ALLERGY, RESPIRATORY
Combating Myths About Seasonal Allergies
Air Pollution May Raise Blood Pressure
New Spray Could Benefit Cystic Fibrosis Patients
ALTERNATIVE MEDICINE
Taking the Mystery Out of Hypnotherapy
Fish Oil's Benefits Remain Elusive
Indigo Ointment Benefits Psoriasis Patients
ANIMAL CARE
Beware of Dog Bites
Separation Anxiety, Canine-Style
Animals Respond to Acupuncture's Healing Touch
BONES & JOINTS
Chronic Low Back Pain Is on the Rise
Sea Worm Inspires Novel Bone Glue
Studies Struggle to Gauge Glucosamine's Worth
CANCER
Immune Therapy May Aid Kids With Neuroblastoma
Some Spices Cut Cancer Risk That Comes With Grilled Burgers
Green Tea May Help Prevent Oral Cancer
CAREGIVING
Late-Life Fatherhood May Lower Child's Intelligence
Many Alzheimer's Caregivers Admit to Abusive Behavior
UV Lights, Fans May Curb TB Spread in Hospitals
CIRCULATORY SYSTEM
Bad Marriages Harder on Women's Health
Laughter Can Boost Heart Health
Grapefruit-Heavy Diet Helped Spur Dangerous Clot
COSMETIC
What to Do If You Have Unsightly Veins
Get Sugared!.... Its a sweet choice for hair removal
Contact Lenses Boost Kids' Self-Image
DENTAL, ORAL
Acupuncture May Ease Anxiety Over Dental Work
A Sweet Way to Shield Baby's Teeth
Most Insured Adults Worry About Health Care Costs: Poll
DIABETES
Saliva Test Could Monitor Type 2 Diabetes
Study Shows Turmeric May Prevent Type 2 Diabetes
Fructose-Sweetened Drinks Up Metabolic Syndrome Risk
DIET, NUTRITION
HELP TO LOSE WEIGHT ON A LOW CAL BUDGET
Fruits, Vegetables, Teas May Cut Smokers' Cancer Risk
Drinking Your Way to Health? Perhaps Not
DISABILITIES
Review Finds Marijuana May Help MS Patients
Could Your Cell Phone Help Shield You From Alzheimer's?
ENVIRONMENTAL HEALTH
Pesticides Linked to Parkinson's
Climate Change Linked to Longer Pollen Seasons
Database Helps Assess Your Breast Cancer Risk
EYE CARE, VISION
Guard Kids' Eyes Against Long-Term Sun Damage
Unconscious Learning: In the Eye of the Beholder?
Glaucoma Treatment Can Prevent Blindness
FITNESS
Resistance Training Boosts Mobility in Knee Arthritis Patients
Exercise 30 Minutes a Day? Who Knew!
Antioxidants Blunt Exercise Benefit, Study Shows
GASTROINTESTINAL PROBLEMS
Intestinal Bacteria Trigger Immune Response
Olive Oil May Protect Against Bowel Disease
Japanese Herbals May Ease Gastro Woes
GENERAL HEALTH
New Options Offered for Sleep Apnea
Hand-Washing Habits Still Need Improvement: Survey Says
Trans-Fat Ban In New York City Is Proving successful
HEAD & NECK
Ski Helmets Encouraged for All
Many Children Will Outgrow Headaches
Zen May Thicken Brain, Thwart Pain
HEALTH & TECHNOLOGY
'Comfort Dogs' Come to Emotional Rescue
Using Light Therapy to Silence Harmful Brain Activity
Imaging Sheds Light on How Acupuncture Works
HEARING
Summer Sounds Can Lead to Hearing Loss
Noise Hurts Men's Hearing More, Study Shows
HEART & CARDIOVASCULAR
Fondness for Fish Keeps Japanese Hearts Healthy
Laughter Can Boost Heart Health
Years of Heavy Smoking Raises Heart Risks
INFECTIOUS DISEASE
Swine Flu Is Now a Pandemic Says W.H.O.
Older Adults May Have Some Immunity to Swine Flu
Swine Flu Loves a Crowd
INFERTILITY
Obesity May Affect Fertility in Young Womene
KID'S HEALTH
Pregnant Women Exposed To Certain Pollutants Could Lower Childs IQ
Obese Children More Likely to Suffer Lower Body Injuries
Even Young Kids Can Learn CPR
MEN'S HEALTH
Low Vitamin D Levels May Boost Men's Heart Attack Risk
Vigorous Exercise Cuts Stroke Risk for Men, Not Women
Eating Fast Until Full Triples Overweight Risk
MENTAL HEALTH
Reminiscing Helps Build Emotional Strength
Psychotherapy Can Boost Happiness More Than Money
Teen Internet Addicts More Likely to Self-Harm: Study
PAIN
Acupuncture, Real or Fake, Eases Back Pain
Tai Chi May Help Ease Fibromyalgia
Are We Exercising Pain Away? Not So Much.
PHYSICAL THERAPY
PREGNANCY
Calcium Supplements Cut Blood Lead Levels During Pregnancy
Mom's Extra Pregnancy Pounds May Raise Child's Heart Risks
Sleeping Could Help Women Lose The Baby Fat
SENIORS
Tai Chi and Qigong Offer Many Health Benefits: Review
Living Alone Increases Odds of Developing Dementia
Exercise Helps Reduce Falls in Young and Old
SEXUAL HEALTH
SLEEP DISORDERS
Pay Attention to Signs That Say You're Too Fatigued to Drive
Sleeping Could Help Women Lose The Baby Fat
Lose Weight, Sleep Apnea May Improve
WOMEN'S HEALTH
Omega-3 May Reduce Endometriosis Risk
Varicose Veins May Mask Larger Problem
A Brisk Pace May Keep Stroke at Bay
Add your Article

Gum Care Helps Control Type 2 Diabetes and Its Complications

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

Last Updated: June 07, 2008

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