Noueiri Balsam, Nassif Nahla
Department of Pediatric Dentistry, Lebanese University, Beirut, Lebanon.
Int J Clin Pediatr Dent. 2021 Jul-Aug;14(4):497-501. doi: 10.5005/jp-journals-10005-1985.
Diabetic patients struggle to maintain their blood glucose near normal levels to avoid the occurrence of hypo- or hyperglycemia discomfort. Dental practitioners must foresee such complications as they can also take place during dental treatment.
This study aims to evaluate the impact of the type and duration of dental treatment on the blood glucose level (BGL) fluctuation in type 1 unbalanced diabetic children [hemoglobin A (HbA) >7].
A cross-sectional approach was conducted on 83 type 1 unbalanced diabetic children (HbA) > 7%, aged between 7 years and 12 years, divided into 40 females and 43 males in the Department of Pediatric Dentistry at the Lebanese University in Beirut. For dental treatments, diabetic children were scheduled for morning sessions 60-90 minutes after breakfast intake and a habitual insulin shot. Only patients with a BGL between 70 mg/dL and 300 mg/dL underwent dental treatments. The type, the duration of the dental session, and the BGL at the baseline (T0), and at the end of the session (T1) were recorded. The dental acts were classified into simple (without local anesthesia) and unpleasant with a solution of 2% lignocaine with 1:200,000 epinephrine. Statistical analyses were performed.
Fifty of 83 showed a decrease in their BGLs after dental treatments, 20 an increase, and 13 no change. For both genders, in simple acts, a statistical significance was noted ( = 0.0002) for the female and ( = 0.0014) for the males.
Treatment unbalanced diabetic children can be safely done by taking some precautions and measures to avoid a hypo- or hyperglycemia episode.
Noueiri B, Nassif N. Dental Treatment Effect on Blood Glucose Level Fluctuation in Type 1 Unbalanced Diabetic Children. Int J Clin Pediatr Dent 2021;14(4):497-501.
糖尿病患者努力将血糖维持在接近正常水平，以避免出现低血糖或高血糖不适。牙科医生必须预见到此类并发症，因为它们也可能在牙科治疗期间发生。
本研究旨在评估牙科治疗的类型和持续时间对1型非平衡糖尿病儿童[糖化血红蛋白A（HbA）>7]血糖水平（BGL）波动的影响。
对黎巴嫩大学贝鲁特分校儿童牙科部83名年龄在7岁至12岁之间的1型非平衡糖尿病儿童（HbA>7%）进行了横断面研究，其中40名女性，43名男性。对于牙科治疗，糖尿病儿童安排在早餐摄入和常规胰岛素注射后60 - 90分钟的上午时段进行。只有血糖水平在70mg/dL至300mg/dL之间的患者接受牙科治疗。记录牙科治疗的类型、疗程持续时间以及基线（T0）和疗程结束时（T1）的血糖水平。牙科操作分为简单操作（无需局部麻醉）和使用含1:200,000肾上腺素的2%利多卡因溶液的不愉快操作。进行了统计分析。
83名患者中，50名在牙科治疗后血糖水平下降，20名上升，13名无变化。对于男女两性，在简单操作中，女性有统计学意义（ = 0.0002），男性有统计学意义（ = 0.0014）。
通过采取一些预防措施避免低血糖或高血糖发作，可以安全地治疗非平衡糖尿病儿童。
Noueiri B, Nassif N. 牙科治疗对1型非平衡糖尿病儿童血糖水平波动的影响。《国际临床儿科牙科杂志》2021；14(4):497 - 501。
