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 Amy's Class Notes on Diabetes (1999)
I don't know if these will help you out but just in case, I added them onto the site.  These are just notes that I took in class in different formats.

Precautions:

  • Find out what type
  • How often do they see physician?
  • Controlled?
  • Have they eaten?
  • When did they take their insulin?

Consult: Judgment call

Pre-med: normally no -- If uncontrolled/severe, then yes to prevent infection.

  • Diabetics prone to infection
  • **Keep stress down in appointment

Modifications:

  • Less stressful appointments (shorter appointments, AM appointments)
  • Appointment after eating a meal
  • Quadrant scaling or half the mouth
  • Be prepared for diabetic emergency
    **Sugar cube
    **juice
  • Do not scale entire mouth
    **Scale, then check healing later
  • postpone fluoride if tissue inflamed
  • Prone to periodontal disease

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