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Guidelines for the Diabetic
Morning hours are the best time
for dental treatment!
Diabetes is the sixth leading cause of death in the
US. Diabetes can cause: burning sensations, overgrowth of gum
tissue, abnormal wound healing, tooth decay, periodontal disease, and
fungal infections, fruity (acetone) breath, dry mouth, thickness of
saliva. These problems are related to some of the oral changes
that occur in people who have diabetes.
affecting blood sugar levels and dental treatment:
|Dawn phenomenon. is an elevation in
circulating blood sugar in the morning due to physiological
factors. Due to the net effect of the Dawn Phenomenon,
morning medication dosing and a sound breakfast make the morning
hours the safest time to provide dental treatment for a diabetic
|Systemic Illnesses-an insulin dependent
diabetic with an acute dental abscess may require closer measurement
of blood glucose levels and may need antibiotics for an adequate
period of time when oral infection is present.|
|Stress of a dental appointment can raise
blood sugar levels before, during or after treatment.|
|Food intake is to be assured before
treatment is delivered to prevent hypoglycemia.|
|Exercise. If they exercise before
treatment and don't eat they could lower blood sugar levels prior to
|Menstruation and pregnancy affect
when treatment should be given.|
|Medications taken to control blood sugar
levels. Verify medications were take as directed by doctor.|
dentist may request a test of blood sugar to see whether the diabetes is under
control. Normal blood sugar levels should be 80 to 140 mg/dL. This is to
be done to determine if your blood sugar levels are stable
or unstable. These conditions will affect your dental
- Antibiotics may prescribe to minimize your risk of infection
during dental treatment.
- Morning appointments
are the best time to tolerate dental procedures.
It is important for you to know how well your
diabetes is controlled and to tell your dentist this
information at each
Tell them current symptoms.
Frequency of low blood sugar
Medications used, dosage and
When your last meal before the
appointment occurred and the type of carbohydrate consumed.
How often you have glucose testing
and what your latest lab and self monitored glucose
Any changes you have notice in your
mouth since the last appointment.
Ask for shorter appointment rather than longer
Dental procedures that
create the potential for delayed healing may require modifying your diet and
Treatment considerations of the use of a bathroom.
We have small snacks and glucose tablets available
to help you control your blood sugar levels.
Consider soft and/or liquid food for the next meal
We have many comforts
to help you relax to reduce your stress.
Drugs used for dental
treatment can have an effect on controlling glucose. Inform your
dentist of any drugs or over the counter medications your are taking.*
You may need to be premedicated:
| Amoxicillin 2g, 1 hour preoperatively,
followed by amoxicillin 500 mg, three times daily for 4 days.|
| Those allergic to penicillin: clindamycin
600mg, 1 hour preoperatively, followed by clindamycin 150 mg, four
times daily for 4 days.|
The best defense against these complications of diabetes is
good blood sugar control, combined with daily brushing and flossing and
regular dental check-ups.
Source: The Care of Dental Patients with Diabetes
Mellitus. Dr. Rothstein.
Today, March 2001. pg 71-77
|Toss a half-cup of spinach into your
green salad for extra protection against diabetes.
Spinach is a great source of magnesium,
a mineral that is essential to many cellular processes.
Now, new research suggests magnesium might have a
protective effect against diabetes. In a study, adequate
magnesium was associated with a lower risk of developing
type 2 diabetes.
RealAge Benefit: Eating
a diverse diet that includes 5 servings of vegetables per
day can make your RealAge as much as 4 years younger.
Public Health Information Index, CDC.
February 06, 2008
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