Diabetes Mellitus, Obstructive Sleep Apnea
Conditions
Keywords
diabetic retinopathy, diabetes, arterial hypertension, obstructive sleep apnea syndrome
Brief summary
Diabetic retinopathy (DR) is the most common visual complication of diabetes. Risk factors for developing DR are diabetes duration, glycemic control, and hypertension . The prevalence ranges from 17 to 61% according to the diabetes duration . Obstructive sleep apnea syndrome (OSAS) is very frequent in Type 2 Diabetes population, reaching a prevalence of 23-48% . Few is known about the exact role of OSAS in the development of DR. A recent study has shown that OSAS is an independent predictor for the progression to pre-/proliferative DR. The purpose of the present study is to assess if the presence of OSA in diabetic patients is a predictive factor for DR occurrence.
Detailed description
Diabetic retinopathy (DR) is the most common visual complication of diabetes. Risk factors for developing DR are diabetes duration, glycemic control, and hypertension. The prevalence ranges from 17 to 61% according to the diabetes duration. Obstructive sleep apnea syndrome (OSAS) is very frequent in Type 2 Diabetes population, reaching a prevalence of 23-48%. Few is known about the exact role of OSAS in the development of DR. A recent study has shown that OSAS is an independent predictor for the progression to pre-/proliferative DR. The purpose of the present study is to assess if the presence of OSA in diabetic patients is a predictive factor for DR occurrence.
Interventions
* classical polysomnography * non invasive measurement of blood pressure * blood test: determination of HbA1c, glucose, C-peptide, hemoglobin, white blood cell count, trombocytes
Sponsors
Study design
Eligibility
Inclusion criteria
* presence of diabetic type II * able to undergo an in-lab polysomnography
Exclusion criteria
* known presence of obstructive sleep apnea and treated by CPAP
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Presence of obstructive sleep apnea in diabetic patients is a predictive factor for diabetic retinopathy occurence | 1 month | obstructive sleep apnea is defined as apnea-hypopnea index \> 15 on polysomnography |
Secondary
| Measure | Time frame |
|---|---|
| Correlation between severity of obstructive sleep apnea and presence of diabetic retinopathy | 1 month |
Countries
Belgium