Sleep Apnea's hidden danger: low oxygen may fuel diabetes risk
NCT ID NCT03695315
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study looked at how low oxygen levels (hypoxia) in people with obstructive sleep apnea affect the body's ability to use insulin. Researchers measured insulin resistance in the liver and fat tissue of 48 non-diabetic adults. The goal was to understand why some sleep apnea patients are more likely to develop diabetes.
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Study facts
What this study's own registry entry says, in plain language.
- Participants
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48 people
The number who actually took part.
- Started
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Oct 2018
- Finished
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Dec 2024
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
Participants will be recruited from the UCSF Clinical Sleep Medicine Laboratory. Patients seen by UCSF sleep medicine physicians (including Dr. Krystal \[Lab Co-Director\]) in sleep clinic and those who are referred for polysomnography (PSG) for OSA and for whom the physician has provided approval to be approached, will be contacted by the study coordinator and offered the opportunity to be screened to participate in the study. The study coordinator will review the consent form with the prospective volunteers and will ask for their approval to have their PSG data reviewed by Dr. Krystal, who will determine if the participants meet PSG entry criteria for participation in the study and if found to qualify, to be contacted by phone.
- Ages
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19 to 100 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Sixty nondiabetic men and women Inclusion Criteria: * Age \>19 years * BMI \>18.5 kg/m2 * Participants newly diagnosed obstructive sleep apnea (OSA) must meet the criteria for one of the two following groups: * OSA with hypoxia (H-OSA) defined as those with an H-Apnea Hypopnea Index (AHI) ≥15 so as to match the NH-OSA subjects in event frequency and because this is the range defined as more than mild OSA such that we would be likely to see pathology associated with OSA; or, * OSA without hypoxia (NH-OSA) defined as having a rate of non-hypoxic respiratory events ≥ 15 per hour (NH-AHI≥15) and having a rate of hypoxic events of less than 5 per hour (H-AHI\<5,(52)). Exclusion Criteria: * Type 1 or 2 diabetes mellitus currently being treated with medications * History of chronic obstructive pulmonary disease (COPD) or parenchymal lung disease * Unstable hypertension * Treatment for asthma (dependent on type of treatment) * Current alcohol consumption exceeding 1 drink/day in women and 2 in men * HIV infection * Infectious hepatitis * Pregnancy or lactation within the past six months * Irregular use of any hypolipidemic agent * History of surgery for obesity * Hgb below the lower limit of normal * Aspartate transaminase (AST) or alanine transaminase (ALT) greater than 3 times the upper limit of normal * Change in body weight \>5% within preceding 3 months (by self-report)
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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University of California San Francisco
San Francisco, California, 94110, United States
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