion of severe illness is higher, and men are more likely to become severe. This is mainly related to the anatomical structure of the male pharynx. Some males have narrow pharyngeal cavity and soft tissue hyperplasia after middle age. Sleep apnea syndrome is more likely to occur. Some lifestyle habits such as smoking also have a certain impact on the disease; while women’s The pharyngeal cavity is relatively smooth, and the muscles of the throat have better tension than men.

  Sleep apnea syndrome is not only common in adults, but also in children and adolescents. Parents must pay attention to it and intervene in time. Because sleep apnea can cause hypoxia in various organs of the body, long-term hypoxia can affect brain function, especially irreversible damage to children’s intelligence.
  Shen Zuning said that most patients with sleep apnea syndrome have snoring, but snoring is not necessarily sleep apnea syndrome. Snoring is mainly caused by the vibration caused by the airflow through the narrow upper respiratory tract. Rhinitis, sinusitis, tonsillitis, and enlarged tonsils can all cause snoring. In general, the snoring sound of snoring syndrome is relatively uniform, while in patients with sleep apnea syndrome, the snoring sound is uneven, sometimes large and small, intermittent.

  Shen Zuning said that if there is hypoxia and airflow obstruction during sleep, more than 5 times per hour, it is defined as sleep apnea syndrome. If it does not meet this standard, it is called general snoring. Most mild to moderate patients can improve their sleep disordered breathing by adjusting their lifestyle. For example, people who have the habit of snoring can choose to sleep on their side. Patients with sleep apnea syndrome should be careful not to take sleeping pills to help sleep, and do not drink alcohol, especially drunk, so as not to aggravate the original sleep apnea phenomenon. For some patients with severe sleep apnea syndrome, or people with diabetes, hypertension, etc., when symptoms such as drowsiness and fatigue are obvious, active treatment is required, including surgical treatment, and wearing a small ventilator while sleeping.

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