What is Endocrinology - How effectively do healthcare professionals in diabetic clinics screen patients for obstructive sleep apnea (OSA)?
What are effective tools for history- and physical-based screening? 56% of diabetic patients reported snoring, 29% had weariness upon awakening, and 34% reported feeling tired while awake, according to a study that used a validated clinical assessment and questionnaire to estimate OSA risk and drowsiness. 56% of individuals surveyed, according to the study's authors, had a high risk of developing OSA. Given the high prevalence of SDB reported in the diabetic patient population, this finding supports a recommendation for increased vigilance in the screening for OSA in this patient population. To do this, a few screening tools might be useful. The risk of OSA is inversely correlated with BMI; the most delicate physical finding is a neck size more than 17 inches. Patients who have certain craniofacial alterations, such retrognathia, are also at a higher risk. A patient with OSA is frequently ignorant of the neurocognitive changes that have gradually taken place over time, thus unless specifically asked, he or she may not readily provide a history that is consistent with OSA.
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