Association between self-assessed gingival bleeding and halitosis, and glycated hemoglobin levels in patients with diabetes (제2형 당뇨병 환자에서 자가 인식한 치은 출혈 및 구취와 당화혈색소 간의 연관성)

최준선

doi:10.13065/jksdh.20200003

Association between self-assessed gingival bleeding and halitosis, and glycated hemoglobin levels in patients with diabetes

Journal of Korean society of Dental Hygiene
Abbr : J Korean Soc Dent Hyg
2020, 20(1), pp.19~27
DOI : 10.13065/jksdh.20200003
Publisher : Korean Society of Dental Hygiene
Research Area : Medicine and Pharmacy > Dentistry
Received : November 25, 2019
Accepted : January 5, 2020
Published : February 28, 2020

최준선 ¹

¹가천대학교 치위생학과

Accredited

ABSTRACT

Objectives: This study aimed to analyze the association between self-assessed periodontal symptoms and glycated hemoglobin levels in patients with type 2 diabetes. Methods: This cross-sectional study involved 156 patients with type 2 diabetes who were aged 50 years or older. Structured questionnaires were used to investigate the self-assessed periodontal symptoms of the patients. The glycated hemoglobin test was performed to evaluate their long-term blood glycemic control. Chi-square test and logistic multiple regression were performed to analyze the factors associated with glycated hemoglobin levels. Results: Compared with patients aged 65 years and above, more patients aged 64 years and below showed poor glycemic control (p=0.020). Further, compared with patients without self-perceived gingival bleeding and halitosis, more patients with these two conditions showed poor glycemic control (p<0.05). Compared with the group of patients without any periodontal symptoms, the group of patients that had at least one periodontal symptom had a higher proportion of patients with poor glycemic control (p<0.001). In the logistic regression model, gingival bleeding and halitosis were the factors most associated with hyperglycemia (p<0.05). Conclusions: The results of our study suggest that gingival bleeding and halitosis can predict hyperglycemia in patients with type 2 diabetes.

KEYWORDS

Diabetes mellitus, Gingival bleeding, Glycated hemoglobin A, Halitosis, Periodontal symptoms

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