Dental health is highlighted in new guidelines

Increased focus on the prevention of periodontal disease is one of otherwise receive news in preliminary version of the new national guidelines for diabetes care, the National Board will present today, Wednesday 18 June.


- It is shown that periodontal disease impairs glucose control in diabetes, and that this can be prevented with treatment by a dental hygienist or dentist. We therefore lift up to healthcare should refer people with ongoing inflammation in the gums or who are at high risk for poor oral health for dental care, says Christian Berne.

He is professor emeritus of medicine at Uppsala University and has been a medical expert in the work of the new guidelines.

In total, the work around 140 different measures. Some 40 of these are considered to be key because they are medically important or to care in different parts of the country do not meet current guidelines from 2010.

But on the whole, there has been no major change compared to the current four-year-old guidelines.

- It is true that we do not come up with some great new answer to the healthcare industry. The main points are the same, as the blood sugar should be treated intensively in type 1 diabetes in young and newly diagnosed with type 2 diabetes, says Christian Berne.

He mentions, however, that there have been some culling and updating of previous key recommendations. The latter case, for example:

Control of risk factors of cardiovascular disease. Now the focus is to provide patient specific dose of cholesterol-lowering statins, rather than to achieve a certain target value for LDL cholesterol. Although the target values ​​for blood pressure eased slightly to 140/85 mmHg.
Pharmacotherapy. Many new types of drugs have been launched against mainly type 2 diabetes in recent years, such as SGLT2 inhibitors and new variants of GLP1 analogues. But in the absence of long-term data on important clinical parameters, these rather low priority numbers, although they generally adjusted slightly since the previous version.
Insulin pumps with integrated glucose sensors. Lately it has been a hot issue of who should pay for this type of equipment, which is current for patients with type 1 diabetes and the large fluctuations in sugar levels. The new guidelines raised the now emerging as a measure of medium priority for health care to offer.
Screening. Health tests for early type 2 diabetes in patients at high risk of developing prioritized down slightly since the previous edition of the guidelines. The reason is that the studies failed to show a significant effect of the action
Obesity Surgery. Although the data come in positive short-term effects of bariatric surgery on diabetes will measure prioritization largely unchanged. Obesity Surgery lifted primarily developed for those patients who have a BMI over 40, but may also be relevant at a BMI of 35 and over. The new guidelines, however, puts more focus on the patients followed a structured after the procedure.
Intensive lifestyle measures in type 2 diabetes. This effort has been given lower priority in accordance with the results of the much talked about look-ahead study. The measure, however, none of the key recommendations.