Navigation Links
Gum Care Helps Control Type 2 Diabetes and Its Complications
Date:6/7/2008

Periodontal disease associated with higher levels of insulin resistance, studies say

SATURDAY, June 7 (HealthDay News) -- People with type 2 diabetes can help control the disease by taking better care of their teeth and gums.

That's the case dentists were expected to make at the American Diabetes Association's annual meeting in San Francisco this weekend.

"Several recent studies have shown that having periodontal disease makes those with type 2 diabetes more likely to develop worsened glycemic control, and puts them at much greater risk of end-stage kidney disease and death," George W. Taylor, an associate professor of dentistry at the University of Michigan schools of Dentistry and Public Health, said in a prepared statement. "Given the numerous medical studies showing that good glycemic control results in reduced development and progression of diabetes complications, we believe there is the potential that periodontal treatment can provide an increment in diabetes control and subsequently a reduction in the risk for diabetes complications," he said.

Intensive periodontitis intervention, for example, can significantly lower one's levels of A1C, a measure of long-term glucose control.

"We have found evidence that the severity of periodontal disease is associated with higher levels of insulin resistance, often a precursor of type 2 diabetes, as well as with higher levels of A1C," dentist Maria E. Ryan, director of clinical research at the Stony Brook University School of Dental Medicine in New York, said in a prepared statement.

Periodontal, or gum, disease is an infection and chronic inflammatory disease of the tissues surrounding and supporting the teeth. As it is painless, most people don't know they have it, yet it is a major cause of tooth loss in adults.

Among the studies to be discussed linking gum disease and diabetes are:

  • A 1988-1994 U.S. population data study that found having periodontal disease put a person at twice the risk of having insulin resistance as those without such disease.
  • An unpublished Stony Brook University study of people displaying pre-diabetic insulin resistance that links the severity of a periodontal disease with their degree of insulin resistance. "We think periodontitis may adversely affect glycemic control, because the pro-inflammatory chemicals produced by the infection -- such as IL-1 beta, IL-6 and TNF-alpha -- could transfer from the gum tissue into the bloodstream and stimulate cells to become resistant to insulin," Taylor said. "Then insulin resistance prevents cells in the body from removing glucose from the bloodstream for energy production."
  • A set of studies of the Pima Indians in the Southwest, a population with a very high rate of type 2 diabetes. One found those with periodontitis were more than four times as likely to develop worsened glycemic control; another showed that those with severe gum disease had more than triple the risk of dying from diabetic nephropathy or ischemic heart disease than those with less severe periodontal disease.
  • A study, funded by the National Institutes of Health, that found a "statistically significant reduction" in A1C levels in people with type 2 diabetes after 15 months after routine periodontal treatment, Taylor said.

"When glycemia has been difficult to control, the physician might consider asking patients when they last saw their dentist, whether periodontitis has been diagnosed and, if so, whether treatment has been completed," Ryan said. "A consultation with the dentist may be appropriate, to discuss whether periodontal treatment has been successful or whether a more intensive approach with oral or sub-antimicrobial antibiotics is in order because, just as it is difficult to control diabetes while the patient has an infected leg ulcer, the same applies when there's infection and inflammation of the gums."

More information

The American Academy of Periodontology has more about gum disease.



-- Kevin McKeever



SOURCE: American Diabetes Association, news release, June 6, 2008


'/>"/>
Copyright©2008 ScoutNews,LLC.
All rights reserved

Related medicine news :

1. Sucking Out Clot Debris Helps Heart Attack Patients
2. DCED Official Helps to Break Ground for Hospital Expansion Project in Southwest PA
3. Red Wine Compound Helps Heart, May Slow Aging
4. Weight Management Solution Helps You Lose or Gain as Much Weight as You Choose
5. Celebrate Swedish Breaks Record Again; Helps Launch Center for Advanced Brain Tumor Treatment
6. Human Stem Cell Transplant Helps Brain-Impaired Mice
7. Avastin Added to Chemo Helps Women With Advanced Breast Cancer
8. Avastin Added to Chemo Helps Women With Advanced Cancer
9. American Lung Association of Iowa: Summer Camp Helps Kids With Asthma
10. OHSU Cancer Institute researchers find novel chemo drug helps treat prostate cancer
11. Genetic Disorder Drug Helps Reverse Heart Muscle Enlargement
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:4/30/2016)... ... April 30, 2016 , ... Orlando-based Maximized Living has selected Dr. Nick ... in Rio. Under the care of Maximized Living doctors at the London Olympics ... showing, Maximized Living is sending the largest contingent of elite chiropractors to Rio to ...
(Date:4/29/2016)... Ferry, New York (PRWEB) , ... April 30, 2016 , ... ... the Dobbs Ferry campus. The following programs will be expanding due to high ... Management (HRM). The expansion will begin this summer. , School of ...
(Date:4/29/2016)... ... April 29, 2016 , ... ... Foundation, the national charitable foundation serving the footwear industry, has broken all previous ... more than 130 companies across 23 states during the months of April and ...
(Date:4/29/2016)... ... 2016 , ... Shamangelic Healing, Sedona Arizona's Premier Center ... BRAIN and New Mood Daily-Stress Formula for brain optimization and wellness to their ... store is just one more way Shamangelic Healing supports people’s quest for health, ...
(Date:4/29/2016)... ... April 29, 2016 , ... On Tuesday, April 26, 2016 ... Southeast, celebrated the signature of Gov. Nathan Deal on SB 258, the “Rural Health ... - Cumming), offers a 70% tax credit to individuals and corporations which donate directly ...
Breaking Medicine News(10 mins):
(Date:4/27/2016)... 2016 The global  gamma ... billion by 2022, according to a new report ... towards a healthy lifestyle is expected to drive ...      (Logo: http://photos.prnewswire.com/prnh/20150105/723757 ) , ... health treatment expenditure has urged consumers to switch ...
(Date:4/26/2016)... FLINT, Mich. , April 26, 2016 ... the promotion of Jennifer Hagerman , Pharm D., ... In her growing role at Diplomat, Hagerman will continue ... of the company that delivers custom education and training ... to the specialty pharmacy industry. Diplomat University also houses ...
(Date:4/26/2016)... 26, 2016 US demand for infection ... 4.9 percent annually to $27.6 billion in 2020.  ... to decrease rates of healthcare-associated infections (HAIs) will ... and services.  Although declining, the overall rate of ... levels set by the CDC.  Recent statistics indicate ...
Breaking Medicine Technology: