Oral Health and Diabetes — The Two‑Way Connection

Your mouth and your blood sugar talk to each other. Healthier gums can mean better glucose—and vice versa.

What to know

  • Two‑way link:
    • High glucose feeds gum bacteria, raising risk of gingivitis and periodontitis.
    • Gum disease increases inflammation, which can raise blood sugar and A1c.
  • Warning signs:
    • Red, swollen, or bleeding gums; bad breath; receding gums; loose teeth; dry mouth; mouth sores or delayed healing.
  • Prevention pays off:
    • Good oral care can improve comfort, confidence—and may support better glucose numbers.

Take action

  • Daily care:
    • Brush 2x/day with fluoride toothpaste (2 minutes each).
    • Clean between teeth daily (floss, interdental brushes, or water flosser).
    • Rinse after sugary or acidic foods/drinks; consider alcohol‑free mouthwash.
  • Dental visits:
    • Professional cleaning and exam every 6 months (or as your dentist advises).
    • Tell your dentist you have diabetes and share your most recent A1c.
  • Manage dry mouth:
    • Sip water often; sugar‑free gum/lozenges; use saliva substitutes if needed.
  • Habits that help:
    • Stop smoking/vaping; limit sugary drinks and frequent snacking.
    • Keep glucose near target to reduce infection risk and improve healing.

Talk to your dentist or doctor about

  • Signs of gum disease and a treatment plan (scaling/root planing if needed).
  • Mouth dryness from medications and options to relieve it.
  • Whether you need more frequent cleanings while stabilizing glucose.

Quick glossary

  • Gingivitis: early gum inflammation—reversible with care.
  • Periodontitis: deeper gum disease that can damage bone and loosen teeth.
  • Xerostomia: dry mouth that can increase cavities and discomfort.

Safety note

Seek prompt care for persistent bleeding, pain, swelling, pus, or fever—these may signal infection.

References

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