title: Clinical implication of blood glucose monitoring in general dental offices: the Ehime Dental Diabetes Study.
abstract: OBJECTIVE
  We examined whether general dentists can contribute to the detection of patients with undiagnosed diabetes and prediabetes by monitoring blood glucose in dental clinics.
  
  
  METHODS
  A total of 716 patients who visited clinics for dental treatment were enrolled and classified into 3 groups (mild, moderate, and severe) according to Kornman's criteria for periodontitis. The correlations between the casual blood glucose level, presence or absence of the history of diabetes, and/or severity of periodontitis were evaluated.
  
  
  RESULTS
  68 patients (9.5%) had hyperglycemia (blood glucose ≥200 mg/dL). Of these patients, 20 (29.4%) did not have a history of diabetes. Blood glucose tended to be higher with greater periodontitis severity. Of the 3 groups, the severe periodontitis group had the highest proportion of patients with hyperglycemia (p<0.0001).
  
  
  CONCLUSIONS
  Patients with dental problems could be screened for diabetes, especially undiagnosed diabetes. General dentists could function as practitioners to screen for diabetes.
  
  
  BACKGROUND
  UMIN-CTR 000014877.
authors.affiliation: Ehime Dental Diabetes Study Group , Ehime , Japan.
authors.forename: Tadahiro
authors.initials: T
authors.lastname: Harase
authors.affiliation: Ehime Dental Diabetes Study Group , Ehime , Japan.
authors.forename: Wataru
authors.initials: W
authors.lastname: Nishida
authors.affiliation: Ehime Dental Diabetes Study Group , Ehime , Japan ; Department of Dentistry and Oral Surgery , Matsuyama Red Cross Hospital , Ehime , Japan.
authors.forename: Tomohiro
authors.initials: T
authors.lastname: Hamakawa
authors.affiliation: Ehime Dental Diabetes Study Group , Ehime , Japan ; Department of Oral and Maxillofacial Surgery , Ehime University Graduate School of Medicine , Ehime , Japan.
authors.forename: Satoshi
authors.initials: S
authors.lastname: Hino
authors.affiliation: Ehime Dental Diabetes Study Group , Ehime , Japan.
authors.forename: Kenji
authors.initials: K
authors.lastname: Shigematsu
authors.affiliation: Ehime Dental Diabetes Study Group , Ehime , Japan.
authors.forename: Satoru
authors.initials: S
authors.lastname: Kobayashi
authors.affiliation: Ehime Dental Diabetes Study Group , Ehime , Japan.
authors.forename: Hirofumi
authors.initials: H
authors.lastname: Sako
authors.affiliation: Ehime Dental Diabetes Study Group , Ehime , Japan.
authors.forename: Shirou
authors.initials: S
authors.lastname: Ito
authors.affiliation: Ehime Dental Diabetes Study Group , Ehime , Japan.
authors.forename: Hajime
authors.initials: H
authors.lastname: Murakami
authors.affiliation: Ehime Dental Diabetes Study Group , Ehime , Japan.
authors.forename: Kei
authors.initials: K
authors.lastname: Nishida
authors.affiliation: Ehime Dental Diabetes Study Group , Ehime , Japan.
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Inoue
authors.affiliation: Ehime Dental Diabetes Study Group , Ehime , Japan.
authors.forename: Masahito
authors.initials: M
authors.lastname: Fujisawa
authors.affiliation: Ehime Dental Diabetes Study Group , Ehime , Japan.
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Yoshizu
authors.affiliation: Department of Diabetes and Molecular Genetics , Ehime University Graduate School of Medicine , Ehime , Japan.
authors.forename: Ryoichi
authors.initials: R
authors.lastname: Kawamura
authors.affiliation: Department of Diabetes and Molecular Genetics , Ehime University Graduate School of Medicine , Ehime , Japan.
authors.forename: Yasunori
authors.initials: Y
authors.lastname: Takata
authors.affiliation: Department of Diabetes and Molecular Genetics , Ehime University Graduate School of Medicine , Ehime , Japan.
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Onuma
authors.affiliation: Ehime Dental Diabetes Study Group , Ehime , Japan.
authors.forename: Keita
authors.initials: K
authors.lastname: Shimizu
authors.affiliation: Ehime Dental Diabetes Study Group , Ehime , Japan ; Department of Oral and Maxillofacial Surgery , Ehime University Graduate School of Medicine , Ehime , Japan.
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Hamakawa
authors.affiliation: Ehime Dental Diabetes Study Group , Ehime , Japan ; Department of Diabetes and Molecular Genetics , Ehime University Graduate School of Medicine , Ehime , Japan.
authors.forename: Haruhiko
authors.initials: H
authors.lastname: Osawa
keywords: Blood Glucose Monitoring; Hyperglycemia; Oral and Systemic Health; Periodontal Disease