Chronic Sleep Disorder - DM

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Chronic sleep disorder ->

DM
Chronic Sleep
Disorders

Sleep
deprivation

Less restorative
slow-wave sleep
↑ Ghrelin ↓ Leptin

Oxidative stress

Insulin β-cell Impaired glucose Poor glycemic


Obesity
resistance dysfunction tolerance control

1. Yoda K, Inaba M, Hamamoto K, Yoda M, Tsuda A, Mori K, Imanishi Y, Emoto M,


Yamada S. Association between poor glycemic control, impaired sleep quality, and
increased arterial thickening in type 2 diabetic patients. PLoS One. 2015 Apr
14;10(4):e0122521.
2. Rains JL, Jain SK. Oxidative stress, insulin signaling, and diabetes. Free Radic Biol
DIABETES Med. 2011 Mar 1;50(5):567-75.
3. Reutrakul S, Hood MM, Crowley SJ, Morgan MK, Teodori M, Knutson KL, Van
Cauter E. Chronotype is independently associated with glycemic control in type 2
diabetes. Diabetes Care. 2013 Sep;36(9):2523-9. 

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