Diabetes mellitus, metabolic syndrome, and sleep disorders: An underestimated relationship

Diabetes mellitus (DM) is the most prevalent endocrine disorder globally. DM is under-evaluated and less efficiently managed in terms of ruling out comorbid conditions associated with it and predisposing factors resulting in poor outcomes. Sleep disorders are more common than usually diagnosed due t...

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Main Authors: Shital Patil, Sanidhaya Tak, Abdul Wahab Mirza
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2024-05-01
Series:Annals of Medical Science and Research
Subjects:
Online Access:https://journals.lww.com/10.4103/amsr.amsr_3_24
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author Shital Patil
Sanidhaya Tak
Abdul Wahab Mirza
author_facet Shital Patil
Sanidhaya Tak
Abdul Wahab Mirza
author_sort Shital Patil
collection DOAJ
description Diabetes mellitus (DM) is the most prevalent endocrine disorder globally. DM is under-evaluated and less efficiently managed in terms of ruling out comorbid conditions associated with it and predisposing factors resulting in poor outcomes. Sleep disorders are more common than usually diagnosed due to less awareness in the community regarding the importance of timely diagnosis and the impact of interventions related to proper sleep hygiene and sleep structure. Obstructive sleep apnea (OSA) is independently associated with cardiovascular and cardiometabolic risk in several large epidemiological studies. OSA leads to several physiological disturbances, such as intermittent hypoxia, sleep fragmentation, and an increase in autonomic tone. Metabolic syndrome (MS) is an adverse outcome that is typically associated with obesity. It is a cluster of metabolic risk factors for type 2 DM (T2DM) and cardiovascular diseases (CVDs), including central obesity, hypertension, hyperglycemia, insulin resistance, and dyslipidemia. T2DM is often associated with OSA, and a bidirectional relationship may exist between the two diseases, mediated by both weight- and physiology-dependent mechanisms. OSA is highly associated with T2DM, and treatment of OSA may have a positive impact on the cardiometabolic profile. In this review, we have attempted to summarize the impact of sleep disorders on MS and DM, and vice versa, with special emphasis on newer medical options in the management of DM and cardiometabolic syndrome.
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spelling doaj-art-e421f5c613464ee2b7a0b8657a347bcd2025-08-20T04:02:22ZengWolters Kluwer Medknow PublicationsAnnals of Medical Science and Research2949-785X2949-78682024-05-01329110110.4103/amsr.amsr_3_24Diabetes mellitus, metabolic syndrome, and sleep disorders: An underestimated relationshipShital PatilSanidhaya TakAbdul Wahab MirzaDiabetes mellitus (DM) is the most prevalent endocrine disorder globally. DM is under-evaluated and less efficiently managed in terms of ruling out comorbid conditions associated with it and predisposing factors resulting in poor outcomes. Sleep disorders are more common than usually diagnosed due to less awareness in the community regarding the importance of timely diagnosis and the impact of interventions related to proper sleep hygiene and sleep structure. Obstructive sleep apnea (OSA) is independently associated with cardiovascular and cardiometabolic risk in several large epidemiological studies. OSA leads to several physiological disturbances, such as intermittent hypoxia, sleep fragmentation, and an increase in autonomic tone. Metabolic syndrome (MS) is an adverse outcome that is typically associated with obesity. It is a cluster of metabolic risk factors for type 2 DM (T2DM) and cardiovascular diseases (CVDs), including central obesity, hypertension, hyperglycemia, insulin resistance, and dyslipidemia. T2DM is often associated with OSA, and a bidirectional relationship may exist between the two diseases, mediated by both weight- and physiology-dependent mechanisms. OSA is highly associated with T2DM, and treatment of OSA may have a positive impact on the cardiometabolic profile. In this review, we have attempted to summarize the impact of sleep disorders on MS and DM, and vice versa, with special emphasis on newer medical options in the management of DM and cardiometabolic syndrome.https://journals.lww.com/10.4103/amsr.amsr_3_24diabetes mellitusmetabolic syndromeosasleep disorderst2dm
spellingShingle Shital Patil
Sanidhaya Tak
Abdul Wahab Mirza
Diabetes mellitus, metabolic syndrome, and sleep disorders: An underestimated relationship
Annals of Medical Science and Research
diabetes mellitus
metabolic syndrome
osa
sleep disorders
t2dm
title Diabetes mellitus, metabolic syndrome, and sleep disorders: An underestimated relationship
title_full Diabetes mellitus, metabolic syndrome, and sleep disorders: An underestimated relationship
title_fullStr Diabetes mellitus, metabolic syndrome, and sleep disorders: An underestimated relationship
title_full_unstemmed Diabetes mellitus, metabolic syndrome, and sleep disorders: An underestimated relationship
title_short Diabetes mellitus, metabolic syndrome, and sleep disorders: An underestimated relationship
title_sort diabetes mellitus metabolic syndrome and sleep disorders an underestimated relationship
topic diabetes mellitus
metabolic syndrome
osa
sleep disorders
t2dm
url https://journals.lww.com/10.4103/amsr.amsr_3_24
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AT sanidhayatak diabetesmellitusmetabolicsyndromeandsleepdisordersanunderestimatedrelationship
AT abdulwahabmirza diabetesmellitusmetabolicsyndromeandsleepdisordersanunderestimatedrelationship