Random blood glucose testing in dental practice

Barasch, Andrei; Safford, Monika M.; Qvist, Vibeke; Palmore, Randall; Gesko, David S; Gilbert, Gregg H.

doi:10.14219/jada.archive.2012.0151

Cited by 56 publications

(20 citation statements)

References 23 publications

(22 reference statements)

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“…explored the utility of random plasma glucose levels for screening for prediabetes or previously undiagnosed diabetes in community dental practices. Of 418 subjects who qualified for testing in 28 dental practices, 18 percent had diabetes or prediabetes 24, 25. A follow‐up survey found that blood glucose testing was well‐received by both practitioners and patients 25.…”

Section: Discussionmentioning

confidence: 99%

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Screening for prediabetes and type 2 diabetes in dental offices

Herman

Taylor

Jacobson

et al. 2015

J Public Health Dent

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ObjectivesMost Americans see dentists at least once a year. Chair‐side screening and referral may improve diagnosis of prediabetes and diabetes. In this study, we developed a multivariate model to screen for dysglycemia (prediabetes and diabetes defined as HbA1c ≥5.7 percent) using information readily available to dentists and assessed the prevalence of dysglycemia in general dental practices.MethodsWe recruited 1,033 adults ≥30 years of age without histories of diabetes from 13 general dental practices. A sample of 181 participants selected on the basis of random capillary glucose levels and periodontal status underwent definitive diagnostic testing with hemoglobin A1c. Logistic models were fit to identify risk factors for dysglycemia, and sample weights were applied to estimate the prevalence of dysglycemia in the population ≥30 years of age.ResultsIndividuals at high risk for dysglycemia could be identified using a questionnaire that assessed sex, history of hypertension, history of dyslipidemia, history of lost teeth, and either self‐reported body mass index ≥35 kg/m2 (severe obesity) or random capillary glucose ≥110 mg/dl. We estimate that 30 percent of patients ≥30 years of age seen in these general dental practices had dysglycemia.ConclusionsThere is a substantial burden of dysglycemia in patients seen in general dental practices. Simple chair‐side screening for dysglycemia that includes or does not include fingerstick random capillary glucose testing can be used to rapidly identify high‐risk patients.Practical implicationsFurther studies are needed to demonstrate the acceptability, feasibility, effectiveness, and cost‐effectiveness of chair‐side screening.

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Section: Discussionmentioning

confidence: 99%

“…Of 418 subjects who qualified for testing in 28 dental practices, 18 percent had diabetes or prediabetes 24, 25. A follow‐up survey found that blood glucose testing was well‐received by both practitioners and patients 25. Lalla et al .…”

Section: Discussionmentioning

confidence: 99%

Screening for prediabetes and type 2 diabetes in dental offices

Herman

Taylor

Jacobson

et al. 2015

J Public Health Dent

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“…27 As previously mentioned, the dental office setting, with its frequent follow-up visits, provides the ideal opportunity not only to identify patients with undiagnosed diabetes, but also to monitor glycemic control in people with known diabetes. A recent study 28 of blood glucose testing for random plasma glucose levels in community dental practices identified a large proportion of dental patients with diabetes or prediabetes, confirming the promise that the community dental centers hold for diabetes screening and monitoring. More than 80% of patients in that study supported the idea of incorporating blood glucose testing in dental offices.…”

Section: Diabetes Screeningmentioning

confidence: 78%

“…More than 80% of patients in that study supported the idea of incorporating blood glucose testing in dental offices. 28 Orthodontists, who see their patients once monthly during the patients’ formative years, might also be able to perform screening, particularly as the prevalence of type 2 diabetes increases in the adolescent population.…”

Section: Diabetes Screeningmentioning

confidence: 99%

A Framework for Physician-Dentist Collaboration in Diabetes and Periodontitis

Elangovan¹,

Hertzman‐Miller²,

Karimbux³

et al. 2014

Clinical Diabetes

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“…44 In addition, research efforts to integrate oral health and primary care for medical conditions hold promise for intervening before the disease is severe, and reducing the morbidity and premature mortality from diabetes and other primary care sensitive conditions. 45,46 …”

Section: Discussionmentioning

confidence: 99%

Does Medicaid Coverage Modify the Relationship between Glycemic Status and Teeth Present in Older Adults?

Northridge¹,

Chakraborty²,

Salehabadi³

et al. 2018

Journal of Health Care for the Poor and Underserved

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Understanding the relationships among diabetes, teeth present, and dental insurance is essential to improving primary and oral health care. Participants were older adults who attended senior centers in northern Manhattan (New York, N.Y.). Sociodemographic, health, and health care information were obtained via intake interviews, number of teeth present via clinical dental examinations, and glycemic status via measurement of glycosylated hemoglobin (HbA1c). Complete data on dental insurance coverage status for 785 participants were available for analysis (1,015 after multiple imputation). For participants with no dental insurance and any private/other dental insurance, number of teeth present is less for participants with diabetes than for participants without diabetes; however, for participants with Medicaid coverage only, the relationship is reversed. Potential explanations include the limited range of dental services covered under the Medicaid program, inadequate diabetes screening and monitoring of Medicaid recipients, and the poor oral and general health of Medicaid recipients.

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Random blood glucose testing in dental practice

Cited by 56 publications

References 23 publications

Screening for prediabetes and type 2 diabetes in dental offices

Screening for prediabetes and type 2 diabetes in dental offices

A Framework for Physician-Dentist Collaboration in Diabetes and Periodontitis

Does Medicaid Coverage Modify the Relationship between Glycemic Status and Teeth Present in Older Adults?

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