Gingival Crevicular Blood as a Diagnostic aid for the Detection of Diabetes Mellitus: an in-Office Chairside Test in Dental Practice

Battu Pragna, P. Shukla, A. Ahsan, G. Shirisha, B. Goud, Kothuri Padma
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Abstract

Background: Diabetes is a chronic metabolic disease because of the elevated levels of glucose in the blood. And usually most of the diabetic patients are left undiagnosed in their early stages of the disease because of the unnoticeable symptomsby the patients which could lead to the severe damage to the body system, hence an early diagnosis is very important and life saving indiabetic patients. Aim: aim of the present study is to evaluate the accuracy of gingival crevicular blood as a diagnostic tool in diabeticpatients. Methods: This study involves total 50 patients 25 diabetic and 25 non diabetic patients, with moderate to severe periodontitis. Regular dental check-up is done including periodontal pocket depth probing. Blood oozing from the gingival crevice was collected with the strips of glucose self monitoring devise. To the same patient finger stick Blood glucose level and venous blood[ VB] glucose level with standardized laboratory method was taken. Results: The results showed significant strong correlation between all three groups. With p value (P < 0.001). Conclusion: Blood oozing during the pocket detection can be used for diagnosing aid in diabetes. Keywords: gingival crevicular blood, Finger stick blood, venous blood, diabetes mellitus, Glucometer, chronicperiodontitis.
龈沟血作为诊断糖尿病的辅助工具:一种在牙科诊所椅子旁进行的测试
背景:糖尿病是一种慢性代谢性疾病,由于血液中葡萄糖水平升高。通常大多数糖尿病患者在疾病的早期阶段没有得到诊断,因为患者的症状不明显,可能导致身体系统的严重损害,因此早期诊断是非常重要的,可以挽救糖尿病患者的生命。目的:本研究的目的是评估龈沟血作为糖尿病诊断工具的准确性。方法:本研究共纳入50例中重度牙周炎患者,糖尿病患者25例,非糖尿病患者25例。定期进行牙齿检查,包括牙周袋深度探测。用葡萄糖自动监测仪采集龈缝渗血。采用标准化实验室方法对同一患者手指贴测血糖及静脉血[VB]血糖水平。结果:三组间均有显著的强相关性。p值< 0.001)。结论:口袋检测渗血有助于糖尿病的诊断。关键词:龈沟血,指棒血,静脉血,糖尿病,血糖仪,慢性牙周炎。
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