Taste Impairment and Related Factors in Type I Diabetes Mellitus

Floch, J.-P. Le; Lievre, G. Le; Sadoun, J.; Perlemuter, Léon; Peynègre, R; Hazard, J

doi:10.2337/diacare.12.3.173

Cited by 82 publications

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“…[6] In the present study, Group I showed decreased detection threshold for sweet, salty, and sour taste. In Group II, the participants responded to the lower concentrations of the taste solutions (sweet, salty, and sour) when concentrations to Group I and Group III, the participants responded to lowest concentrations of the taste solutions which implies that was perceived in lower concentrations in all the three groups.…”

Section: Discussionsupporting

confidence: 49%

Assessment and evaluation of gustatory functions in patients with diabetes mellitus Type II: A study

Khera

Saigal

2018

Indian J Endocr Metab

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Introduction:The assessment of taste is critically important for an individual to enjoy life. This however, gets altered in various diseases. Diabetes Mellitus is one of the diseases in which person has dysgeusia.Objectives:This study was done to assess different taste sensations in patients suffering from Diabetes Mellitus Type II.Methods:A total of 120 subjects were taken in this study and were divided into 3 groups. One group consisted of patients who were uncontrolled diabetics (n = 40), the second group of controlled diabetics (n = 40) and 40 subjects who were normal healthy individuals (control group). To assess their gustatory functions, two tests were performed, whole mouth above threshold and localized taste test. Whole mouth above threshold test was performed by assessing their detection threshold for each taste.Results:It was seen that patients with Diabetes Mellitus showed a high threshold to sweet, salty and sour taste. Bitter was not affected in either of the groups. The other test performed was localized (spatial) test. In this test, various parts of the oral cavity are assessed by dabbing the highest concentration of the prepared solutions and their response is noted. The tongue was divided into Left posterior tongue (LPT), Right posterior tongue (RPT), Right Anterior tongue (RAT), Left Anterior tongue (LAT). Soft palate was divided into Right Soft Palate (RSP) and Left Soft Palate (LSP). The results showed a significant difference for the sweet taste in the localized regions (right anterior tongue [RAT], left anterior tongue [LAT], right posterior tongue [RPT], left posterior tongue [LPT], right soft palate [RSP], and left soft palate [LSP]) of the mouth between the three groups (P < 0.05). The results of the salty taste showed significant differences in the RAT, LAT, RSP, and LSP regions of the mouth between the groups (P < 0.05). However, the regions of LPT and RPT showed no differences between the study groups (P > 0.05). The results showed a significant difference in the sour taste in the localized regions of the mouth in all the study groups (P < 0.05). The results of the bitter taste showed significant differences in the regions of the mouth in all the three groups (P < 0.05). However, the region of LPT showed no differences between the study groups (P > 0.05).Conclusion:Within the limitation of this study, it was concluded that the diabetic patients had an increased satiation effect of sweet taste therefore they needed an increased quantity of sweet taste to be perceived. It was also significant for salty and sour taste, whereas bitter taste had no significance. Spatial taste test also showed differences in different regions of the tongue, soft palate. The left posterior tongue area showed no changes.

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Section: Discussionsupporting

confidence: 49%

Assessment and evaluation of gustatory functions in patients with diabetes mellitus Type II: A study

Khera

Saigal

2018

Indian J Endocr Metab

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“…However, hypertension and drugs commonly used in diabetes, including sulfonylureas, metformin, and antihypertensive drugs, were not exclusion criteria. Alcohol and tobacco consumption was estimated as described previously (9)(10). Assessment of insulin dependence was based on clinical history and a plasma C-peptide <0.25 nM, 6 min after 1 mg of glucagon intravenously.…”

mentioning

confidence: 99%

Smell Dysfunction and Related Factors in Diabetic Patients

Floch¹,

Lievre²,

Labroue³

et al. 1993

Diabetes Care

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“…Diabetes mellitus can cause a loss of the sweet taste sensation 64,65 in deed this may be present at time of diagnosis. Although the taste impairment is usually not severe, and is generally tolerated without complaint, the undiagnosed diabetic patient may favour sweet, sugary food hence exacerbating any hyperglycaemia.…”

Section: Taste Impairmentmentioning

confidence: 99%

Different oral manifestations of diabetes mellitus and its complications a review

Kadiyala¹,

Kumar²

2017

Int j curr adv res

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Objective: To relate different oral manifestations and oral complications of diabetes mellitus Background: Diabetes mellitus is a chronic lifestyle disease affecting all age groups. It is one of the leading causes of mortality and morbidity worldwide. The term "diabetes mellitus" describes a group of disorders characterised by elevated levels of glucose in the blood and abnormalities of carbohydrate, fat and protein metabolism. A number of oral diseases and disorders have been associated with diabetes mellitus, and periodontitis has been identified as a possible risk factor for poor metabolic control in subjects with diabetes. The article will speak in depth about the complications of diabetes mellitus. This article aims to review and increase the awareness of oral manifestations and complications of diabetes mellitus and to stimulate research on the subject. Reason: It is important to know the different oral manifestations of diabetes mellitus to prevent its complications at the early stages. INTRODUCTIONDiabetes mellitus is a growing public health concern and a common chronic metabolic disease worldwide [1][2][3][4] . Diabetes mellitus represents a group of metabolic diseases that are characterised by hyperglycaemia due to a total or relative lack of insulin secretion and insulin resistance or both. The metabolic abnormalities involve carbohydrate, protein and fat metabolism. Diabetes mellitus affects all age groups, but is more common in adults. The World Health Organization (WHO) has recently declared it to be a pandemic 2 . Its prevalence has increased dramatically over the past few decades and it is expected to triple in the next decade. Diabetes mellitus is considered a leading cause of death due to its microvascular and macrovascular complications 5,6 . The most common types of diabetes are type 1 (insulin dependent) and type 2 (non-insulin-dependent) 7,8 . Type 2 is the more prevalent type. Countries with the highest rates of diabetes in the Eastern Mediterranean region and the Middle East are the United Arab Emirates, Saudi Arabia, Bahrain, Kuwait and Oman 9. Oman is one of the countries that has a high prevalence of diabetes mellitus, especially type 2 diabetes, and its prevalence is expected to increase in the next twenty years 10,11 .Various inflammatory diseases and soft tissue pathologies in oral cavities are associated with diabetes mellitus [12][13][14] . However, awareness of these complications is lacking worldwide [15][16][17][18] . Periodontal diseases have been proposed as the sixth most prevalent complication of diabetes mellitus following the other diabetic complications 19 . It has been reported as a more frequent oral complication of diabetes compared to other oral manifestations such as dry mouth and caries. Periodontitis is more frequent and severe in patients with diabetes with poor glycaemic control. Early identification and/or management of these oral manifestations may help in the early diagnosis of diabetes and in attaining better glycaemic control 20 . Therefore, diabetic oral c...

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Taste Impairment and Related Factors in Type I Diabetes Mellitus

Cited by 82 publications

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Assessment and evaluation of gustatory functions in patients with diabetes mellitus Type II: A study

Assessment and evaluation of gustatory functions in patients with diabetes mellitus Type II: A study

Smell Dysfunction and Related Factors in Diabetic Patients

Different oral manifestations of diabetes mellitus and its complications a review

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