Prevalence of Undiagnosed Diabetes and Prediabetes in the De
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With the close link between diabetes mellitus (DM) and periodontal disease (PD), dentists have an unrealized opportunity to make a chance discovery of a patient’s medical condition. Unlike in the medical setting, information on the point of care (PoC) and opportunistic screening for DM in the dental setting is limited. To make a reliable estimate on the prevalence of undiagnosed type 2 diabetes mellitus (T2DM) and prediabetes among dental patients in the dental setting and to assist healthcare planners in making an informed decision, information on the disease frequency and strategies employed to address this issue is of paramount importance. A study was conducted to summarize the data on the prevalence of undiagnosed T2DM and prediabetes amongst dental patients and further explore the effectiveness of the PoC screening and its implication for use in the dental setting. Nine studies met the inclusion criteria. The proportion of dental patients identified to be at risk of hyperglycemia with the PoC screening using random blood glucose (RBG) and HbA1 was 32.47% and 40.10%, whilst the estimated proportion.

The estimated prevalence of undiagnosed T2DM and prediabetes in the dental setting is 11.23% and 47.38%. Targeted PoC screening in the dental setting is a novel approach that can potentially help in reducing the prevalence of undiagnosed hyperglycemia, thereby leading to early referral to the physician, reduced complications with earlier treatment, improved quality of life, improved productivity, and cost-saving. OHP can also play an essential role in creating awareness about DM and promoting healthy lifestyles and habits by enhancing patients’ understanding of the potential oral health consequences associated with DM. More research is needed to augment the expanded scope for PoC screening for T2DM in the dental setting to demonstrate utility and effectiveness particularly in the low- and middle-income countries where the prevalence of undiagnosed T2DM is high.

Source:https://www.hindawi.com/journals/ijd/2020/2964020/
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