Patient/caregiver were instructed regarding complications of poorly managed central sleep apnea as follows:

Risk for poor blood sugar control:

  1. Poorly managed sleep apnea can result in interrupted sleep pattern with multiple awakenings during the night. Lack of sleep and proper rest can lead to a stressful situation.
  2. Human body tries to cope up with this new stressful condition by increasing secretion of steroid hormones.
  3. Steroid hormones contribute to increased resistance to action of insulin, thus resulting in poor mobilization of glucose from the blood into the cells and increased blood glucose levels.
  4. So, poor sleep pattern in individuals with sleep apnea can result in poor blood sugar control, thus increasing an individual’s chance of turning diabetic.
  5. Also, poorly managed sleep apnea in diabetic individuals can lead to worsening of blood sugar control, thus necessitating frequent medication changes and/or dosage adjustments.

Increased risk for stroke:

  1. Interrupted breathing pattern in individuals with poorly controlled sleep apnea, can lead to sudden drop in blood oxygen levels.
  2. Consequently, this can lead to drop in oxygen supply to vital organs, such as, heart and brain, thus affecting their function.
  3. Compromised cardiac function with reduced pumping activity of the heart can lead to reduced blood & oxygen supply to the brain, resulting in increased risk for stroke.

Slowing of brain function:

  1. Persistent episodes of reduced blood & oxygen supply to the brain in individuals with sleep apnea can lead to progressive slowing of brain function and intellectual abilities.
  2. This outcome in younger individuals can compromise their school and job performance, thus stunting their academic growth.
  3. Progressive slowing of brain function in older individuals can set the ground for early-onset memory loss and dementia.