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DISEASE AND HOW TO IMPROVE BLOOD SUGAR LEVELS
Periodontal disease is the
sixth complication of diabetes.
Poorly controlled diabetes is
associated with increased gum tissue swelling, bleeding and risk for periodontal
(gum tissue) destruction.
Diabetes Good Control=Similar gum tissue status as nondiabetic
Control=h Gum tissue swelling
h Attachment loss
h Bone loss
Diabetes can place an
individual at a three-fold increased risk towards developing periodontal
disease and a fourfold increased risk of progressive bone loss. These
factors are most affected by the degree of metabolic control of blood sugar levels.
blood sugar control appears to play a determinant role in the risk for gum
The more poorly
controlled the diabetic state, the greater the prevalence and
severity of periodontal disease
resulting in deeper periodontal pocketing and greater bone and attachment
influences the gum tissue by:
Vascular changes in blood vessels causing tissue
damage or loss of function.
Glycation of proteins at twice the
normal level which significantly alters the way cells interact with one
another within the gum tissue.
Changes in collagen metabolism, a major
component of periodontal connective tissue, leading to decreased blood flow
that may change tissue resistance to bacterial attack and impair the
Increased collagenase activity which results
in altered wound healing.
Increased glucose levels in the gingival
areas which also change wound healing.
Altered immune response.
GUM TISSUE INFECTION (periodontal
disease) , MAY WORSEN BLOOD SUGAR
Have you ever considered?
The total area of gum
tissue that is infected with bacteria in moderate to advanced gum disease is at
least as large as the palm of your hand! Now, if you had an area of
infection this size anywhere else on your body you would be very concerned and
probably demanding treatment from your doctor.
An area of bacteria
infection this size in the periodontium can have widespread systemic
effects...one of those being a possible six fold increased risk of poor blood
Poor blood sugar control
is a major risk factor for the classic diabetic complications and possibly other
PERIODONTAL TREATMENT (Root
Planing and Scaling)
frequently results in a need for increased insulin dosages. Periodontal (gum
infection) disease may have a widespread systemic effect which can cause
an increase insulin resistance and worsen glycemic control.
and root planing along with systemic doxycycline is a treatment
Eliminate bacterial organisms
Reduce gum tissue swelling
Improve gum tissue health
Restore insulin sensitivity over time.
Some diabetics have even been able to
decrease their insulin requirements.
So good blood sugar
control can keep your gum tissue healthy. Poor diabetic control can lead
to gum disease and infection that can affect your blood sugar control; wound
healing; increase medication dosage and cause insulin insensitivity.
If you have gum disease,
periodontal disease, we encourage you to get treatment as soon as possible
to help keep your blood sugar levels within normal range in order to help
prevent the complications of diabetes.
Research source: Compendium, November 2000, Diabetes and
Periodontal Disease: Two Sides of a Coin. Dr Brian Mealey pg 943-953.