Gingival Crevicular Blood: Assessment of Blood Glucose Levels among Diabetic Patients

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Ashok Satyanarayan
M Arun
Aparna S Kumar
Ipsita Jayanti
Minu Divakaran
Mohan R Sakri

Abstract

Background: Diabetes mellitus is a massive, growing, and silent epidemic that has the potential to cripple health services in all parts of the world. Screening of diabetes at time of periodontal examination provides an additional venue to diagnose and reduce the diabetic burden of the society. Aim: The aim of this study was to assess the blood glucose levels among diabetic patients using different techniques. Materials and Methods: A total of 60 diabetics patients were divided into two groups of 30 each, Group A-Capillary finger prick blood glucose, Group B-gingival crevicular blood (GCB) glucose. The gingiva around the upper anterior teeth was chosen for the GCB sample as they offer ideal access. Immediately after measuring GCB glucose levels, capillary finger stick blood glucose was assessed using the same glucose self-monitoring device. Then, the individuals were instructed to take 75 g of glucose and after 2 h blood samples from 2 sites were collected similarly. Results: About 38.46 ± 14.22 was the mean age of males and 40.10 ± 6.87 was the mean age of females. Moreover, there was no statistically significant difference between the genders. There was no statistically significant difference between fasting and postprandial capillary finger prick blood glucose and GCB glucose levels. However, there was a highly significant correlation. Conclusion: This study concluded that blood obtained during routine periodontal probing can be used for estimation of blood glucose levels

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Author Biographies

Ashok Satyanarayan, S.B. Patil Dental College, Bidar, Karnataka, India

Professor, Department of Periodontics,

M Arun, Ramakrishna Dental College and Hospital, Coimbatore, Tamil Nadu, India

Senior Lecturer, Department of Prosthodontics, 

Aparna S Kumar, RVS Dental College, Coimbatore, Tamil Nadu, India

Senior Lecturer, Department of Prosthodontics, 

Ipsita Jayanti, Kalinga Institute of Dental Sciences, KIIT University, Bhubaneswar, Odisha, India

Senior Lecturer, Department of Periodontics and Oral Implantology,

Minu Divakaran, Annoor Dental College, Muvattupuzha, Kerala, India,

Senior Lecturer, Department of Oral Pathology and Microbiology, 

Mohan R Sakri, KIMS Dental College, Amalapuram, Andhra Pradesh, India

Associate Professor, Department of Conservative Dentistry,