Sleep Medicine Associates of Texas, P.A.
May 05, 2010
Brilliant Minds, Better Sleep
Edition XIII
In This Issue
A Conspiracy Against Good Health...
Persevering with CPAP
Rate your Daytime Sleepiness
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The Metabolic Syndrome and Sleep Apnea: A Conspiracy Against Good Health. 
Metabolic Syndrome
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

 
 
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 accelerated 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 the bigger this organ gets, the more troubles 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 
Cpap ZZZ 

Every 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 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 clinics, we never stop offering options to optimize comfort, such as mask changes adjustments, 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 [Mark's Cpap Corner].  If you need replacements, contact Mark or LaQuana [mforester@sleepmed.com or landrews@sleepmed.com].

 
Rate your Daytime Sleepiness 

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.  This Link on our website will take you to the ES S. [Click here to rate your daytime sleepiness] If your ES S rating is 11 or above it may be time for you to visit your doctor.

 

 
Sincerely,
 
 
Dr. Andrew Jamieson, MD
 
Sleep Medicine Associates of Texas, P.A.