If blood sugar is not well controlled, does the risk of gum disease (periodontitis) increase, and conversely, can gum disease make blood sugar control more difficult?

1. The Two-Way Relationship Between Diabetes and Gum Disease
Diabetes and gum disease (periodontitis) have a very close ‘two-way relationship’ where each condition can worsen the other. People with diabetes are more susceptible to gum disease, and severe gum disease can make blood sugar harder to control. For this reason, gum disease is sometimes called the ‘sixth complication of diabetes.’

2. Why Diabetes Causes Gum Disease
– Weakened Immunity: High blood sugar weakens the body’s immune system, reducing its resistance to bacterial infections in the mouth.
– Impaired Circulation: Hyperglycemia damages the microvessels in the gums, hindering the supply of nutrients and removal of waste products.
– Reduced Healing Ability: The ability to heal is diminished, so once gum inflammation occurs, it does not heal well and can easily worsen.

3. Why Gum Disease Worsens Blood Sugar
– Chronic Inflammation: Gum disease itself is a ‘chronic inflammatory disease.’ The inflammation in the gums can spread throughout the body, increasing the body’s insulin resistance.
– Hindrance to Blood Sugar Control: Increased insulin resistance means insulin cannot function properly, leading to a vicious cycle where blood sugar becomes even harder to control.

4. The Importance of Oral Care
Therefore, thorough oral care is as essential for people with diabetes as blood sugar management. It is important to make proper brushing and flossing a daily habit and to have regular dental check-ups and cleanings at least every six months to monitor gum health.

Summary: Diabetes and gum disease have a close relationship that worsens each other. Maintaining healthy gums is an important part of successful blood sugar management.


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대한당뇨병학회 https://diabetes.or.kr/
질병관리청 https://www.kdca.go.kr/
국립보건연구원 https://nih.go.kr/
대한영양사협회 https://www.dietitian.or.kr/
대한내분비학회 https://www.endocrinology.or.kr/
대한스포츠의학회 https://www.sportsmed.or.kr/
대한신경과학회 https://www.neuro.or.kr/english/
대한정신건강의학회 https://www.knpa.or.kr/
대한치주과학회 https://www.kperio.org/main/main.php/
대한수면의학회 https://www.sleep.or.kr/html/?pmode=intro/
대한신장학회 https://www.ksn.or.kr/

미국당뇨병학회 https://diabetes.org/
영국당뇨병학회 https://www.diabetes.org.uk/
미국안과학회 https://www.aao.org/
미국치과의사협회 (American Dental Association) https://www.ada.org/
국제항공운송협회 (IATA) https://www.iata.org/
미국 질병통제예방센터 (CDC) https://www.cdc.gov/
미국심장협회 (American Heart Association) https://www.heart.org/
세계보건기구 (WHO) https://www.who.int/
국제표준화기구 (ISO) https://www.iso.org/
인슐린 제조사 https://www.lilly.com/
미국소화기학회 (American Gastroenterological Association) https://www.gastro.org/
미국식품의약국 (FDA) https://www.fda.gov/
미국족부의학회 (American Podiatric Medical Association) www.apma.org/
미국 산부인과 학회 (American College of Obstetricians and Gynecologists) https://www.acog.org/
미국대사수술학회 (American Society for Metabolic and Bariatric Surgery) https://asmbs.org/

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