Association between carotid intima-media thickness, buccodental status, and glycemic control in pediatric type 1 diabetes

Pediatric Diabetes
Rita A Gómez-DíazNiels H Wacher

Abstract

To evaluate the association between carotid intima-media thickness, buccodental status, and glycemic control in patients with type 1 diabetes. Cross-sectional study with consecutive cases attended in an outpatient clinic (n = 69). Medical and clinical dental history, HbA1c, lipid profile, treatment period, and daily insulin dosage were recorded. Sociodemographic data and anthropometrical measurements were obtained by standardized questionnaire. Doppler real-time ultrasound was performed by a single experienced vascular radiologist blinded to the study. Assessment of buccodental status was done by the Maxillofacial Unit of the Pediatrics Hospital, and an oral scrape culture was collected. The mean age was 11.7 ± 3.0 years, with diabetes 5.1 ± 3.3 years. Mean HbA1c was 8.5 ± 1.7%. Primary teeth were present in 52.2% and bacterial plaque in 94.2%. Buccodental conditions featured caries (63.8%), gingivitis (84%), and enamel demineralization (26.1%): white spot lesions (18.8%) and cavitated lesions (7.3%). Bacteria associated with caries were found in 44.1%. Patients in the highest HbA1c tertile (>8.5%) had greater frequency of buccodental conditions and were positive for Streptococcus mutans and Candida albicans; also, cIMT increas...Continue Reading

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Citations

Dec 20, 2012·ISRN Endocrinology·Lisa Stehno-Bittel
Apr 10, 2019·Frontiers in Endocrinology·Martijn J L VerhulstWijnand J Teeuw
Jun 15, 2019·Journal of Pediatric Endocrinology & Metabolism : JPEM·Ying ZhangPin Li

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