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唾液:评估糖尿病患者血糖水平的一种工具。

Saliva: A tool in assessing glucose levels in Diabetes Mellitus.

作者信息

Satish B N V S, Srikala P, Maharudrappa B, Awanti Sharanabasappa M, Kumar Prashant, Hugar Deepa

机构信息

Department of Oral Pathology & Microbiology, HKES's S Nijalingappa Institute of Dental Sciences & Research, Gulbarga, Karnataka, India.

Department of Biochemistry, MR Medical College, Gulbarga, Karnataka, India.

出版信息

J Int Oral Health. 2014 Apr;6(2):114-7. Epub 2014 Apr 26.

Abstract

BACKGROUND

Diabetes mellitus is a metabolic disorder affecting people worldwide, which require constant monitoring of their glucose levels. Commonly employed procedures include collection of blood or urine samples causing discomfort to the patients. Hence the need for an alternative non invasive technique is required to monitor glucose levels. Saliva present in the oral cavity not only maintains the health of the oral cavity but plays a important role in diagnosis of cancers of the oral cavity, periodontal diseases, HIV, heart diseases etc. The aim of the present study was undertaken to correlate the glucose levels in saliva and blood of diabetic and healthy non diabetic individuals and to determine the efficacy of saliva as a diagnostic tool.

MATERIALS & METHODS: A total of 30 individuals of which 20 patients were diabetic patients and on medication and 10 patients were healthy non diabetic individuals were included in the study. Blood and saliva were collected under resting conditions and were subjected to glucose estimation.

RESULTS

Salivary and blood glucose concentrations were determined in non diabetic healthy individuals (n=10) and Type II Diabetes mellitus patients (n=20). Glycosylated haemoglobin A1c was also determined in both Type II diabetic patients and Control group and a significant correlation (r=0.73) and (r=0.46) was found between HbA1c and serum glucose concentrations in diabetic and control group respectively. A significant correlation (r=0.54) and (r=0.45) was found between fasting blood glucose and fasting salivary glucose for diabetic group and control group respectively. A positive correlation (r=0.39) and (r=0.38) was found between fasting salivary glucose and HbA1c for diabetic and control group respectively.

CONCLUSION

These findings suggest that the saliva can be used in the assessment of the blood glucose concentration in diabetes mellitus patients. How to cite the article: Satish BN, Srikala P, Maharudrappa B, Awanti M, Kumar P, Hugar D. Saliva: A tool in assessing glucose levels in Diabetes Mellitus. J Int Oral Health 2014;6(2):114-7.

摘要

背景

糖尿病是一种影响全球人群的代谢紊乱疾病,需要持续监测血糖水平。常用的检测方法包括采集血样或尿样,这会给患者带来不适。因此,需要一种替代性的非侵入性技术来监测血糖水平。口腔中的唾液不仅能维持口腔健康,还在口腔癌、牙周疾病、艾滋病、心脏病等疾病的诊断中发挥重要作用。本研究的目的是关联糖尿病患者和健康非糖尿病个体唾液与血液中的葡萄糖水平,并确定唾液作为诊断工具的有效性。

材料与方法

本研究共纳入30名个体,其中20名患者为正在接受药物治疗的糖尿病患者,10名患者为健康非糖尿病个体。在静息状态下采集血液和唾液,并进行葡萄糖测定。

结果

测定了非糖尿病健康个体(n = 10)和II型糖尿病患者(n = 20)的唾液和血糖浓度。还测定了II型糖尿病患者和对照组的糖化血红蛋白A1c,发现糖尿病组和对照组中HbA1c与血清葡萄糖浓度之间分别存在显著相关性(r = 0.73)和(r = 0.46)。糖尿病组和对照组空腹血糖与空腹唾液葡萄糖之间分别存在显著相关性(r = 0.54)和(r = 0.45)。糖尿病组和对照组空腹唾液葡萄糖与HbA1c之间分别存在正相关性(r = 0.39)和(r = 0.38)。

结论

这些发现表明,唾液可用于评估糖尿病患者的血糖浓度。如何引用本文:Satish BN, Srikala P, Maharudrappa B, Awanti M, Kumar P, Hugar D. 唾液:评估糖尿病患者血糖水平的一种工具。《国际口腔健康杂志》2014年;6(2):114 - 7。

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