European Journal of Molecular & Clinical Medicine

Abstract

Background: The incidence of OSA among persons who have type 2 diabetes may vary anywhere from 8.5% to 86%. Obstructive sleep apnea is more common in people of South Asian heritage who have type 2 diabetes (OSA). People of South Asian descent who have been diagnosed with type 2 diabetes tend to be overweight, and this obesity has been associated to obstructive sleep apnea. 
Method: In present study 246 subjects received Polysomnography (PSG) and among them 192 assessed for CPAP titration. 78 participants were removed due to inclusion criteria, CPAP intolerance, refusal to participate, those who can't afford treatment, etc. The remaining 114 subjects were obese non-diabetics (61) and obese type 2 diabetics (53). These 53 obese diabetic subjects were divided into 3 groups: CPAP group, CPAP with Lifestyle changes and CPAP with Pranayama group. Follow-up was done after six-month.
Result: We found BMI, Waist Circumference, Hip Circumference and Neck Circumference were decreased in all three-study groups after six months of interventions. It was very highly Significant (p<0.001) in all groups. We have also found a positive correlation with AHI and Anthropometric evaluation.
Conclusion: The pattern of sleep improved across the all-different stages of sleep. Using CPAP in conjunction with these two interventions not only improves the success rate of treating OSA, but also shortens the overall time necessary for therapy.