Dr.Bren-Diabetes

Question 1

Did you know?? One in every ___ people have diabetes

Answer 1

1/12

Question 2

What % of people are undiagnosed with diabetes?

Answer 2

46.3%

Question 3

Pathogenesis of Diabetes 1st reason: a deficiency of insulin secondary to the destruction of which type of cells?

Answer 3

Beta cells of islet of langerhans in the pancreas

Question 4

Pathogenesis of Diabetes 2nd reason: issues with insulin biding at receptors because of _______ receptors or ______ to insulin or insulin receptors

Answer 4

faulty receptors or antibodies

Question 5

What is the end result of the pathogenesis of diabetes?

Answer 5

Hyperglycemic state (i mean, not like all the time)

Question 6

These are considered _____ term consequences of hyperglycemia: polyghagia, polyuria, poledpsia, ketoacidosis/hyperosmotic coma

Answer 6

SHORT TERM

Question 7

These are considered _____ term consequences of hyperglycemia: microangiopathy, by-products in tissues, delayed healing/susceptible to infections

Answer 7

LONG TERM

Question 8

Long-term end organ damage severity is related to ______ control

Answer 8

glycemic

Question 9

What is the diagnostic fasting blood glucose level?

Answer 9

126 or greater

Question 10

What is the diagnostic 2hr Post-prandial glucose level?

Answer 10

200mg/100mL

Question 11

What is the diagnostic value for HbA1c and what is the time frame it measures for blood glucose?

Answer 11

7%…6-12 weeks

Question 12

What are the 4 most common oral manifestations of DM?

Answer 12

1.Xerostomia 2.Infection 3.Poor wound healing 4.Caries/gingivitis/perio disease/burning mouth

Question 13

Is there a bleeding risk for patients with DM?

Answer 13

NO significant bleeding risk

Question 14

For DM: Pts have Decreased ________ capacity

Answer 14

wound healing

Question 15

For DM: Pts have Increased susceptibility for _______

Answer 15

infection

Question 16

Diabetic control is affected when the

patient has ________

Answer 16

an infection

Question 17

DM drug interactions: which dental drug can be troublesome and why?

Answer 17

epinephrine, it causes an increase in blood glucose

Question 18

Patients with well controlled diabetes can tolerate dental care ______

Answer 18

NORMALLY

Question 19

Preoperative Recommendations for DM: What time of day for appointments

Answer 19

morning

Question 20

Preoperative Recommendations for DM: what 2 things should patients do before the appointment?

Answer 20

eat and take meds as normal

Question 21

Preoperative Recommendations for DM: What should patients bring to appointment? (or you should have one in office)

Answer 21

glucometer

Question 22

Preoperative Recommendations for DM: What should you have in the office in case of hypoglycemia?

Answer 22

fast acting carbs (OJ, cake icing, etc)

Question 23

We as dentists play a ______ role, so someone that presents with the classic symptoms should be referred to a physician for diagnosis and workup

Answer 23

screening

Question 24

Are we going to treat an uncontrolled diabetic who doesn’t see their physician regularly?

Answer 24

Only emergency care

Question 25

For glucometer readings: is a reading required for each visit?

Answer 25

no, only at the initial visit, UNLESS uncontrolled…who are monitored at follow up visits

Question 26

When do we prescribe antibiotics to DM patients?

Answer 26

for UNCONTROLLED patients

Question 27

What is considered a critical glucometer number for a patient who is showing signs of hypoglycemia?

Answer 27

50