Foundations in Continuing Education

The Dental Patient with Diabetes

Chapter Eleven - Complications of Diabetes


Chapter 1: Glucose Metabolism and Hormonal Regulation Review

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

Acute Complications
Chronic Complications
Kidney Disease
Diabetic Neuropathy
Macrovascular Disease

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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Macrovascular Disease (3,19,22)

In this disease, medium to large size vessels become blocked (atherosclerosis) or vessel walls thicken (arteriosclerosis) reducing or blocking the flow of blood. These vessels supply blood to the legs (peripheral vascular disease), brain (cerebral vascular disease) heart (coronary vascular disease). Cardiovascular disease is the leading cause of illness and death among all diabetics. In diabetics, cardiovascular disease is more likely to occur earlier in life and is more often fatal than in non-diabetics. Risk of heart disease may also be greater in Type 1 diabetics. Several risk factors, obesity, cholesterol level, inactivity, hyperinsulinemia combined with diabetes put an individual more at risk for developing cardiovascular disease.

Diabetics can reduce their risk of cardiovascular disease through:

  • Controlling blood pressure
  • Reduction of LDL and triglyecride levels
  • Improved glycemic control (potentially raising the concentration of HDL cholesterol)
  • Controlling weight
  • Physical Activity
  • Smoking Cessation

Continue on to Chapter 12: The Dental Patient with Diabetes