My dentist keeps asking about my A1C and said my gums are inflamed. How does my blood sugar have anything to do with my teeth and gums?
My dentist keeps asking about my A1C and said my gums are inflamed. How does my blood sugar have anything to do with my teeth and gums?
Your dentist is absolutely right to ask! The connection between your long-term blood sugar levels and your oral health is incredibly strong, and unfortunately, it operates as a frustrating two-way street.
First, you have to remember that your saliva contains glucose. When your blood sugar is running high, your saliva essentially becomes sweeter. This creates an absolute buffet for the naturally occurring bacteria in your mouth. As these bacteria feed on the excess sugar, they multiply rapidly, creating plaque. If left untreated, this plaque hardens into tartar, leading to swollen, bleeding gums (gingivitis) and eventually severe gum disease (periodontitis), which can cause tooth loss. High blood sugar also reduces your body's ability to fight off these oral infections.
Here is the "two-way street" problem: Severe gum disease is an active infection. Any time your body is fighting a chronic infection, it triggers widespread inflammation. This inflammation actively increases your body's insulin resistance, driving your blood sugars even higher and making your diabetes harder to manage.
Because of this cycle, excellent dental hygiene is a vital part of long-term diabetes care. Flossing daily, brushing after meals, and scheduling dental cleanings every six months (instead of yearly) are simple but powerful ways to protect both your smile and your A1C!