Sakamoto, D Sakamoto Hospital
Type 2 diabetes mellitus (T2DM)
Low carbohydrate diet (LCD)
International Diabetes Federation (IDF)
European Federation of Periodontology (EFP)
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.
SunText Review of Dental Sciences
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