Recent States and Prevention for Chronic Periodontitis and Diabetes in Actual Practice

Chronic periodontitis and type 2 diabetes mellitus (T2DM) have been recently prevalent and crucial diseases. Both diseases show mutual vicious cycle as influencing each other. A systematic review revealed that T2DM cases with periodontitis have elevated odds ratio for retinopathy (2.8-8.7), neuropathy (3.2-6.6), nephropathy (1.9-8.5), cardiovascular complications (1.3-17.7) and mortality (2.3-8.5) compared to those without periodontitis. Adequate therapy for chronic periodontitis a few months would bring 0.27-0.48% decrease in HbA1c by meta-analyses. For patients with both diseases, low carbohydrate diet (LCD) seems to be effective associated with reduced HbA1c, body weight, Advanced Glycation End Products (AGEs) and inflammatory process.

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