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Brilliant Minds, Better Sleep  
Newsletter of Sleep Medicine Associates of Texas, P.A.
August 2009 Edition VI
In This Issue
A Conspiracy Against Your Health
Perservering with CPAP
Rate Your Daytime Sleepiness
Snoring is a Nuisance
 
 
Car accident
 
 Snoring is the most common complaint we hear.  Assess your bed partner's snoring and we can recommend a solution.   
 
Sleeping Pills 
If chronic insomnia is causing you to turn to over-the-counter sleeping pills, our experts can find an effective long-term treatment.  For more information, 
 
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A Conspiracy Against Good Health 
   
High Blood Pressure_Edition VI 
The Metabolic Syndrome and Sleep Apnea

Every day we see more patients who are at risk because of four elevations.
  • Elevation of weight
  • Elevation of blood sugar
  • Elevation of blood fat
  • Elevation of blood pressure
These conditions taken together are called The Metabolic Syndrome.  This cluster of conditions is now known to increase the development of heart disease.  Scientists are focusing on the unique properties of the fat which surrounds the internal organs, called the visceral adipose origin.  It seems that the more person has deposits of visceral adipose tissue, the more troubles they will have with the metabolic syndrome and the higher the risk of heart disease. Recent studies also suggest that obstructive sleep apnea may further accelerate heart disease risk.
 
The bottom-line:
  • Take your medicines.  Your doctor has prescribed these to treat high blood pressure, elevated cholesterol and elevated blood sugar.
  • If you are overweight, lose weight.
  • If you think you have sleep apnea, ask your doctor about diagnosis and treatment.

Persevering with CPAP

Car accidentEvery day we discuss adaptation strategies with our CPAP patients.  For patients with moderate to severe obstructive sleep apnea, CPAP is the most effective, albeit somewhat inconvenient, treatment.  The best advice we give to patients in the first weeks of CPAP is "don't give up".  Just because you wake up to discover you've taken the mask off in your sleep, does not mean that your body is rejecting this treatment.  This is a common experience.  Simply pick it up the next night and put it back on.  You will find with persistence you'll be able to spend more sleep time with the mask in place.  As you will see in our CPAP clinics, we continually offer options to optimize comfort, such as mask changes, pressure adjustment, humidification adjustments and tips on equipment maintenance.  Remember: Success with CPAP means regular replacement of your interface (mask or nasal pillows).  See Mark's CPAP Corner for more information
 
If you need replacements, contact mforester@sleepmed.com or landrews@sleepmed.com.

Rate Your Daytime Sleepiness

 
Car accident
When you come to our office, we often ask you to complete a rating of daytime sleepiness.  The simplest scale to use is the Epworth Sleepiness Scale (ESS).  Anything that reduces good sleep will cause you to feel sleepier during the day.  Sometimes medications can increase your sleepiness.  A change in your sleep disorder can also increase sleepiness.  If you have an Epworth sleepiness score of 11 or above, your doctor will want to explore reasons for this.  The following link on our website will take you to the ESS:  Epworth Sleepiness Scale. If your ESS rating is 11 or above, it may be time for you to visit your doctor.
Sincerely,
 
 
Duane Day
Practice Administrator 
Sleep Medicine Associates of Texas, P.A.