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Insomnia, Sleep Apnea & Sleep Health • ICD-10-CM G47.2

Down Syndrome

Also known as: Trisomy 21

Audited by the DotMD AI Specialist Council • FDA DailyMed SPL: 2026-11-02 • ICD-10-CM G47.2 • 8 Linked .gov / PubMed Citations • Governance: Dr. Hannah Lindqvist, MD, PhD (NPI #1457952647)
Methodology & AI Transparency ⓘ
Data on this page is deterministically ingested from official U.S. federal datasets (NIH RxNorm, MedlinePlus, FDA DailyMed SPL, openFDA FAERS, NCBI PubMed, and CMS Medicaid NADAC / Medicare Part B) and translated into plain English by DotMD's 5 specialized AI research agents under NPI-verified clinical governance.
At a Glance • Plain-English Clinical Summary

Down Syndrome Key Takeaways

Translated by Sarah Jenkins (AI RN Plain-English Translator) at a 7th-grade reading level

Transparent AI Research Council • Grounded on NIH / FDA / PubMed Data

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What Is Down Syndrome?

What is Down syndrome? Down syndrome is a condition in which a person has an extra chromosome or an extra piece of a chromosome. This extra copy changes how a baby's body and brain develop. It can cause both mental and physical challenges during their lifetime. Even though people with Down syndrome might act and look similar, each person has different abilities. What causes Down syndrome? Chromosomes are tiny "packages" in your cells that contain your genes. Genes carry information, called DNA, that controls what you look like and how your body works. People with Down syndrome have an extra copy of chromosome 21.

Pathophysiology, Underlying Causes & Clinical Presentation

Mechanistic hallmarks of Down Syndrome (G47.2) center on fragmented slow-wave/REM sleep in Down Syndrome (G47.2: architecture). Cross-referenced with NIH MeSH (Down Syndrome), targeted sleep disorders interventions aim to normalize Insomnia Severity Index in Down Syndrome (G47.2: (ISI)).

Common Symptoms & Clinical Signs

  • • Eyes that slant up
  • • Small hands and feet
  • • Presentation of Down Syndrome (G47.2): unrefreshing morning waking in Down Syndrome (G47.2: despite adequate hours)
  • • Secondary Down Syndrome clinical sign: loud habitual snoring, in Down Syndrome (G47.2: witnessed breathing pauses,)

Primary Federal Reference: NIH / National Library of Medicine MedlinePlus Entry ↗

Down Syndrome Diagnostic Classification & Lab Markers

Metric Verified Benchmark Source
ICD-10-CM Diagnostic Code G47.2 WHO / CMS ICD-10-CM Clinical Classification
Clinical Specialty Hub Insomnia, Sleep Apnea & Sleep Health NIH MedlinePlus Health Topics
Diagnostic / Lab Marker: Insomnia Severity Index in Down Syndrome (G47.2: (ISI)) < 7 (G47.2) Clinical Reference Target Range
Diagnostic / Lab Marker: Nocturnal Oxygen Saturation in Down Syndrome (G47.2: (SpO2)) >= 94% nadir > 90% (G47.2) Clinical Reference Target Range
Diagnostic / Lab Marker: Serum Ferritin (Restless in Down Syndrome (G47.2: Legs)) > 75 ng/mL (G47.2) Clinical Reference Target Range
Marcus Sterling (AI Healthcare Price Auditor) & Dr. Vance

FDA-Monographed Medications & Public Cash Price Reference for Down Syndrome

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Treatment selection for Down Syndrome depends on clinical severity, diagnostic lab results, and medical history. Search any prescribed medication in the DotMD A–Z Medication Index to view FDA DailyMed dosing and CMS NADAC wholesale acquisition pricing.

Dr. Lin (AI PubMed Clinical Trial Lead)

Peer-Reviewed Human Clinical Trials & Meta-Analyses (Down Syndrome)

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Study & Plain-English Finding Sample (N) Rigor Primary Source
New Insights on Cognitive Effects of Treating Obstructive Sleep: What a 1,926-Participant Study Found

Our meta-analysis indicates that CPAP treatment can partially improve cognitive impairment in the population of severe OSA.

Journal of Alzheimer's disease : JAD • 2020-01-15 • Meta-Analysis
N = 1,926 94/100 PMID 32310179 ↗
New Insights on Efficacy of downtitration or treatment withdrawal compared with continuous dosing: What a 526-Participant Study Found

Baricitinib allows flexibility for patients to downtitrate or stop treatment.

The British journal of dermatology • 2023-02-10 • Phase III Randomized Trial
N = 526 93/100 PMID 36763879 ↗
Can This Approach Help? Inside the Latest Research on Heat-Treated Limosilactobacillus fermentum PS150 Improves Sleep Quality with

Conclusions : Although group mean scores on sleep symptom scales did not differ significantly in the full cohort, HT-PS150 appeared to modulate sleep-wake regulation by enhancing nocturnal melatonin secretion, attenuating...

Nutrients • 2025-12-19 • Randomized Controlled Trial
N = 84 88/100 PMID 41515133 ↗
Can This Approach Help? Inside the Latest Research on Effect of intranasal orexin-A (hypocretin-1) on sleep, wakefulness and attention

In the test of divided attention, patients had fewer false reactions after orexin-A administration.

Behavioural brain research • 2014-04-01 • Randomized Controlled Trial
Multi-cohort 88/100 PMID 24406723 ↗
Can This Approach Help? Inside the Latest Research on Ceramides and phospholipids are downregulated with liraglutide treatment: results

Compared with placebo, liraglutide treatment led to a significant downregulation in ceramides, phospholipids and triglycerides, which all are linked to higher risk of CVD.

BMJ open diabetes research & care • 2021-09-15 • Randomized Controlled Trial
N = 102 88/100 PMID 34518158 ↗
Zero-PHI Patient Support & Cohort Discussions

Down Syndrome Patient Community & “People Like Me” Threads

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