Foundations in Continuing Education

The Dental Patient with Diabetes

Chapter One - Glucose Metabolism and Hormonal Regulation Review


Introduction
Effect of Exercise and
Stress on Blood
Glucose Levels

Chapter 2: Diabetes Mellitus

Chapter 3: Diabetes Mellitus Type 1

Chapter 4: Diabetes Mellitus Type 2

Chapter 5: Gestational Diabetes Mellitus (GDM)

Chapter 6: Pre Diabetes: Impaired Glucose Homeostasis

Chapter 7: Other Specific Types of Diabetes

Chapter 8: Diagnosing Diabetes

Chapter 9: Diagnosis

Chapter 10: Glucose Monitoring

Chapter 11: Complications of Diabetes

Chapter 12: The Dental Patient with Diabetes

Chapter 13: Successful Intervention of Diabetic Emergencies

Chapter 14: Prevention and Treatment of DM

Chapter 15: Diabetes Medications

Chapter 16: Conclusion

Glossary

Appendices

References

Post Examination

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Effect of Exercise and Stress on Blood Glucose Levels

Exercise

Exercise initially decreases the production of insulin and increases the secretion of glucagon resulting in higher blood glucose levels. After several minutes, the exercising muscle has increased insulin sensitivity, which facilitates the uptake of glucose for an extended period, thus lowering glucose levels. (3)

Stress

Stress hormones increase blood glucose levels. Corticosteroids increase glucagon release and insulin resistance, resulting in excess glucose production. Epinephrine increases the rate of glycogenolysis in both the muscles and the liver. The net effect is hyperglycemia.(3,6)

Continue on to Chapter 2: Diabetes Mellitus