Diabetes Diary, Part 3

For as long as I can remember, my smile has been my vanity. But despite a lifetime of twice daily brushing and flossing, my dentist recently confirmed that I have periodontal, or gum, disease: Plaque has begun to destroy the gums and bone around my teeth.

While anyone can develop periodontal disease, people with diabetes are more susceptible to it—probably because we’re more prone to infections. The American Academy of Periodontology, in fact, calls gum disease “the sixth complication of diabetes.” The good news for me is that my condition is “moderate.” (I won’t lose any teeth!) My mouth will be restored to relative good health after just a few dental visits.

Once diagnosed, I wasted no time starting treatment. At my first visit, my dentist probed my teeth to measure the space, or pockets, between them and the surrounding gums. During my second visit, the dental hygienist performed scaling and root-planing on the right side of my mouth--a procedure that removes plaque and tarter from below the gumline. On my next visit, this Thursday, the hygienist will scale and root-plane the left half of my mouth. After that, my dentist wants me to increase my dental visits from two to three times a year.

But periodontal disease is also linked to diabetes control. People with uncontrolled blood glucose levels may develop gum disease more often and more severely--and may loose more teeth—than those with good control, according to the American Diabetes Association. This is yet another reason for me to improve my diabetes self-care.

In addition, people with or who are at risk for diabetes may not know or experience all of the warning signs of gum disease. To learn more about tooth and gum problems caused by diabetes, check out the following Web sites, and see the list below:

• National Diabetes Information Clearing House (NIDDK): To download brochure.
http://diabetes.niddk.nih.gov/dm/pubs/complications_teeth/

• American Academy of Periodontology: To view free brochure, click second bullet under “Find Out More” section.
http://www.perio.org/consumer/mbc.diabetes.htm

• American Diabetes Association: “Oral Health Topics A-Z.”
http://www.ada.org/public/tipics/diabetes_faq.asp


Signs of Gum Disease
--Red, sore swollen gums
--Bleeding gums
--Gums pulling away from your teeth so your teeth look long
--Loose or sensitive teeth
--Bad breath
--A bite that feels different
--Dentures that do not fit well

Until next time,
Nicole Crawford-Tichawonna
Contributing Editor

Diabetes Diary, Part 2

I periodically get newsletters from hospitals in my area. Typically, I toss them out, barely having read the cover. But recently I received one that caught my eye. I was flipping through its pages when an article jumped out at me: “Diabetes Treatment Center Makes Debut.”

The article seemed serendipitous. I’ve been without a primary care physician (PCP) for more than a year. Dr. L, my former PCP, had handled my diabetes management since 2001. But in December 2006, she announced that she was changing the nature of her practice, making it unfeasible for me to continue to see her.

Finding a replacement hasn’t been easy—and not just because I felt a bond with Dr. L. One internist I visited flunked her tryout after prescribing the wrong version of my insulin. Another highly recommended PCP informed me that she wasn’t taking new patients. And several doctors referred by friends don’t take my insurance. Meanwhile, too much time was passing since my ABCs—A1C, blood pressure and cholesterol (LDL, HDL and triglycerides)—had been checked.

Then, as if on cue, the newsletter arrives in the mail. It boasts that the new diabetes center is state-of-the-art and has a multidisciplinary approach to patient care. A one-stop shop, it offers endocrine consultation, diabetes education, nutrition counseling, podiatry, retinopathy screening and self-management training.

Not being one to look a gift horse in the mouth, I called and made an appointment. It’s in April, and I can’t wait. I just hope that the center lives up to its hype. I’ll keep you posted.

Until next time,
Nicole Crawford-Tichawonna
Contributing Editor