Predictors of periodontal disease among rural Indian type 2 diabetic population. Issue 4 (July 2020)

• Record Type: Journal Article
• Authors: Yadav, Anurag; Anmol Manaswini Yadav, Golla; NK, Kaveri; LG, Nanda Kumar; Yadav, Golla Srivats N.; Akulwar, Ravi Kumar; Myakalwar, Pradeep Digambar
• Is Part Of: Diabetes & metabolic syndrome. Volume 14:Issue 4(2020)
• Page Start: 463
• Page End: 467
• Publication Date: 2020-07
• Subjects: Periodontal disease (PD) -- HbA1c -- eGFR -- Type 2 diabetes mellitus; Diabetes -- Periodicals; Metabolism -- Disorders -- Periodicals; Diabetes Mellitus -- Periodicals; Metabolic Diseases -- Periodicals; Diabète -- Périodiques; Métabolisme, Troubles du -- Périodiques; Endocrinologie -- Périodiques; Diabète -- Physiopathologie -- Périodiques; Diabetes; Metabolism -- Disorders; Electronic journals; Periodicals; 616.462
• DOI: 10.1016/j.dsx.2020.04.034
• Languages: English
• ISSNs: 1871-4021

Abstract

Abstract: Background: Periodontal Disease (PD) is associated with complications of diabetes. Control of the PD reduces glycated hemoglobin (HbA1c) level. This study aimed to evaluate the relationship of PD with duration, severity of diabetes and eGFR. Material and method: A Prospective observational study conducted at Sidhi Vinayaka Hospitals (SVH) Sangareddy during the period of January 2014 to December 2019. Total 1436 patients with a definite diagnosis of type 2 diabetes (T2DM), between the ages of 45–60 years were included. They were classified according to CPITN score for PD and compared against the variables. Results: A total of 1436 consecutive outpatients attending to SVH were included. Among them 662 (46.1%) were males and 774(53.9%) were females. The mean age of the patients was 48.3(SD ± 10.62) and mean duration of diabetes was 2.9(SD ± 4.18). The mean fasting blood glucose was 198.5(SD ± 85), mean post prandial blood glucose was 277.2 (SD ± 107.7) and mean HBA1c was 9.98% (SD ± 2.6). Among the study group 1198 (83.4%) had none/mild (Grade I) PD, 192(13.4%) had moderate/severe (Grade II) PD and 46(3.2%) were completely edentulous (Grade III). Conclusion: There is a linear correlation between PD and age of patient, duration of diabetes, eGFR and level of glycemic status among rural population with T2DM. Highlights: This study depicts the PD in rural population more so among farmers on whom there is paucity of research articles. This is a longitudinal 6 year study among patients of less than 60yr of age. There is also a paucity of article establishing the relation between PD and Nephropathy in developing countries like India.