لخّصلي

Prevention of Hypoglycemia(Insulin Reaction)Make sure pt has normal meals along with insulin o AM appointments best - avoids peak insulin action o Watch for hypoglycemic symptoms Mood change, hunger, anxiety, tremor, headache, lightheadedness, sweating, nausea, tachycardia o Tell patient to advise you at first onset of symptoms o Check with glucometer if patient becomes symptomatic o Treatment oral CHO (sugar, OJ, cola, candy, cake icing) do not give oral CHO if unconscious!

Prevention of Hypoglycemia(Insulin Reaction)Make sure pt has normal
meals along with insulin
• AM appointments best - avoids peak insulin action
• Watch for hypoglycemic symptoms Mood change,
hunger, anxiety, tremor, headache,
lightheadedness, sweating, nausea, tachycardia
• Tell patient to advise you at first onset of
symptoms
• Check with glucometer if patient becomes
symptomatic
• Treatment oral CHO (sugar, OJ, cola, candy,
cake icing) do not give oral CHO if unconscious!
Dental management …cont.3
• Dental Treatment Guidelines: A well controlled, stable diabetic,
whether diet controlled, on oral hypoglycemics, or taking
insulin, requires little or no modification for routine dental care,
including surgery
• Make sure patient has normal meals and continues
normal insulin administration
• For poorly controlled, uncontrolled or symptomatic diabetics, defer
elective treatment and consult with physician to determine stability
and control of their disease
Dental management …cont.4
• Following Oral Surgery : If the patient is unable to eat a normal diet as
a result of the surgery, encourage alternate dietary intake such as a
liquid dietary supplement
• Insulin may need to be decreased if food intake is decreased
• Presence of infection may temporarily increase the insulin requirement
• Postoperative antibiotics are not necessary if diabetes is well controlled
may be indicated for poorly controlled diabetic, especially if oral/denta