{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T02:46:23Z","timestamp":1791859583284,"version":"4.3.4"},"reference-count":26,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2014,9,25]],"date-time":"2014-09-25T00:00:00Z","timestamp":1411603200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Diabet. Med."],"published-print":{"date-parts":[[2015,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aims<\/jats:title><jats:p>Few reports have assessed the relationship between Type\u00a01 diabetes and sleep disorders. The purposes of our study were to determine the prevalence of obstructive sleep apnoea in Type\u00a01 diabetes and to compare the clinical profile of people with Type\u00a01 diabetes with or without obstructive sleep apnoea.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>In this cross sectional study of 67 consecutive people with Type\u00a01 diabetes, we performed polysomnography as part of their yearly check\u2010ups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In our cohort, with a mean <jats:styled-content style=\"fixed-case\">BMI<\/jats:styled-content> of 25.8\u00a0\u00b1\u00a04.7\u00a0kg\/m<jats:sup>2<\/jats:sup>, the prevalence of obstructive sleep apnoea [apnoea\u2013hypopnoea index (<jats:styled-content style=\"fixed-case\">AHI<\/jats:styled-content>) &gt;\u00a010\/h] was 46%. Severe obstructive sleep apnoea (<jats:styled-content style=\"fixed-case\">AHI<\/jats:styled-content>\u00a0\u2265\u00a030\/h) was present in 19% of the patients. We found no significant differences in age, sex, body mass index, HbA<jats:sub>1c<\/jats:sub> or Epworth sleepiness scale score between people with or without obstructive sleep apnoea. People with obstructive sleep apnoea had a longer course of diabetes mellitus (<jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.01) and a higher prevalence of retinopathy (<jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.01), neuropathy (<jats:italic>P<\/jats:italic>\u00a0=\u00a00.05), cardiovascular disease (<jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.01) and hypertension (<jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.01). The occurrence of macrovascular complications was independently associated with the presence of <jats:styled-content style=\"fixed-case\">OSA<\/jats:styled-content> [odds ratio (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>) 8.28; 95% confidence interval (<jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>), 1.56\u201343.97; <jats:italic>P<\/jats:italic>\u00a0=\u00a00.013] and the duration of diabetes (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content> 1.08; 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>, 1.02\u20131.15; <jats:italic>P<\/jats:italic>\u00a0=\u00a00.01). Moreover, retinopathy was independently associated with <jats:styled-content style=\"fixed-case\">OSA<\/jats:styled-content> (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content> 4.54; 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>, 1.09\u201318.82; <jats:italic>P<\/jats:italic>\u00a0=\u00a00.04) and the duration of diabetes (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content> 1.09; 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>, 1.04\u20131.15; <jats:italic>P<\/jats:italic>\u00a0=\u00a00.001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The prevalence of obstructive sleep apnoea was high in people with Type\u00a01 diabetes. Obstructive sleep apnoea was independently associated with macrovascular complications and retinopathy. Obesity and excessive daytime sleepiness were uncommon in this population.<\/jats:p><\/jats:sec>","DOI":"10.1111\/dme.12582","type":"journal-article","created":{"date-parts":[[2014,9,3]],"date-time":"2014-09-03T15:18:44Z","timestamp":1409757524000},"page":"90-96","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":81,"title":["Obstructive sleep apnoea in people with Type\u00a01 diabetes: prevalence and association with micro\u2010 and macrovascular complications"],"prefix":"10.1111","volume":"32","author":[{"given":"G.","family":"Manin","sequence":"first","affiliation":[{"name":"Department of Pneumology H\u00f4pitaux universitaires de Strasbourg Strasbourg France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Pons","sequence":"additional","affiliation":[{"name":"Department of Pneumology H\u00f4pitaux universitaires de Strasbourg Strasbourg France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P.","family":"Baltzinger","sequence":"additional","affiliation":[{"name":"Department of Diabetology and Endocrinology H\u00f4pitaux universitaires de Strasbourg Strasbourg France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"F.","family":"Moreau","sequence":"additional","affiliation":[{"name":"Department of Diabetology and Endocrinology H\u00f4pitaux universitaires de Strasbourg Strasbourg France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C.","family":"Iamandi","sequence":"additional","affiliation":[{"name":"Department of Pneumology Centre hospitalier Mulhouse France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. 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