Dental Management

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Diabetic Pts

MH, SH, DH, DR normal BSL 3.5-5.5mmol/ls, 2 hr after food <8.0 mols/l Type and well controlled?, Last BSL/ HbA1c, Medication, Has pt eaten and taken insulin/meds? Associated complications e.g HBP, renal disease pt seen by diabetic nurse? family history of diabetes or periodontitis EO; swellings, possible salivary gland swelling if xerostomia present IO: Xerostomia? 40-80% of diabetics, infection > candida, periodontal disease Plan apts to suit pt, ideally after a main meal > help to regulate BSL careful management of periodontal disease with emphasis on good diabetic control OHI, smoking cessation, diet advice - DH must be aware of S&S of hypoglycaemia frequent maintenance apts with hygienist DH should check throughout the apt how the pt is feeling DH should always have glucose available, and give glucose if pt hasn't eaten before apt





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