medsovetМедицинский СоветMeditsinskiy sovet = Medical Council2079-701X2658-5790REMEDIUM GROUP Ltd.10.21518/2079-701X-2017-10-132-135medsovet-1880Research ArticleДИССЕРТАНТDISSERTANTСиПАП-ТЕРАПИЯ СНИЖАЕТ УРОВЕНЬ ГЛИКИРОВАННОГО ГЕМОГЛОБИНА У БОЛЬНЫХ САХАРНЫМ ДИАБЕТОМ ВТОРОГО ТИПА И СИНДРОМОМ АПНОЭ СНАCPAP-THERAPY DECREASES GLYCATED HEMOGLOBIN IN PATIENTS WITH TYPE 2 DIABETES MELLITUS AND SLEEP APNOEAБурчаковД. И.BurchakovD. I.МайоровА. Ю.MayorovA. Yu.

Доктор медиинских наук, профессор

MD, Prof.

Первый Московский государственный медицинский университет им. И.М. СеченоваРоссияSechenov First Moscow State Medical UniversityRussian FederationПервый Московский государственный медицинский университет им. И.М. Сеченова; Эндокринологический научный центрРоссияSechenov First Moscow State Medical University; Endocrinological Research CentreRussian Federation201725052017010132135Copyright © Бурчаков Д.И., Майоров А.Ю., 20172017Бурчаков Д.И., Майоров А.Ю.Burchakov D.I., Mayorov A.Y.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.med-sovet.pro/jour/article/view/1880

Среди больных сахарным диабетом второго типа (СД 2-го типа) широко распространен синдром обструктивного апноэ сна (СОАС), который негативно влияет на состояние углеводного обмена и качество сна. Стандартом лечения СОАС является СиПАП-терапия. В данном ретроспективном когортном исследовании оценили влияние СиПАП-терапии на уровень гликированного гемоглобина  (HbA1c) у 34  больных СД 2-го типа, получающих сахароснижающую  терапию. В результате 3 месяцев лечения отмечено снижение HbA1c на 0,7%, исчезновение дневной сонливости, а также в подавляющем большинстве случаев нормализация  качества сна. Таким образом, при сочетании  СД 2-го типа и СОАС средней или тяжелой степени  СиПАП-терапия оказывает самостоятельное благотворное влияние на состояние углеводного обмена.

Among the Type 2 Diabetes Mellitus (Type 2 DB) patients obstructive sleep apnoea (OSA) syndrome, which adversely affects the state of carbohydrate exchange and the quality of sleep, is widespread. The standard for the treatment of OSA is CPAP therapy. In this retrospective cohort study, the influence of CPAP-therapy on the level of glycosylated haemoglobin (HbA1c) was assessed in the 34 second-type SR patients receiving sugar-reducing therapy. As a result of 3 months of treatment, there has been a decrease of HbA1c by 0.7%, the disappearance of day sleepiness, and the overwhelming majority of normalization of the quality of sleep. Thus, with the combination of the Type 2 DM and the OSA of medium or heavy degree, CPAP therapy  has an independent beneficial effect on the state of carbohydrate exchange.

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The authors declare that there are no conflicts of interest present.