IADR Abstract Archives
Prevalence of Hyperglycemia in a Group of Thai Dental Patients
Objectives: Dental clinic is a possible setting for the screening of both prediabetes and undiagnosed diabetes mellitus (DM). The objective of this study was to assess the prevalence of undiagnosed hyperglycemia (including prediabetes and diabetes) and its associated risk factors in dental patients.
Methods: One hundred and two new patients who were ≥20 years old without history of hyperglycemia who attended the emergency clinic at the Faculty of Dentistry, Mahidol University were recruited. Demographic data, BMI, waist circumference, family history of DM, signs or symptoms of DM and blood pressure were recorded. Evaluation of the levels of point-of-care (POC) glycosylated hemoglobin (HbA1c) and random blood sugar (RBS) was performed in the dental clinic. Afterwards, the levels of HbA1c and fasting plasma glucose (FPG) were investigated at a hospital-based laboratory.
Results: Overall there were 29.4% male and 70.6% female participants. Approximately 50% of patients had central obesity or overweight, 43.1% had family history of DM, 17.6% had signs or symptoms of DM and 13.7% had high blood pressure. The prevalence of hyperglycemia defined as POC-HbA1c ≥5.7% was 33.3%. After the confirmation, the prevalence was reduced to 13.8%. Regarding RBS, 37.3%, 60.7% and 2.0% had RBS <110 mg/dl, between 110-200 mg/dl and >200 mg/dl, respectively. According the evaluation of FPG by the laboratory, 87.3%, 9.8% and 2.9% had FPG ≤99 mg/dl, between 100-125 mg/dl and ≥126 mg/dl, respectively.
Conclusions: The prevalence of hyperglycemia evaluated as a point of care measurement in our dental setting was higher than that of the hospital-based laboratory. Although the prevalences were different between dental setting and hospital-based laboratory, this finding suggested that dental setting may provide an important opportunity to identify individuals unaware of their diabetic status.
Methods: One hundred and two new patients who were ≥20 years old without history of hyperglycemia who attended the emergency clinic at the Faculty of Dentistry, Mahidol University were recruited. Demographic data, BMI, waist circumference, family history of DM, signs or symptoms of DM and blood pressure were recorded. Evaluation of the levels of point-of-care (POC) glycosylated hemoglobin (HbA1c) and random blood sugar (RBS) was performed in the dental clinic. Afterwards, the levels of HbA1c and fasting plasma glucose (FPG) were investigated at a hospital-based laboratory.
Results: Overall there were 29.4% male and 70.6% female participants. Approximately 50% of patients had central obesity or overweight, 43.1% had family history of DM, 17.6% had signs or symptoms of DM and 13.7% had high blood pressure. The prevalence of hyperglycemia defined as POC-HbA1c ≥5.7% was 33.3%. After the confirmation, the prevalence was reduced to 13.8%. Regarding RBS, 37.3%, 60.7% and 2.0% had RBS <110 mg/dl, between 110-200 mg/dl and >200 mg/dl, respectively. According the evaluation of FPG by the laboratory, 87.3%, 9.8% and 2.9% had FPG ≤99 mg/dl, between 100-125 mg/dl and ≥126 mg/dl, respectively.
Conclusions: The prevalence of hyperglycemia evaluated as a point of care measurement in our dental setting was higher than that of the hospital-based laboratory. Although the prevalences were different between dental setting and hospital-based laboratory, this finding suggested that dental setting may provide an important opportunity to identify individuals unaware of their diabetic status.