Oana A. Velea, Dan Onisei, Doina Onisei, Andreea Pogan, Corrado Paganelli and Iulian P. Velea
Background and Aims. Scientists are constantly showing a high interest for the relationship between Periodontal Disease (PD) and Diabetes Mellitus (DM). PD, “the sixth complication” of DM is recognized to be a chronic gram-negative anaerobic infectious disease. This paper is aimed at reviewing and evaluating the correlations between PD and DM from a microbiological point of view. Treatment implications of PD’s management as an important component of DM care is reviewed in the light of microbiological current knowledge. Materials and Methods. Microbiological studies and clinical trials were selected from medical and dental journals, and studied thoroughly. Results. Plaque biofilm and prolonged hyperglycemia increase the risk of PD development in DM. These two features determine inflammatory reactions that end-up in tissue destruction and impaired healing responses. Few pathogens are considered highly prevalent periodontal pathogens, with destructive actions. Studies have shown that metabolic balance or lack of balance determines bacterial variations in diabetic patients with PD. Other results demonstrate the importance of microbial tests (especially PCR techniques) as indicators for healing or disease progression. Conclusions. There aren’t many studies assessing the relationship between PD and DM from microbiological points of view. In light of increasing evidence, larger interventional studies are needed
Liviu-Laurențiu Pop, Mihaela Dediu, Iulian Velea, Mirela Mogoi and Ioana M. Ciuca
Cystic fibrosis related diabetes (CFRD) is a redoubtable complication associated to cystic fibrosis, with an increasing frequency, directly proportional to children life expectancy. Although this complication has similar features with DM type 1 and some with type 2, the evolution and even the response to insulin therapy is different. It is also possible that other factors to influence the CFRD clinical expression and subsequently the disease evolution. Since its 1t diagnosis was associated with more frequent pulmonary exacerbations and with the deterioration of the respiratory status, therefore CFRD must be early and correctly diagnosed and managed. The aim of this paper is to present an overview of the recent updates and recommendations regarding this important CF complication.