Clinical implication of blood glucose monitoring in general dental offices: the Ehime Dental Diabetes Study

Harase, Tadahiro; Nishida, Wataru; Hamakawa, Tomohiro; Hino, Shinjiro; Shigematsu, Kazuo; Kobayashi, Satoru; Sako, Hirofumi; Ito, Shirou; Murakami, Hajime; Nishida, Kei; Inoue, Hiroshi; Fujisawa, Masahito; Yoshizu, Hiroshi; Kawamura, Ryuichi; Takata, Yasunori; Onuma, Hiroshi; Shimizu, Keita; Hamakawa, Hiroyuki; Osawa, Haruhiko

doi:10.1136/bmjdrc-2015-000151

Cited by 10 publications

(19 citation statements)

References 18 publications

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“…However, the relative merits of risk modelling were discussed with comparisons to the gold standard of biological screening as undertaken in the systematically reviewed studies ( Table ). Seven studies were excluded based on justifications presented in Table .…”

Section: Resultsmentioning

confidence: 99%

Screening for dysglycaemia in dental primary care practice settings: systematic review of the evidence

Glurich

Bartkowiak

Berg

et al. 2018

International Dental Journal

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Section: Resultsmentioning

confidence: 99%

Screening for dysglycaemia in dental primary care practice settings: systematic review of the evidence

Glurich

Bartkowiak

Berg

et al. 2018

International Dental Journal

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“…Random fasting blood sugar levels are found to increase with increasing severity of periodontitis [75]. Hitherto unknown dysglycemia (elevated HbA1c level) was found more often in people with periodontitis compared to those with a healthy periodontium (32.7% versus 17.4%; p = 0.054) in a Danish study [76].…”

Section: Periodontitismentioning

confidence: 93%

“…Notably, there was a dose-response pattern of increasing levels of hyperglycemia with increasing severity of periodontitis [75].…”

Section: 2mentioning

confidence: 98%

IDF Diabetes Atlas: Diabetes and oral health – A two-way relationship of clinical importance

Borgnakke

2019

Diabetes Research and Clinical Practice

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The current scientific evidence for the bi-directional associations between oral health and diabetes is summarized. The universal biologic mechanisms and demographic and behavioral risk drivers underlying these associations in both directions are also described. Dysglycemia, even slightly elevated blood sugar levels, adversely affects oral health, manifesting itself in several oral diseases and conditions. In the opposite direction, any oral infection with its subsequent local and systemic inflammatory responses adversely affects blood glucose levels. Moreover, painful, mobile, or missing teeth may lead to intake of soft food items representing a sub-optimal diet and hence poor nutrition, and thereby contribute to incident type 2 diabetes or to poorer glucose control in existing diabetes. Treatment of inflammation related oral conditions, such as non-surgical periodontal treatment and extraction of infected teeth, can lead to a clinically significant decrease in blood glucose levels. Attention to infectious oral diseases and referral to dental care professionals for treatment can therefore be an important novel tool for medical care professionals in preventing and managing diabetes mellitus. Dental professionals can detect unrecognized potential dysglycemia and refer for medical examination. Such interprofessional, patient centered care may contribute to improved health, wellbeing, and quality of life in people with diabetes.

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“…Combination of factors, including slow onset of symptoms, underperforming health care system, low awareness among people and varied presentation of symptoms often made physician and patient difficult to determine that overlooked DM as the cause, leading to late diagnosis [5,[8][9][10][11].…”

Section: Introductionmentioning

confidence: 99%

“…In the western world, a 66% reduction in the proportion of undiagnosed DM [16,17] is attributed to opportunistic screening in primary care [18,19]. The United Kingdom National Screening Committee guidelines recommends that opportunistic screening is cost-effective and valuable only when it is used in high-risk individuals or groups [8,10,11,20,21]. The identification of patients with undiagnosed T2DM [22] in the dental setting represents one such group.…”

Section: Introductionmentioning

confidence: 99%

Prevalence of undiagnosed diabetes and pre-diabetes in the dental setting: A Systematic review and meta-analysis

Chinnasamy

Moodie

2020

Preprint

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Background With the close link between Diabetes Mellitus (DM)and periodontal disease dentists have an unrealized opportunity to make a chance discovery of a patient’s medical condition. Unlike in the medical setting, information on the Point-of-Care (PoC), opportunistic screening for DM in the dental setting is limited. To make a reliable estimate on the prevalence of undiagnosed type 2 diabetes mellitus (T2DM) and prediabetes among dental patients in the dental setting and to assist healthcare planners in making an informed decision, information on the disease frequency and strategies employed to address this issue are of paramount importance . As such, the objectives of this study is to summarize the data on the prevalence of undiagnosed T2DM and pre-diabetes amongst dental patients and further explore the effectiveness of the PoC screening and its implication for use in the dental setting. Methods A MEDLINE – PubMed, EMBASE, Web of Science and Cochrane library search was conducted with no time specification. Information on study characteristics and diagnostic parameters were retrieved for metaanalysis. All the studies were assessed for methodological quality using the QUADAS 2 tool. Proportions were presented in tables and Forrest plots. All statistical analysis was performed using the Medcalc software. Results Nine studies met the inclusion criteria. The proportion of dental patients identified to be at risk of hyperglycaemia with the PoC screening using random blood glucose, and glycated haemoglobin was 32.47% and 40.10%, whilst the estimated proportion with undiagnosed T2DM and pre-diabetes was identified as 11.23% and 47.38%. Conclusion A significant proportion of dental patient can be identified as undiagnosed T2DM and prediabetes. Targeted opportunistic screening is a feasible approach and can help reduce the prevalence of undiagnosed T2DM and pre-diabetes.

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Clinical implication of blood glucose monitoring in general dental offices: the Ehime Dental Diabetes Study

Cited by 10 publications

References 18 publications

Screening for dysglycaemia in dental primary care practice settings: systematic review of the evidence

Screening for dysglycaemia in dental primary care practice settings: systematic review of the evidence

IDF Diabetes Atlas: Diabetes and oral health – A two-way relationship of clinical importance

Prevalence of undiagnosed diabetes and pre-diabetes in the dental setting: A Systematic review and meta-analysis

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