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Gum Disease Link to Diabetes

This flowchart explains how diabetes and periodontal disease are inextricably intertwined.

The diabetic patient is extremely susceptible to infection, and diabetes causes a breakdown of tissues along with a suppressed ability to heal. So, the diabetic patient is more susceptible to developing periodontal disease even if the oral pathogenic bacteria are below the threshold for a non-diabetic patient’s susceptibility. On the other hand, periodontal disease causes chronic systemic inflammation which results in altered insulin signaling and response. This can lead to insulin resistance and the development of diabetes, and at the same time causes the diabetic patient serious difficulty in controlling blood sugar due to the effect on insulin.
Flow Chart Explanation:  The diabetic patient is extremely susceptible to infection, and diabetes causes a breakdown of tissues along with a suppressed ability to heal. So, the diabetic patient is more susceptible to developing periodontal disease even if the oral pathogenic bacteria are below the threshold for a non-diabetic patient’s susceptibility. On the other hand, periodontal disease causes chronic systemic inflammation which results in altered insulin signaling and response. This can lead to insulin resistance and the development of diabetes, and at the same time causes the diabetic patient serious difficulty in controlling blood sugar due to the effect on insulin.

In considering the poor financial health of our country, 1 in every 3 healthcare dollars is spent caring for people with diabetes (currently $332 Billion).  That number is projected to double by 2020.  Simply treating gum disease lowers annual cost by $2840 per patient and reduces diabetes hospital admissions by 39.4% per year. (10)

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