Inclusion Criteria |
1. |
Apnea + Hypopnea Index (AHI) greater than ≥ 10 |
2. |
Type 2 diabetes mellitus |
3. |
Age 18 years or older |
4. |
Willing to be randomized to continuous positive airway pressure (CPAP) or sham-CPAP |
Exclusion Criteria |
1. |
Type 1 DM or pregnancy-induced diabetes |
2. |
HbA1C <6.5% or > 11% |
3. |
Sleep duration less than four hours per day |
4. |
Change in diabetes medications during the previous 3 months |
5. |
Acute medical or surgical conditions or hospitalization ≤ 3 months |
6. |
Previous diagnosis of another sleep disorder |
7. |
Oxygen or bi-level positive airway pressure (PAP) required |
8. |
Not CPAP naïve |
9. |
O2 sat. < 75% for > 25% of the ApneaLinkPlus® sleep study |
10. |
Cardiovascular events noted during overnight titration sleep study |
11. |
Persons in household with CPAP |
12. |
History of near-miss or auto accident during last 12 months |
13. |
Employed in safety sensitive job (i.e. truck driver or airline pilot) |
14. |
Non-ambulatory |
15. |
Regular use of hypnotic or alerting (e.g. modafinil) medications |
16. |
Excessive consumption of alcohol |
17. |
Claustrophobia to wearing mask |
18. |
Unable to speak, read & write English |
19. |
Pregnant or planning to become pregnant |
20. |
Primary care provider |