Should Dentists Screen for Diabetes? Link to gum disease suggests that it would flag patients otherwise undiagnosed


(Marc) #1

Not a huge surprise that people that can’t control their blood sugar levels are susceptible for periodontal disease. So, sugar causes damage to fine tissues in the mouth. Maybe sugar causes damage to fine tissues in other parts of the body. Maybe this is why diabetics are 2-4 times more likely to die of heart disease. Maybe this is why diabetics are 15 times more likely to undergo an amputation.
Maybe sugar’s the problem, not fat.

It’s just mind-boggling…

http://www.diabetes.co.uk/diabetes-and-amputation.html

From the article

When the ADA definition of prediabetes was used (HbA1c of 5.7%-6.4%),
prediabetes was identified in 47% of the severe periodontitis group,
46% of the moderate/mild group, and 37% of the control group (P=0.01).
“The early identification of subjects at high risk for (pre)diabetes
mellitus or with undiagnosed diabetes mellitus is crucial to implement
measures that may prevent or delay progression from pre-diabetes to
overt diabetes mellitus and reduce the incidence of chronic
complications,” Loos and colleagues wrote. "Here, we show that
periodontitis is an early sign of diabetes mellitus and may therefore
serve as a valuable risk indicator.

A dental office that treats patients with severe periodontitis is a
suitable location for screening for (pre)diabetes; a considerable
number of suspected new diabetes cases were identified and indicated
that periodontitis is an early sign of diabetes mellitus.

http://www.medpagetoday.com/endocrinology/diabetes/63340