Friday, April 06, 2007

Adjunct treatment considerations for diabetic patients

Adjunct treatment considerations for diabetic patients

Medications administered for dental procedures may require adjustment of diabetes-associated therapies. For instance, large amounts of epinephrine may antagonize the effects of insulin and result in hyperglycemia. Small amounts of systemic corticosteroids can severely worsen glycemic control. Alternatively, hypoglycemia can be promoted by aspirin, sulfa antibiotics, or antidepressants.

Every dental office should be equipped with an emergency kit containing an immediate source of glucose in the event of a diabetic-induced hypoglycemic reaction. Pharmacists can recommend ready sources of instant glucose. CakeMateTM smeared on the gingiva or administration of one-half cup of orange juice is usually sufficient.

0 comments: