Insomnia is a sleep disorder that is most often associated with obstructive sleep apnea, or OSA.
Symptoms of OSA include recurrent apneas, oxygen desaturation, and sleep fragmentation. The combination of these conditions can have significant effects on a person's health and well-being.
Patients with obstructive sleep apnea and insomnia have greater impairments in daytime function. These include impaired memory and cognitive functioning, anxiety, depression, and performance issues at work. The risk of motor vehicle accidents, stroke, heart disease, and diabetes increases with the presence of sleep apnea.
Despite the prevalence of these sleep disorders, many are underdiagnosed and untreated. The underlying medical and psychological causes of insomnia and OSA may remain unexamined. Therefore, effective treatment is challenging. It's important to identify the underlying cause, which is then treated.
Comorbid sleep apnea and insomnia can also complicate treatment. The two conditions have different pathophysiological mechanisms and require different treatments. The International Classification of Sleep Disorders, Third Edition (ICSD-3), provides adequate criteria for detecting comorbid insomnia.
If you woke up in the morning still tired and fatigued, or continued to suffer from insomnia for many nights, you should consult the sleep doctor for diagnosis and treatment.
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