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Diabetes mellitus and dental treatment planning

General Medicine and General Surgery (for BDS) · Dental (BDS)

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Study notes

A diabetic patient feels shaky and sweaty mid-procedure. What is it and what now? Hypoglycemia - stop treatment, give fast glucose (juice/glucose tablets) if conscious; the diabetic emergency in dentistry is low sugar, not high. Students learn the diabetic protocol: morning appointments (after breakfast and medication), confirm meals/meds taken, keep glucose handy, liaise with the physician when HbA1c is high - because the controlled diabetic gets routine dentistry, the uncontrolled gets medical optimization first.

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