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Effects of continuous positive airway pressure therapy duration on patients with obstructive sleep apnoea and type 2 diabetes mellitus: a systematic review and meta-analysis - PubMed

3 hours ago
  • #Type 2 Diabetes Mellitus
  • #CPAP therapy
  • #Obstructive Sleep Apnoea
  • The study evaluates the effects of CPAP therapy duration on patients with OSA and T2DM.
  • A systematic review and meta-analysis of 14 RCTs involving 1273 participants was conducted.
  • CPAP therapy was categorized into short-term (<12 weeks), medium-term (12-<24 weeks), and long-term (≥24 weeks).
  • Long-term CPAP intervention significantly reduced HOMA-IR levels (MD -1.67; 95% CI -2.57 to -0.77).
  • Medium and long-term CPAP use increased BMI levels (MD 0.31 kg/m² and 0.74 kg/m², respectively).
  • ESS scores significantly decreased with medium and long-term CPAP use (MD -1.45 and -1.79, respectively).
  • No significant changes were observed in FBG, MBG, or HbA1c levels with CPAP duration.
  • Longer CPAP use benefits insulin resistance and sleepiness but not glycaemic markers.