原文视听

And then what's important here is this analysis where glucose control which is really you know, how well the diabetes is controlled in patients.

这里很重要的一点是为了控制葡萄糖如果II型糖尿病患者要控制糖尿病

Who have Type 2 diabetes and take 1, 2, 3 drugs what is the impact of having OSA so it is compared to not having OSA.

他们需要服用1种 2种3种药物那么睡眠性呼吸障碍有哪些影响呢因此我们将其与没有睡眠性呼吸障碍

Having even mild OSA is associated with an increase in hemoglobin A1C of 1% I can tell you to get a decrease of 1% in your hemoglobin A1C.

中度睡眠性呼吸障碍进行了比较他们的血红蛋白A1c会增加1%如果你患有糖尿病

If you are diabetic you have to take at least one drug and having severe OSA.

如果想让血红蛋白Aic降低1%你至少要服用一种药物然后严重的睡眠性呼吸障碍的对象

Is compared to no OSA is associated with an increase in hemoglobin A1C by 2% which is really the equivalent of 2 to 3 drugs.

与无睡眠性呼吸障碍的对象进行了比较发现他们的血红蛋白A1c升高了2%那么需要服用2到3种药物才能达到这个效果

Now this is a cross-sectional analysis it doesn't have...doesn't tell us about the direction of causality.

这也是一个横断面研究并没有告诉我们因果关系的发展方向

And clearly the major questions are whether effective treatment of OSA can improve glycemic control in patients with Type 2 diabetes.

显然 主要的问题是对睡眠性呼吸障碍的有效治疗能够改变II型糖尿病患者的血糖

The data so far even though quite a number of groups are working on this remain somewhat inconclusive.

目前的数据显示尽管有很多研究团队致力于这个问题的研究但这个问题的答案还不确定

Not terribly encouraging one issue of course is compliance which is generally low.

而且也不是那么鼓舞人心当然其中一个问题是患者的依从性还比较低

And the second question would be does effective treatment of OSA if we had a treatment.

第二个问题是对睡眠性呼吸障碍的有效治疗如果我们确实有治疗方法

To which the subject would be really compliant would it delay the development of Type 2 diabetes or reduce the severity.

而且试验对象也比较依从那么这种方法能否减缓II型糖尿病的发展或是减轻其严重程度?

And with these thoughts I will thank the numerous people who are working in this area with me.

我把这些问题留给大家我想感谢在这个领域和我共事的这些研究人员

课程简介和演讲视频

课程简介
本套课程讲解了睡眠对健康的多重影响。睡眠不足会改变身体的内分泌系统，打破激素的平衡，扰乱大脑对食物的选择和摄取从而引发肥胖，严重影响胰岛素的平衡进而引发糖尿病。不同年龄段的人群有不同的睡眠需求，一般而言，年轻人的睡眠需求高于老年人，但所有成年人都应保证每天8小时的睡眠时间。

老年人的睡眠时间减少并不是生理变化的自然结果，而是其他疾病造成的影响，衰老本身并不会降低睡眠需求。常见的睡眠障碍包括失眠、睡眠呼吸障碍、四肢不宁综合症、快速眼动期行为失调，患者需要就具体的睡眠障碍咨询专业的睡眠医生，确诊后有针对性的改善睡眠，进而提高整体的健康状况。

不同的睡眠障碍有不同的治疗方式，但认知行为疗法是所有治疗方法的首选，其次是器械治疗、药物治疗以及外科手术治疗。患者应养成良好的睡眠习惯，培养“睡眠卫生习惯”，改善睡眠质量，尽量避免擅自用药和药物滥用。