International Journal of Clinical Pediatric Dentistry

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VOLUME 14 , ISSUE 2 ( March-April, 2021 ) > List of Articles

RESEARCH ARTICLE

Dental Treatment Effect on Blood Glucose Level Fluctuation in Type 1 Balanced Diabetic Children

Nahla Nassif, Balsam Noueiri

Citation Information : Nassif N, Noueiri B. Dental Treatment Effect on Blood Glucose Level Fluctuation in Type 1 Balanced Diabetic Children. Int J Clin Pediatr Dent 2021; 14 (2):212-216.

DOI: 10.5005/jp-journals-10005-1907

License: CC BY-NC 4.0

Published Online: 30-07-2021

Copyright Statement:  Copyright © 2021; The Author(s).


Abstract

Introduction: Pediatric dentists, while treating diabetic patients, have a major concern about the occurrence of hypo- or hyperglycemia complications. So far, no dental care protocol is elaborated to help practitioners in creating a safe environment for their patients. This study aims to evaluate the blood glucose level (BGL) fluctuation in type 1 diabetic children according to the type of the delivered treatment and its duration, to outline guidance for predicting the occurrence of a hypo- or hyperglycemia complication. Materials and methods: A cross-sectional approach was conducted on 70 balanced diabetic children aged between 7 years and 12 years old (32 females and 38 males) in the Department of Pediatric Dentistry at the Lebanese University in Beirut. Only the patients having a BGL between 70 mg/dL and 300 mg/dL could undergo dental treatment. The gender, the duration of the dental session (≤30 or >30 minutes), the BGLs at the baseline and the end of the session were noted. The types of the performed dental treatment were classified as simple, and unpleasant acts. Results: For the female group, only eight sessions lasted ≤30 minutes. The results of simple and unpleasant interventions >30 minutes showed that BGLs before and after treatment were almost identical (p > 0.05). In the male group, for the simple acts >30 minutes, the BGL showed a significant fluctuation (p = 0.02). Conclusion: Dentists must be aware of signs of discomfort in balanced type 1 diabetic children to avoid severe complications. This study highlights a new range of BGLs (70–300 mg/dL) that allows safe dental treatment.


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  1. American Diabetes Association. Diagnosis and classification of diabetes mellitus. Diabetes Care 2010;33(l1):62–69. DOI: 10.2337/dc10-S062.
  2. de Ferranti SD, de Boer IH, Fonseca V, et al. Type 1 diabetes mellitus and cardiovascular disease: a scientific statement from the American Heart Association and American Diabetes Association. Circulation 2014;130(13):1110–1130. DOI: 10.1161/CIR.0000000000000034.
  3. American Diabetes Association. Improving care and promoting health in populations: standards of medical care in diabetes. Diabetes Care 2018;41(1):S7–S12. DOI: 10.2337/dc18-S001.
  4. Sahril N, Aris T, Asari ASM, et al. Oral health seeking behaviour among Malaysians with type II diabetes. J Public Health Aspe 2014(1):1–8. DOI: 10.7243/2055-7205-1-1.
  5. Moursi Amer M, Fernandez Jill B, Marcia D, et al. Nutrition and oral health considerations in children with special health care needs: implications for oral health care providers. Am Acad Pediat Dentis 2010;32(4):333–342.
  6. Nirmala SVSG, Saikrishna D. Dental care and treatment of children with diabetes mellitus- an overview. J Pediatr Neonat Care 2016;4(2):00134. DOI: 10.15406/jpnc.2016.04.00134.
  7. Myers-Wright N, Lamster IB, Jasek JP, et al. Evaluation of medical dental visits in New York City: opportunities to identify persons with and at risk for diabetes mellitus in dental settings. Commun Dentis Oral Epidemiol 2018;46(1):102–108. DOI: 10.1111/cdoe.12334.
  8. Acharya A, Cheng B, Koralkar R, et al. Screening for diabetes risk using integrated dental and medical electronic health record data. JDR Clin Translat Res 2018;3(2):188–194. DOI: 10.1177/2380084418759496.
  9. American Diabetes Association. Standards of medical care in diabetes-2016 abridged for primary care providers. Clin Diabetes 2016;34(1):3–21. DOI: 10.2337/diaclin.34.1.3.
  10. Inoue K, Matsumoto M, Kobayashi Y. The combination of fasting plasma glucose and glycosylated hemoglobin predicts type 2 diabetes in Japanese workers. Diabetes Res Clin Pract 2007;77(3):451–458. DOI: 10.1016/j.diabres.2007.01.024.
  11. Gillery P, Bordas-Fonfrède M, Chapelle JP, et al. HBA1c: concertation clinico-biologique pour la standardisation des méthodes de dosage. Diabetes Metabol 1999(25):283–287.
  12. Fritschi C, Quinn L. Fatigue in patients with diabetes: a review. J Psychosom Res 2010;69(1):33–41. DOI: 10.1016/j.jpsychores.2010.01.021.
  13. Wray L. The diabetic patient and dental treatment: an update. BDJ 2011;211(5):209–215. DOI: 10.1038/sj.bdj.2011.724.
  14. Luoto A, Tolvanen M, Pohjola V, et al. A longitudinal study of changes and associations in dental fear in parent/adolescent dyads. Int J Paediat Dentis 2017;27(6):506–513. DOI: 10.1111/ipd. 12289.
  15. Fink G. Stress, definitions, mechanisms, and effects outlined: lessons from anxiety. Hand Book Stress Series 2016;1:3–11.
  16. Anderson R, Grigsby AB, Freedland KE, et al. Anxiety and poor glycemic control: a meta-analytic review of the literature. The Int J Psychia Med 2002;32(3):235–247. DOI: 10.2190/KLGD-4H8D-4RYL-TWQ8.
  17. Berge KG, Agdal ML, Vika M, et al. High fear of intra-oral injections: prevalence and relationship to dental fear and dental avoidance among 10- to 16-yr-old children. Eur J Sci 2016;124(6):572–579. DOI: 10.1111/eos.12305.
  18. Moebus S, Göres L, Lösch C, et al. Impact of time since last caloric intake on blood glucose level. Eur J Epidemiol 2011;26(9):719–728. DOI: 10.1007/s10654-011-9608-z.
  19. American Diabetes Association. Postprandial blood glucose. Diabetes Care 2001;24(4):775–778. DOI: 10.2337/diacare.24.4.775.
  20. Orlando G, Balducci S, Bazzucchi I, et al. The impact of type 1 diabetes and diabetic polyneuropathy on muscle strength and fatigability. Acta Diabetol 2017;54(6):543–550. DOI: 10.1007/s00592-017-0979-9.
  21. Sugahara H, Akamine M, Kondo T, et al. Somatic symptoms most often associated with depression in an urban hospital medical setting in Japan. Psychiatry Res 2004;128(3):305–311. DOI: 10.1016/j.psychres.2004.06.015.
  22. Khawaja N, Khalil H, Parveen K, et al. An influence of adrenaline (1: 800.000) containing local anesthesia (2% Xylocaine) on glycemic level of patients undergoing tooth extraction in Riyadh. Saudi Pharmacolog J 2014;22(6):545–549. DOI: 10.1016/j.jsps.2014.02.006.
  23. Alves dos Santos-Paul M, Itagiba Neves IL, Neves RS, et al. Local anesthesia with epinephrine is safe and effective for oral surgery in patients with type 2 diabetes mellitus and coronary disease: a prospective randomized study. Clinics 2015;70(3):185–189. DOI: 10.6061/clinics/2015(03)06.
  24. Nassif N, Noueiri B, Olleik A. Impact of general and oral complications of diabetes mellitus type 1 on Lebanese children's quality of life. IJCPD 2017;10(4):1–6. DOI: 10.5005/jp-journals-10005-1481.
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