Abstract
Association of Uncontrolled Glycemia with Periodontal, Urinary Tract and Cervical Vaginal Infections in a Group of Type 2 Diabetic Women during Pregnancy and during the Postnatal Period
Highlights
Infections are one of the most common complications of diabetes
The incidence of uncontrolled glycemia (UCG) in the third trimester was 5 patients; periodontal infections (PI) was associated with the UCG
There was an increase in the frequency of PI associated with UCG; patients without PI maintained glycemic control (RR 6.14)
Summary
Infections are one of the most common complications of diabetes. The relationship between diabetes and infection is twofold: diabetes favors infection and infection makes glycemic control difficult [1].Several changes are known to occur in diabetes when related to the responsiveness to infection (from alterations in vascular permeability to those limiting the function of macrophages) that together explain this complex interrelationship. Infections are one of the most common complications of diabetes. The fact that diabetes reaches epidemic proportions and is to some extent common care for pregnant women over 35 years, allows to assume that the frequency of any type of diabetes during pregnancy is high, estimated that about 2 to 3 and up to 10 of every 100 pregnancies are often complicated with gestational diabetes [3]. The chemical composition of the urine itself is enriched by pregnancy such as glucose, amino acids and fragmented hormones, which could facilitate bacterial proliferation; bacteriuria increases the likelihood of symptomatic infection of the upper urinary tract, especially in the last trimester. Diabetic women who become pregnant are more likely to have urinary tract and cervical-vaginal infections, which can alter their general welfare and even encourage changes in glycemic control. In the year 2000, [6] the American Academy of Periodontology noted that "the incidence of periodontitis increases in diabetics, ClinMed
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