The potential for glycemic control monitoring and screening for diabetes at dental visits using oral blood

S.M. Strauss, M.T. Rosedale, M.A. Pesce, D.M. Rindskopf, N. Kaur, C.M. Juterbock, M.S. Wolff, D. Malaspina and A. Danoff

American Journal of Public Health, 2015, vol. 105, issue 4, 796-801

Abstract: Objectives. We examined the potential for glycemic control monitoring and screening for diabetes in a dental setting among adults (n = 408) with or at risk for diabetes. Methods. In 2013 and 2014, we performed hemoglobin A1c (HbA1c) tests on dried blood samples of gingival crevicular blood and compared these with paired "gold-standard" HbA1c tests with dried finger-stick blood samples in New York City dental clinic patients. We examined differences in sociodemographics and diabetes-related risk and health care characteristics for 3 groups of at-risk patients. Results. About half of the study sample had elevated HbA1c values in the combined prediabetes and diabetes ranges, with approximately one fourth of those in the diabetes range. With a correlation of 0.991 between gingival crevicular and finger-stick blood HbA1c, measures of concurrence between the tests were extremely high for both elevated HbA1c and diabetes-range HbA1c levels. Persons already diagnosed with diabetes and undiagnosed persons aged 45 years or older could especially benefit from HbA1c testing at dental visits. Conclusions. Gingival crevicular blood collected at the dental visit can be used to screen for diabetes and monitor glycemic control for many at-risk patients. © 2015, American Public Health Association Inc. All rights reserved.

Keywords: glucose blood level; glycosylated hemoglobin, adolescent; adult; aged; blood; blood sampling; body mass; dental procedure; Diabetes Mellitus, Type 2; female; glucose blood level; human; male; mass screening; middle aged; New York; procedures; socioeconomics; young adult, Adolescent; Adult; Aged; Blood Glucose; Blood Specimen Collection; Body Mass Index; Dental Care; Diabetes Mellitus, Type 2; Female; Hemoglobin A, Glycosylated; Humans; Male; Mass Screening; Middle Aged; New York City; Socioeconomic Factors; Young Adult (search for similar items in EconPapers)
Date: 2015
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Persistent link: https://EconPapers.repec.org/RePEc:aph:ajpbhl:10.2105/ajph.2014.302357_8

DOI: 10.2105/AJPH.2014.302357

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