Do you feel tired/sleepy during the day? It might be OSA!

OSA- Obstructive sleep apnea

Sleep apnea or OSA is a very common breathing disorder during sleep where the soft tissues at the back of the throat collapse. This leads to pauses in breathing. The collapse which happens can be either partial which is called as hypopnea or it could be complete which is also called as apnea. When the tissues collapse partially, the airway becomes narrow and it prevents enough air from entering our lungs. When this happens, it causes a vibration in the throat.This results into SNORING.

When the tissues collapse completely and there is no airflow at all to the lungs for 10 seconds or more, then it is called obstructive sleep apnea or OSA.

The person stops breathing during an apnea episode. The brain senses the pause in breathing and alerts the body to breathe. When this happens, it causes a brief arousal from the sleep and the person starts breathing again. This is not just one episode. This can happen every night, every fortnight or maybe every time you sleep. The body doesnt get enough oxygen and as a result oxygen level stops.

What are the symptoms of OSA or obstructive sleep apnea?

  • Snoring
  • Day time sleepiness
  • Overweight
  • Poor sleep
  • Restless sleep
  • Early morning tiredness
  • Headaches
  • Body pain, weakness
  • Poor concentration
  • Depression
  • Irritability

Who suffers from OSA most commonly?

  • Diabetic patients are very prone to OSA or some form of breathing disorder

What are the consequences of OSA if left untreated?

  • Poor blood sugar control
  • Insulin resistance
  • High Blood pressure
  • Driving accidents due to unwanted sleep
  • Cardiovascular diseases
  • Heart failure
  • Weight gain
  • Type 2 diabetes

How can you check for Obstructive sleep apnea?

  • Sleep study is done to determine OSA.
  • Oxygen % in the sleep study report determines OSA.
  • It is advisable for diabetic patients to get tested for OSA if any of the above symptoms are seen.

Treatment for Obstructive Sleep Apnea:-

CPAP machine is the only way to treat obstructive sleep apnea

Its benefits are as follows:-

  • Significant reduction in post prandial sugars
  • Reduction 3 month average report for diabetics
  • Improvement in insulin sensitivity
  • Lowers BP

Berlin questionnaire for obstructive sleep apnea:-

(1) Complete the following

  • Height ____
  • Weight ____
  • Age ____
  • Male/Female ____

(2) Do you snore?

  • Yes
  • No
  • Dont’s know

(3) If you snore, Your snoring is?

  • Slightly louder than breathing
  • As loud as talking
  • Louder than talking
  • very loud, can be heard in adjacent rooms

(4) How often do you snoar?

  • Nearly every day
  • 3-4 times a week
  • 1-2 times a week
  • 1-2 times a month
  • Never or nearly never

(5) Has your snoring ever bothered other people?

  • Yes
  • No

(6) Has anyone noticed that you quit breathing during your sleep?

  • Nearly everyday
  • 3-4 times a week
  • 1-2 times a week
  • 1-2 times a month
  • never or nearly never

(7) How often do you feel tired or fatigued after you sleep?

  • Nearly everyday
  • 3-4 times a week
  • 1-2 times a week
  • 1-2 times a month
  • never or nearly never

(8) During your wake time, do you feel tired, fatigued or not up to par?

  • Nearly everyday
  • 3-4 times a week
  • 1-2 times a week
  • 1-2 times a month
  • never or nearly never

(9) Have you nodded off or fallen asleep while driving a vehicle?

  • Yes
  • No

If yes then how often does it occur?

  • Nearly everyday
  • 3-4 times a week
  • 1-2 times a week
  • 1-2 times a month
  • never or nearly never

(10) Do you have high blood pressure?

  • Yes
  • No
  • Dont know

BMI=

Credits for the questionnaire :- 1997 IONSLEEP (Berlin)

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Dt.Trishala Chopra

With varied degrees, Trishala Chopra gets a complete hold in her subject! She is currently pursuing her doctorate in the field of alternative therapies and her diploma in sports nutrition. Her knowledge in the field of naturopathy,yoga, ayurveda, clinical nutrition, nutraceuticals makes her a complete package of knowledge!

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