When you have diabetes, your chances of getting gum disease and infections increases. Poor blood sugar control makes gum problems more likely. Often gum disease is painless and you may not even know you have it until you have some serious damage. Regular dental visits are your best weapon.

Diabetes is the 6th leading cause of death in the United States. Diabetes can cause: burning sensations, overgrowth of gum tissue, abnormal wound healing, tooth decay, periodontal disease, fungal infections, fruity (acetone) breath, dry mouth, and thickness of saliva. These problems are related to some of the oral changes that occur in people who have diabetes.

Diabetes is a complex disease and a connection exists between diabetic control and oral infections.

Researchers from the Harvard School of Dental Medicine and the University of Michigan School of Dentistry analyzed national data on more than 4,300 adults aged 45 to 90 with Type II diabetes. They found that people with poorly controlled diabetes were nearly three times more likely than those with better controlled diabetes to have severe periodontal disease.

Dr. Schulze has been successfully treating his diabetic patients for many years and wants to make dental care a safe and uneventful treatment. Therefore, when you schedule your visit to our office, plan to:

-Tell Dr. Schulze and his staff you have diabetes. Also, share any problems with infections or trouble keeping your blood sugar levels under control.

-Eat before you go to the dental office. The best time for dental work is when you were blood sugar level is in a normal range and your diabetes medicine action is low. If you take insulin, a morning visit after a normal breakfast is best.

Take your usual medicines before your dental visit, unless Dr. Schulze or your physician tells you to change your dose for dental treatment. Dr. Schulze will consult with your physician to decide about adjustments in your diabetes medicine or to decide if an antibiotic is needed before treatment to prevent infection.

-Stick to your normal meal plan after your dental treatment. If you can't chew well, plan beforehand how you will get the calories you will need. You may need to eat more soft or liquid foods until you can chew normally.

-If your diabetes is in poor control, wait to have dental treatment until your blood sugar is in better shape. You will need to consult with your physician and Dr. Schulze.

In order to make your dental treatment routine and relaxed, tell Dr. Schulze:

  • The frequency of your low blood sugar episodes.
  • The medications used, dosage and frequency.
  • When was your last meal before the appointment occurred.
  • How often you have glucose testing and what your last level of glycosolated hemoglobin (Hb1ac) was. (More than 6% means poorly controlled diabetes)
  • Ask for shorter appointments rather than longer ones.
  • At our office, we have small snacks available to help you control your blood sugar levels if it should drop.

Together, we can work as a team to help keep your dental health at its strongest!!