一般牙科诊所中血糖监测的临床意义：爱媛牙科糖尿病研究。
Clinical implication of blood glucose monitoring in general dental offices: the Ehime Dental Diabetes Study.
机构信息
Ehime Dental Diabetes Study Group , Ehime , Japan.
Ehime Dental Diabetes Study Group , Ehime , Japan ; Department of Dentistry and Oral Surgery , Matsuyama Red Cross Hospital , Ehime , Japan.
出版信息
BMJ Open Diabetes Res Care. 2015 Nov 13;3(1):e000151. doi: 10.1136/bmjdrc-2015-000151. eCollection 2015.
OBJECTIVE
We examined whether general dentists can contribute to the detection of patients with undiagnosed diabetes and prediabetes by monitoring blood glucose in dental clinics.
RESEARCH DESIGN AND METHODS
A total of 716 patients who visited clinics for dental treatment were enrolled and classified into 3 groups (mild, moderate, and severe) according to Kornman's criteria for periodontitis. The correlations between the casual blood glucose level, presence or absence of the history of diabetes, and/or severity of periodontitis were evaluated.
RESULTS
68 patients (9.5%) had hyperglycemia (blood glucose ≥200 mg/dL). Of these patients, 20 (29.4%) did not have a history of diabetes. Blood glucose tended to be higher with greater periodontitis severity. Of the 3 groups, the severe periodontitis group had the highest proportion of patients with hyperglycemia (p<0.0001).
CONCLUSIONS
Patients with dental problems could be screened for diabetes, especially undiagnosed diabetes. General dentists could function as practitioners to screen for diabetes.
TRIAL REGISTRATION NUMBER
UMIN-CTR 000014877.
目的
通过在牙科诊所监测血糖，我们研究了普通牙医是否可以通过监测血糖来帮助发现未被诊断的糖尿病和糖尿病前期患者。
研究设计和方法
共纳入 716 名因牙科治疗而就诊的患者，并根据 Kornman 的牙周炎标准将其分为 3 组（轻度、中度和重度）。评估了偶然血糖水平、糖尿病史的存在与否以及/或牙周炎严重程度之间的相关性。
结果
68 名患者（9.5%）存在高血糖（血糖≥200mg/dL）。这些患者中，20 名（29.4%）没有糖尿病史。随着牙周炎严重程度的增加，血糖水平趋于升高。在这 3 组中，重度牙周炎组中血糖升高的患者比例最高（p<0.0001）。
结论
有牙科问题的患者可以进行糖尿病筛查，尤其是未被诊断的糖尿病。普通牙医可以作为筛查糖尿病的从业者。
注册号
UMIN-CTR 000014877。
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