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Master Thesis

Évolution du diabète après diagnostic et prise en charge d'un syndrome d'apnées obstructives du sommeil

Abstract : Obstructive sleep apnoea syndrome (OSAS) prevalence is around 5% of the global population. It is higher for diabetic people and the probability of having OSAS is twice greater for them. The objectives of our study are to observe the evolution of diabetes when OSAS is diagnosed and treated and try to highlight the factors that can potentially influence diabetes control. This is a retrospective and descriptive before/after study, with quantitative and categorical variables, based on the analysis of medical records and a phone interview submitted to 41 diabetic subjects monitored at Longjumeau Hospital, for whom OSAS was diagnosed and treated for one year at least. We observed a significant decreasing of the average glycosylated hemoglobin (HbA1c) rate after diagnosis and treatment of OSAS (from 8.4±1.2% to 7.3±1.1%, p<0.0001). The decreasing is greater for compliant subjects (-1.4±1% vs -0.4±1.6%, p=0.035). We noticed a significant raise in the proportion of subjects with controlled diabetes after diagnosis of OSAS and vice-versa (from 15 to 41% and from 32 to 9%, p=0.04). For most, subjects did not modify their way of living, but reported having a better quality of life. However, subjects with improving diabetes have a healthier lifestyle. Treating OSAS for diabetic subjects improves glycemic control and quality of life. We encourage general practitioners to think about OSAS screening for diabetic patients, and reciprocally, to look for diabetes for OSAS patients.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-01192746
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Submitted on : Thursday, September 3, 2015 - 2:21:53 PM
Last modification on : Friday, October 23, 2020 - 4:42:48 PM
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  • HAL Id : dumas-01192746, version 1

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Marine Kellermann. Évolution du diabète après diagnostic et prise en charge d'un syndrome d'apnées obstructives du sommeil. Médecine humaine et pathologie. 2013. ⟨dumas-01192746⟩

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