scholarly journals Gingival Crevicular Blood as a Potential Screening Tool: A Cross Sectional Comparative Study

2020 ◽  
Vol 17 (20) ◽  
pp. 7356
Author(s):  
Biagio Rapone ◽  
Elisabetta Ferrara ◽  
Luigi Santacroce ◽  
Skender Topi ◽  
Ilaria Converti ◽  
...  
Keyword(s):  
Blood Glucose ◽  
Blood Glucose Level ◽  
Glucose Level ◽  
Screening Tool ◽  
Capillary Blood ◽  
Blood Levels ◽  
Diabetic Patients ◽  
Capillary Blood Glucose ◽  
Cross Sectional ◽  
Finger Stick

Background: Diabetes is known to be one of the major global epidemic diseases, significantly associated with mortality and morbidity worldwide, conferring a substantial burden to the health care system. The epidemiological transition of this chronic disease tends to worsen unless preventive health strategies are implemented. Appropriate screening devices and standardized methods are crucial to prevent this potentially inauspicious life condition. Currently, the glucometer is the conventional device employed for blood glucose level determination that outputs the blood glucose reading. Glucometer performed in the dental office may be an important device in screening diabetes, so it can be addressed during a periodontal examination. Because gingival blood is a useful source to detect the glucose level, the focus is placed on the opportunity that might provide valuable diagnostic information. This study aimed to compare gingival crevicular blood with finger-stick blood glucose measurements using a self-monitoring glucometer, to evaluate whether gingival crevicular blood could be an alternative to allow accurate chairside glucose testing. Methods: A cross-sectional comparative study was performed among a 31–67-year-old population. Seventy participants with diagnosed type 2 diabetes and seventy healthy subjects, all with positive bleeding on probing, were enrolled. The gingival crevicular blood was collected using a glucometer to estimate the blood glucose level and compared with finger-stick blood glucose level. Results: The mean capillary blood glucose and gingival crevicular blood levels from all samples were, respectively, 160.42 ± 31.31 mg/dL and 161.64 ± 31.56 mg/dL for diabetic participants and 93.51 ± 10.35 mg/dL and 94.47 ± 9.91 mg/dL for healthy patients. In both groups, the difference between gingival crevicular blood and capillary blood glucose levels was non-significant (P < 0.05). The highly significant correlation between capillary blood glucose and gingival crevicular blood (r = 0.9834 for diabetic patients and r = 0.8153 for healthy participants) in both the groups was found. Conclusions: Gingival crevicular blood test was demonstrated as a feasible and useful primary screening tool test for detecting diabetes and for glucose estimation in non-diabetic patients. Use of gingival crevicular blood for screening is an attractive way of identifying a reasonable option of finger-stick blood glucose measurement under the appropriate circumstances. Rapid assessment may precede diagnostic evaluation in diabetic as well as healthy patients with acute severe bleeding. In addition, gingival crevicular blood levels may be needed to monitor the diabetic output.

INTRAOPERATIVE GLUCOSE LEVELIN NON-DIABETIC PATIENT UNDERGOING ELECTIVE MAJOR SURGERY UNDER GENERALANAESTHESIA RECEIVING DIFFERENT CRYSTALLOID SOLUTIONS AS MAINTENANCE FLUID (A COMPARISON BETWEEN NS AND RL)

2021 ◽  
pp. 30-32
Author(s):  
Saunak Nath ◽  
Niladri Sekhar Mukhopadhyay ◽  
Avinab Das
Keyword(s):  
Blood Glucose ◽  
Blood Glucose Level ◽  
Glucose Level ◽  
Capillary Blood ◽  
Major Surgery ◽  
Diabetic Patients ◽  
Capillary Blood Glucose ◽  
Glucose Levels ◽  
Dence Interval ◽  
The Mean

INTRODUCTION: The present study was undertaken to observe the effect of different maintenance uid regimen on intraoperative blood glucose levels in non-diabetic patients undergoing elective major surgery under general anesthesia. AIMS AND OBJECTIVES: This study was conducted to observe the effect of different maintenance uids in intraoperative blood glucose levels of non-diabetic patients undergoing elective major non-cardiac surgery under general anesthesia. MATERIALS AND METHODS: The present study was conducted in the Department of Anesthesiology of Assam Medical College, Dibrugarh for a period of one year. Hospital based observational study. Patients undergoing elective major surgeries at operation theatres of Department of General Surgery of Assam Medical College & Hospital, Dibrugarh. One (1) year from July 2015 to June 2016. RESULT: The mean difference of capillary blood glucose level between baseline and 1.5 hours after intubation for those procedures lasted that long in Group N was 22.87 mg/dl with a 95% condence interval of 103.83-108.61 while in Group R it was 26.82 mg/dl with a 95% condence interval of 108.41-111.59. The mean difference of capillary blood glucose level between baseline and 2 hours after intubation for those procedures lasted that long in Group N was 34.14 mg/dl with a 95% condence interval of 117.29–117.71 while in Group R it was 34.07 with a 95% condence interval of 116.38–118.12. CONCLUSION: This study we can come to a conclusion that though there is a rising trend in change in intraoperative capillary blood glucose level in both the solutions used perioperatively, yet the mean change in intraoperative capillary blood glucose level in non-diabetic patients undergoing major surgeries under general anaesthesia receiving either 0.9% sodium chloride or Ringer's lactate solutions as maintenance uid perioperatively, is comparable, yet needs larger groups of study

scholarly journals Comparison between the QRMA Measurement with the Anamnesis and the Capillary Blood Glucose Test

Jurnal NERS ◽  
2020 ◽  
Vol 14 (2) ◽  
pp. 224
Author(s):  
Muflih Muflih ◽  
Suwarsi Suwarsi ◽  
Fajarina Lathu Asmarani
Keyword(s):  
Blood Glucose ◽  
Blood Glucose Level ◽  
Blood Sugar ◽  
Glucose Level ◽  
Blood Sugar Level ◽  
Capillary Blood ◽  
Capillary Blood Glucose ◽  
Blood Glucose Test ◽  
Significant Difference ◽  
Glucose Test

ABSTRACTIntroduction: The examination of patients with diabetes mellitus (DM) can be done by reviewing their complaints and through a capillary blood glucose level test to determine the value of their Random Blood Glucose Level. QRMA (Quantum Resonance Magnetic Analyzer) is claimed to be able to check the patient’s bodily condition (including blood glucose) with an accuracy of 85%. The purpose of this study was to verify the validity of the QRMA tool and its accuracy by comparing the results of the anamnesis and the examination conducted using the capillary blood glucose test method.Methods: The research method used was a cross-sectional design. The total sample consisted of 44 respondents in the working area of the Community Health Centers in Yogyakarta with the risk factor being blood sugar level instability. The sampling technique used was purposive sampling. The main variable in this study was the value of the blood sugar level measured based on the coefficient value of the QRMA tool and the value of Random Blood Glucose obtained through the capillary blood glucose test.Results: The blood glucose value was not correlated significantly with the coefficient value of QRMA. The value of blood glucose when examined alongside the result of the respondent's anamnesis showed there to be a significant difference. The value of the QRMA coefficient when examined against the results from the history of the respondents showed no significant difference. Linear regression showed that the variables of height, body weight, and IMT had a correlation with the QRMA coefficient value.Conclusion: The QRMA tool was not able to provide a picture of the actual condition of the blood glucose level of the respondents when compared with the results of the anamnesis and the blood glucose value from the capillary blood glucose test. Non-invasive health measurement devices such as QRMA are not used by nurses as a standard for determining the health status of DM patients.

scholarly journals Development of noninvasive procedure for monitoring blood glucose level using gingival crevicular bleeding

2013 ◽  
Vol 60 (3) ◽  
pp. 124-128 ◽  
Author(s):  
Amit Gupta ◽  
Nidhi Gupta ◽  
Nitul Jain ◽  
Rakesh Garg ◽  
Gaurav Atreja ◽  
...  
Keyword(s):  
Blood Glucose ◽  
Blood Glucose Level ◽  
Glucose Level ◽  
Screening Method ◽  
Correlation Coefficients ◽  
Capillary Blood ◽  
Periodontal Pocket ◽  
Diabetic Patients ◽  
Type 2 Diabetic Patients ◽  
Anterior Teeth

Introduction. Diabetes mellitus (DM) and chronic periodontitis are common chronic diseases in adults. It is usually necessary to provide a sample of capillary blood to measure blood glucose level in diabetics. However, it is possible to obtain blood during periodontal probing without any discomfort. The aim of the study was to evaluate accessibility of chair side noninvasive screening method for blood glucose level in DM during routine periodontal examination. Material and Methods. 15 non diabetics and 15 newly onset type 2 diabetic patients with moderate to severe periodontitis were selected for the study after meeting inclusion and exclusion criteria. Periodontal pocket probing was performed using Williams Graduated periodontal probe. Blood oozing from gingival sulcus of anterior teeth following periodontal pocket probing was collected with a stick of glucose self monitoring device. As control, finger stick capillary blood was taken. Results. Statistically significant correlation was observed between the blood glucose level in gingival crevicular blood (GCB) and peripheral fasting blood (PFB) in diabetic subjects. The mean GCB glucose level in diabetic subjects was 172.27?5.02 mg/dL while mean PFB glucose level was 167.80?8.87 mg/dL. The correlation coefficients for diabetic and non diabetic subjects were r=0.715 and r=0.619, respectively. Conclusion The results suggested that blood oozing during routine periodontal examination may be used for DM screening in dental office without the need for any extra procedure.

scholarly journals Achievement of Awareness in a Diabetic Population

1970 ◽  
pp. 7-10
Author(s):  
Mirza Azizul Hoque ◽  
Md Sirajul Islam ◽  
Md Abdul Maleque Khan ◽  
Rehana Aziz ◽  
HAM Nazmul Ahasan
Keyword(s):  
Blood Glucose ◽  
Blood Glucose Level ◽  
Glucose Level ◽  
Educational Status ◽  
Diabetic Patients ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Educational Group ◽  
Diabetic Clinic ◽  
Significant Difference

This cross-sectional survey was carried out during the period, October 2005 to December 2005, among 184 randomly chosen diabetic patients in Khulna Diabetic Centre, Khulna, Bangladesh, to evaluate the knowledge of the patients for their control of diabetes mellitus and also to explore the association(s) of their attitude and knowledge regarding diabetic awareness towards educational status and socio-demographic profile. In this study, we found a significant difference, in diabetic awareness to keep correct blood glucose level, in different educational group. But, it did not influence the subjects of different educational group to visit the diabetic clinic. There was no significant difference in the knowledge of correct blood glucose level and in regularity of visit to the diabetic clinic, in rural and urban people. Knowledge of correct blood glucose level varied significantly among male and female patients, although, no significant variation was found among them in visiting to the diabetic clinic. We can conclude that, diabetic education programs can improve self-regulatory behavior and in the long run, can reduce morbidity and mortality.   doi:10.3329/jom.v10i3.2008 J Medicine 2009; 10 (Supplement 1): 7-10  

scholarly journals THE RELIABILITY OF GINGIVAL CREVICULAR BLOOD AS A DIAGNOSTIC TOOL FOR DIABETES BY USING GLUCOSE SELF-MONITORING DEVICE IN PATIENTS WITH PERIODONTAL DISEASE WITH AND WITHOUT DIABETES

2021 ◽  
Vol 71 (3) ◽  
pp. 779-82
Author(s):  
Farhan Butt ◽  
Marium Iqbal ◽  
Saima Hanif ◽  
Mohsin Ghiraj ◽  
Faisal Bhangar ◽  
...  
Keyword(s):  
Blood Glucose ◽  
Periodontal Disease ◽  
Blood Glucose Level ◽  
Glucose Level ◽  
Diagnostic Tool ◽  
Periodontal Pocket ◽  
Gingival Index ◽  
Pocket Depth ◽  
Cross Sectional ◽  
Finger Stick

Objective: To assess the reliability of gingival crevicular blood as a diagnostic tool for diabetes in patients with periodontal disease with and without diabetes. Study Design: Cross sectional study. Place and Duration of Study: Department of Periodontics, Jinnah Medical and Dental College, Karachi, Pakistan, from Jul 2017 to Jul 2018. Methodology: Forty patients with diabetes and 60 patients without diabetes with mild to moderate gingivitis or periodontitis in either the upper or lower anterior region were included. Gingival crevicular blood (GCB) was collected and was assessed by glucometer. The same patient underwent finger stick blood (FSB) and intravenous blood glucose level (IV). Plaque Index (PI), Periodontal Pocket Depth (PPD) and Gingival index were also recorded. Results: A positive correlation (r) was detected between glucose levels of Gingival crevicular blood with finger stick blood with the value of coefficient correlation ‘r’=0.849. The mean values of Gingival index in patients without diabetes is 1.53 ± 0.97mm, patients with newly diagnosed diabetes is 1.87 ± 0.920mm and without diabetes is 2.13± 0.94mm. Conclusion: Blood glucose level can be assessed with the help of Gingival crevicular blood as this technique was found easy and non-invasive to the patient and it can help in diagnosing diabetes during regular periodontal treatment.

scholarly journals Accuracy of Clinical Diagnosis of Burst Appendix, a Study of 200 Cases in DMCH.

2021 ◽  
Vol 33 (1) ◽  
pp. 75-79
Author(s):  
Md Rezwan Shah ◽  
Tasnia Jukhrif Worthy ◽  
Mohammed Asraful Alam ◽  
Gursharan Kaur
Keyword(s):  
Blood Glucose ◽  
Blood Glucose Level ◽  
Glucose Level ◽  
Biochemical Study ◽  
Fasting Blood Glucose ◽  
The Body ◽  
Diabetic Patients ◽  
Type 2 Diabetic Patients ◽  
Cross Sectional

Introduction: Biochemical analysis or laboratory tests assist to determine what happening to the body internally. The aim of the present study was to access the biochemical features of type 2 diabetic patients in Kushtia district, Bangladesh. Materials and Methods: The cross-sectional study was conducted in type 2 diabetes mellitus patients who presented to the OPD in three referral diabetic centers in Kushtia district, Bangladesh from August 2016 to July 2017. A total of 282 patients were included in the study. The collected data were checked, entered and analyzed using the computer program Statistical Package for Social Sciences (SPSS) version 22. Results: Biochemical study showed that mean blood hemoglobin level was 12.49±1.47g/dl, mean fasting blood glucose level of the patients was 8.86±1.67mmol/L and blood glucose level two hours after breakfast was 13.94±2.88mmol/L. The study showed that the patient having abnormal level of triglyceride (66%) were higher than normal level (34%). Conclusion: The subjects had higher triglyceride and LDL values (65.6% and 28.7% respectively). These higher percentages with abnormal lipid profile are likely to be more prone to cardiovascular diseases. Medicine Today 2021 Vol.33(1): 75-79

scholarly journals EVALUATION OF ANTIHYPERGLYCAEMIC EFFECT OF BUTEA MONOSPERMA LEAF EXTRACT ON ADRENALIN INDUCED AND HIGH GLUCOSE FEED ANIMAL MODEL

2017 ◽  
Vol 10 (12) ◽  
pp. 301
Author(s):  
Biswaranjan Ray ◽  
Santosh Kumar Mahapatra ◽  
Pradipta Kumar Behera ◽  
Ashok K Panigrahi
Keyword(s):  
Blood Glucose ◽  
Blood Glucose Level ◽  
Glucose Level ◽  
High Glucose ◽  
Ethanolic Extract ◽  
Biologically Active ◽  
Antidiabetic Activity ◽  
Blood Levels ◽  
Active Components ◽  
Butea Monosperma

Objective: As per the ethnopharmacological information has Butea monosperma been used to treat diabetes mellitus by the tribal people of tropical and subtropical areas. However, there is no much more scientific report available about the antidiabetic property of the leaves of the plant. Hence, the study was undertaken to evaluate the antidiabetic effect of ethanolic extract of B. monosperma on blood levels of adrenaline-induced and glucose feed diabetic rabbits.Methods: The three different doses of the extracts (100, 200, and 400 mg/kg) were administered orally to an experimental animal. The animals were induced diabetics by adrenaline and high glucose diet. Blood glucose level was measured accordingly. For antidiabetic activity, photocolorimeter was used to monitoring the blood glucose level with crest kit box (GOP-POD method).Results: The extracts showed considerable dose-dependent activity. However, the dose 400 mg/kg showed considerable lower of blood glucose level. p<0.01 indicates the significance result. 8 hrs reading 182.5±3.83 for 400 mg does is most effective for reducing blood sugar.Conclusion: The study indicates that the ethanolic extract of B. monosperma leaves possesses antidiabetic properties which suggest the presence of biologically active components.

scholarly journals Comparison of the Effectiveness of Compassion-Focused Therapy and Attachment-Based Compassion Therapy on Blood Glucose Level and Medication Adherence in Diabetics

2020 ◽  
Keyword(s):  
Blood Glucose ◽  
Medication Adherence ◽  
Blood Glucose Level ◽  
Glucose Level ◽  
Blood Glucose Control ◽  
Analysis Of Covariance ◽  
Diabetic Patients ◽  
Training Course ◽  
Compassion Focused Therapy ◽  
Experimental Group

Background and Objectives: Diabetes is one of the most rampant chronic diseases that is accompanied by numerous psychological problems. The present study aimed to compare the effectiveness of compassion-focused therapy (CFT) and attachment-based compassion therapy (ABCT) on blood glucose level and medication adherence in diabetic patients. Materials and Methods: This quasi-experimental study was conducted based on a pretest and posttest design. At first, using the available voluntary sampling method, a number of 45 individuals were selected from 300 diabetic patients referred to Alborz Diabetes Association, Alborz, Iran. They were randomly divided into two experimental and one control groups. At the outset, in addition to the hemoglobin (Hb) A1c blood test, they completed a medication adherence questionnaire. Afterward, the first experimental group participated in eight two-h sessions of the compassionate therapy training course, and the second experimental group participated in 10 90-min sessions of the ABCT training course. All three groups received standard treatment for diabetic patients. At the end of the treatment, the HbA1c levels of blood in all three groups were re-evaluated, and again all patients completed the medication adherence questionnaire at the post-test stage. It should be mentioned that the collected data were analyzed using the analysis of covariance. Results: Based on the results, CFT and ABCT could reduce blood glucose level (HbA1c) (F=5.13, P<0.008, Eta= 0.20) and increase medication adherence (F=2.82, P<0.035, Eta= 0.12) in both of the experimental groups. Conclusion: The CFT and ABCT can be effective in improving medication adherence and blood glucose control (HbA1c) in diabetic patients. Therefore, it is suggested to provide such training together with other medical interventions as part of comprehensive therapy of diabetes.

scholarly journals Diabetes in COVID-19 patients: challenges and possible management strategies

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Riyan Al Islam Reshad ◽  
Sumaiya Hafiz Riana ◽  
Mohammad Al-baruni Chowdhury ◽  
Abu Tayab Moin ◽  
Faruque Miah ◽  
...  
Keyword(s):  
Blood Glucose ◽  
Blood Glucose Level ◽  
Glucose Level ◽  
Healthy Lifestyle ◽  
Management Strategies ◽  
Diabetic Patients ◽  
Main Body ◽  
High Blood Glucose ◽  
High Blood Glucose Level ◽  
Global Population

Abstract Background The recent pandemic of coronavirus disease 19 (COVID-19) has been causing intense stress among the global population. In the case of hospitalized and ICU-admitted COVID-19 patients with comorbidities, it has been observed that a major portion of them are diabetic. Therefore, researchers had indicated a link between diabetes mellitus (DM) and COVID-19. Furthermore, DM is a potential risk factor for the severity of COVID-19 cases. Thus, in this study, the correlation existing between diabetic patients and COVID-19 was summarized. Main body of the abstract Diabetic patients have a weaker immune system, less viral clearance rate, malfunctions of metabolic activity due to their high blood glucose level, and other associated problems. This does not increase the susceptibility for the patients to be infected with COVID-19. However, the severity of COVID-19 can worsen due to the comorbidity of DM. Short conclusion Proper management, appropriate use of drugs that do not increase the ACE2 expression, lowering blood glucose level, decreasing the susceptibility of SARS-CoV-2, and maintaining a healthy lifestyle could be effective.

scholarly journals Treatment of Diabetic Condition in Streptozotocin Induced Diabetic Wister Rats Using Food Blends Such as Unripe Plantain, Soybean and Ginger

2019 ◽  
pp. 1-12
Author(s):  
I. Iwanegbe ◽  
M. Suleiman ◽  
A. Jimah
Keyword(s):  
Body Weight ◽  
Blood Glucose ◽  
Blood Glucose Level ◽  
Lipid Profile ◽  
Cell Volume ◽  
Glucose Level ◽  
Normal Control ◽  
Packed Cell Volume ◽  
Diabetic Rats ◽  
Diabetic Patients

Aims: To investigate the effect of food blends (plantain, soybean and ginger) on the blood glucose, lipid profile and haematological indices on streptozotocin induced diabetic rats. Methodology: A total of 35 rats of mean body weight 219.07 g separated into7 groups (5 per group) where induced by a single intraperitoneal (I.P) injection of streptozotocin (0.1 g dissolved in 5 ml of freshly prepared sodium citrate buffer 0.1 M, pH 4.5) at a dose of 40 mg/kg body weight after fasting for 12 hours and fed with flours/blends. The flours were produced from plant materials for different treatments/blends (blend A=100% unripe plantain, B=80% unripe plantain, 14% soybean, 6% ginger, C=70% unripe plantain, 26% soybean, 4% ginger, D= 60% unripe plantain, 38% soybean, 2% ginger, E= 50% unripe plantain, 50% soybean) and the phytochemicals and minerals content were determined. Blood glucose was determined at 5 days interval for 25 days. Diabetes was confirmed in rats with blood glucose concentrations >200 mg/dl. After 25 days rats were anaesthetized with chloroform vapour and blood samples collected by cardiac puncture for haematology and lipid profile determination. Results: The results showed that unripe plantain, soya beans and ginger in adequate proportion(C=70% unripe plantain, 26% soybean, 4% ginger or D= 60% unripe plantain, 38% soybean, 2% ginger) could help to reduce blood glucose, improve haematological parameters and lipid profile. Significant reduction was observed in the blood glucose level of rats fed blends C and D from 286 to 85 mg/dl and 307 to 90 mg/dl respectively at the end of experiment. These results also demonstrated that the inclusion of ginger at 6% causes rise in blood glucose level. Total cholesterol (TC) increased in all the blends. However, the lowest concentration of TC was observed in blends C and D. The highest packed cell volume (60%) and Haemoglobin (20 g/dl) level observed in rats fed blend C was significantly higher than the normal control fed conventional feeds. The increase in packed cell volume (PCV) (50%) and Hb (17 g/dl) in diabetic rats demonstrated that the formulated blend C was able to raise PCV and Hb above 50% and 17 g/dl (Normal control NC) respectively. Significant increase (P<0.05) in low density lipoprotein cholesterol (LDLc) was also observed in all the blends with blend C having the least (4.0 mg/dl) close to NC (2.0 mg/dl). Conclusion: From the results it is evident that blend C will manage and improve the health status of diabetic patients.

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