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OSA and Type 1 Diabetes
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Greendog Offline

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Post: #1
OSA and Type 1 Diabetes
Hi,
I'm newly diagnosed and have soooo many questions. I've been told that there is a definite connection between type 2 diabetes and OSA. I have had type 1 diabetes for many years. I'm pretty sure there's a connection between the erratic BG numbers I've had for several months. Is OSA also connected to type 1 diabetes?

Thanks so much for your response!
Greendog
07-20-2016 04:41 PM
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GrammaBear Offline

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Post: #2
RE: OSA and Type 1 Diabetes
(07-20-2016 04:41 PM)Greendog Wrote:  Hi,
I'm newly diagnosed and have soooo many questions. I've been told that there is a definite connection between type 2 diabetes and OSA. I have had type 1 diabetes for many years. I'm pretty sure there's a connection between the erratic BG numbers I've had for several months. Is OSA also connected to type 1 diabetes?

Thanks so much for your response!
Greendog

I was diagnosed with type 1 diabetes in 2003, and OSA in 2009. The Endocrinologist I was seeing at the time of diagnosis is also the one who strongly suggested that I have a sleep study. It was his opinion that OSA can be a complication of type 1 diabetes.

If you are not sleeping well, that can cause a lot of stress to your body. Any kind of stress can affect your BG numbers. Have you talked with your Endocrinologist about your BG numbers?
07-20-2016 05:10 PM
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justMongo Offline

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Post: #3
RE: OSA and Type 1 Diabetes
We have some type 1 DM with sleep apnea on the board.
They can better answer the question.

INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
07-20-2016 05:11 PM
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Greendog Offline

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Post: #4
RE: OSA and Type 1 Diabetes
Hi Grammabear,
Thank you for your reply. You are totally right about stress and erratic BG numbers! I use an insulin pump and continuous glucose monitor and have been trying to adjust the programming to cover crazy BG spikes- after years and years of very stable control. My endo has never mentioned sleep apnea as a possible cause.

I practically had to beg my PCP to do a sleep study. She said that it was "extremely unusual for a small, slender woman to develop OSA". So much for that! The first night of testing revealed an AHI of 82.

I am really hoping that I can get my A1c back down to it's previous high-6 level after a short time on CPAP therapy. Did it take long for you?

Thanks again,
Greendog
07-20-2016 05:53 PM
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0rangebear Offline

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Post: #5
RE: OSA and Type 1 Diabetes
(07-20-2016 04:41 PM)Greendog Wrote:  Hi,
I'm newly diagnosed and have soooo many questions. I've been told that there is a definite connection between type 2 diabetes and OSA. I have had type 1 diabetes for many years. I'm pretty sure there's a connection between the erratic BG numbers I've had for several months. Is OSA also connected to type 1 diabetes?

Thanks so much for your response!
Greendog

I am insulin dependent and I have experienced a reduction in my insulin need since I started therapy.

Which I believe is attributed to positive airway therapy.

It took several months of therapy for it to show up.

Here are some threads where I discussed it, when I was in my 3rd and 4th month of therapy.

http://www.apneaboard.com/forums/Thread-Low-Blood-Sugar?

http://www.apneaboard.com/forums/Thread-Insulin-dosage-change

2004-Bon Jovi
it'll take more than a doctor to prescribe a remedy

Observations and recommendations communicated here are the perceptions of the writer and should not be misconstrued as medical advice.
07-20-2016 06:19 PM
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PaulaO2 Offline
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Post: #6
RE: OSA and Type 1 Diabetes
I don't think you can say that your OSA is the direct cause of your Type 1 diabetes. It can contribute to it and make it harder to control but cause it? Treating OSA can certainly make either type of diabetes easier to control!

Actually, from the articles I just read, it may be the other way around. The longer you have the Type 1 diagnosis, the higher your risk for OSA goes up. The French report suggests that doctors start testing patients for sleep apnea after 10 years and do so every 5 (if I read that right). This was especially true for those who had low BMI.

PaulaO2
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Breathe deeply and count to zen.

INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
07-20-2016 06:24 PM
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GrammaBear Offline

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Post: #7
RE: OSA and Type 1 Diabetes
I honestly did not realize that my elevated BG numbers were connected to my sleep apnea. All I knew at the time I was diagnosed with OSA was that this wonderful CPAP machine made it possible for me to sleep more than several hours at a time. Getting used to the CPAP machine took me anywhere from 4-6 months.

I was surprised to find that when the seasons change, I have to adjust my basal rates on my insulin pump. It is during that transition period between seasons, that my BG numbers really go crazy.
07-20-2016 06:28 PM
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Greendog Offline

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Post: #8
RE: OSA and Type 1 Diabetes
Oh no, I don't think that OSA could have caused my t-1. Waaaay too many years between the diabetes diagnosis and OSA. But I've seen so many articles associating t-2 and OSA that I was wondering if there was a connection with t-1 and OSA, too.

I sure do appreciate your response! I know so little about this whole thing and it's very, very intimidating!

Thanks again,
Greendog
07-20-2016 08:11 PM
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eseedhouse Online

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Post: #9
RE: OSA and Type 1 Diabetes
(07-20-2016 08:11 PM)Greendog Wrote:  Oh no, I don't think that OSA could have caused my t-1. Waaaay too many years between the diabetes diagnosis and OSA. But I've seen so many articles associating t-2 and OSA that I was wondering if there was a connection with t-1 and OSA, too.

I sure do appreciate your response! I know so little about this whole thing and it's very, very intimidating!

I only know a few people with Type 1 diabetes (type II myself, but insulin dependant) but the ones I do know tend to pack on the pounds because insulin makes you hungry especially if they have trouble keeping their sugars level. And putting on weight is a risk factor for Sleep Apnea, so though it's probably too much to go so far as to think the former causes the latter there is perhaps some relationship or tendency. Of course in our over-fed society heaviness is not limited to those with diabetes.

Ed Seedhouse
VA7SDH

I am neither a Doctor, nor any other kind of medical professional.

Actually you know, it is what it isn't.
07-20-2016 10:14 PM
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PaulaO2 Offline
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Post: #10
RE: OSA and Type 1 Diabetes
There are several articles linking long term Type 1 with OSA in low BMI individuals. They do not understand the link, at least not that I read. I did get lost after a while, though. There was a larger French study in '15, several smaller studies prior to that, and some others around the same time as the big one in France.

They were saying that too often low BMI folks get ignored in terms of OSA diagnosis yet their risk for it increases the longer they have had Type 1. Yet sleep is important in terms of blood sugar regulation and insulin production and assimilation.

PaulaO2
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Breathe deeply and count to zen.

INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
07-21-2016 01:10 AM
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