Table 2.
Studies examining the effects of continuous positive airway pressure (CPAP) treatment of obstructive sleep apnea (OSA) on measures of glucose metabolism in patients with type 2 diabetes
| Author/Year | Sample | Measures of Glucose Metabolism | Treatment duration | CPAP adherence (h/night) | Main findings |
|---|---|---|---|---|---|
| Brooks et al.[26] (1994) | 10 | Hyperinsulinemic euglycemic clamp | 4 months | Not reported | No change in HbA1c Improvement in insulin sensitivity |
| Harsch et al. [46] (2004) | 9 | Hyperinsulinemic euglycemic clamp, HbA1c | 3 months | ∼ 5.8 hours | No change in HbA1c Improvement in insulin sensitivity |
| Babu et al.[44] (2005) | 25 | Continuous glucose monitoring, HbA1c | ∼ 12 weeks | ∼ 4.2 hours | Improvements in HbA1c and postprandial glucose levels |
| West et al.[42] (2007) | 20 (CPAP) 22 (sham CPAP) | Hyperinsulinemic euglycemic clamp, HOMA, HbA1c | 3 months | ∼ 3.3 hours | No change on HbA1c or insulin sensitivity |
| Pallayova et al.[45] (2008) | 14 | Continuous glucose monitoring | 1 night | Not reported | Improvement in nocturnal glucose levels |
| Dawson et al. [43] (2008) | 20 | Continuous glucose monitoring, HbA1c | ∼ 5 weeks | ∼ 5.8 hours | Improvement in glucose levels during sleep No change in HbA1c |