PMID- 30188857
OWN - NLM
STAT- MEDLINE
DCOM- 20190214
LR  - 20221207
IS  - 0363-6771 (Print)
IS  - 0363-6771 (Linking)
VI  - 66
IP  - 5
DP  - 2018 Sep-Oct
TI  - Glycemic control among patients with physician-managed type 2 diabetes.
PG  - 52-55
AB  - Outcomes for treatment, overall oral health status, and periodontal disease 
      progression in patients with type 2 diabetes mellitus (T2DM) have been associated 
      with glycemic control as measured by hemoglobin A1c (HbA1c) levels. Due to the 
      high prevalence of T2DM among patient populations in the United States, this 
      study sought to assess baseline levels of glycemic control for patients with a 
      known diagnosis of T2DM who were under the care of a physician and to identify 
      management solutions for these patients. All patients included in this study were 
      prescreened to ensure that they were dentate, had been diagnosed with T2DM at 
      least 3 months previously, were under the care of a physician for diabetes 
      management, and had no changes to their diabetes-related medications for 3 months 
      or more (N = 822). The patients meeting those criteria were then screened in 
      person, and those who had moderate to severe chronic periodontitis, had at least 
      20 teeth, and met other inclusion/exclusion criteria were qualified to 
      participate in the study (N = 214). After the patients fasted, a whole blood 
      sample was drawn and subjected to HbA1c testing. The mean (SD) HbA1c for the 
      qualified patients was 7.76% (1.79%), and the values ranged from 5.1% to 18.8%. 
      Among the 214 qualified individuals, 150 (70.1%) had HbA1c values greater than 
      6.5%. Of these 150 patients, 80 (53.3%, or 37.4% of the total screened sample) 
      presented with HbA1c values greater than 8.0%. The majority of patients with 
      periodontitis and physician-managed T2DM did not meet ideal standards for 
      glycemic control. Dental healthcare providers should consider consultation and/or 
      advanced screening for diabetic patients seeking dental care.
FAU - Geisinger, Maria L
AU  - Geisinger ML
FAU - Morris, Amanda B
AU  - Morris AB
FAU - Kaur, Maninder
AU  - Kaur M
FAU - Hardy, Sonya L
AU  - Hardy SL
FAU - Abou Arraj, Ramzi V
AU  - Abou Arraj RV
FAU - Geurs, Nicolaas C
AU  - Geurs NC
FAU - Reddy, Michael S
AU  - Reddy MS
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Gen Dent
JT  - General dentistry
JID - 7610466
RN  - 0 (Blood Glucose)
RN  - 0 (Glycated Hemoglobin A)
RN  - 0 (hemoglobin A1c protein, human)
MH  - Blood Glucose/analysis
MH  - Chronic Periodontitis/blood/*complications
MH  - Diabetes Mellitus, Type 2/blood/complications/*therapy
MH  - Glycated Hemoglobin/*analysis
MH  - Humans
MH  - Treatment Outcome
OTO - NOTNLM
OT  - diabetes mellitus
OT  - glycemic control
OT  - oral health
OT  - periodontal diseases
OT  - periodontitis
OT  - type 2 diabetes
EDAT- 2018/09/07 06:00
MHDA- 2019/02/15 06:00
CRDT- 2018/09/07 06:00
PHST- 2018/09/07 06:00 [entrez]
PHST- 2018/09/07 06:00 [pubmed]
PHST- 2019/02/15 06:00 [medline]
PST - ppublish
SO  - Gen Dent. 2018 Sep-Oct;66(5):52-55.