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  • Diabetic neuropathy...

Diabetic neuropathy reduces masticatory efficiency in type 2 diabetes patients: PLOS One

Written By : Medha Baranwal |Medically Reviewed By : Dr. Kamal Kant Kohli Published On 2022-06-23T10:00:29+05:30  |  Updated On 23 Jun 2022 9:55 AM IST
Diabetic neuropathy reduces masticatory efficiency in type 2 diabetes patients: PLOS One
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Japan: A recent study in PLOS One showed that type 2 diabetes patients who developed diabetic neuropathy have a significantly reduced masticatory efficiency. Effective mastication or chewing well is necessary for successful diet therapy for diabetes.

"To prevent the progression of diabetic complications, particularly in diabetic retinopathy patients, it is necessary to combine individualized therapies from nutritionists and dentists with consideration for the level of masticatory dysfunction," Yuta Hamamoto, Hiroshima University, Hiroshima, Japan, and colleagues wrote in their study.

For successful therapy, it is essential to chew well and control blood sugar levels in diabetics. In addition, long-term hyperglycemia is a risk factor for microvascular complications, that are the main cause of morbidity and mortality in these patients. Hence, it may be likely that masticatory disorder may be relevant to diabetic microvascular complications which is caused by long-term hyperglycemia.

Against the above background, the researchers team aimed to investigate whether masticatory disorders are relevant to diabetic microvascular complications in a cross-sectional study.

The study included 172 patients with type 2 diabetes who underwent educational hospitalization in the Department of Endocrinology and Diabetic Medicine, Hiroshima University Hospital, from April 2016 to March 2020. The GLUCO SENSOR GS-â…¡ was used to quantitatively determine the masticatory efficiency. To examine which factors were related to masticatory efficiency, multivariable linear regression models.

Based on the study, the researchers reported the following findings:

  • According to the bivariable analysis, masticatory efficiency was significantly correlated with duration of diabetes, number of remaining teeth, the number of moving teeth and condition of diabetic neuropathy.
  • · The number of remaining teeth and diabetic neuropathy remained significantly correlated with masticatory efficiency in the multivariable analysis.

"The findings revealed a significant association between diabetic neuropathy and masticatory dysfunction," the authors wrote. "Understanding of the neuropathic effects of diabetes on the craniofacial disorder may be depended with an additional assessment for a mandibular kinematic and muscular activity."

"For diabetes patients with masticatory disorder, implementing a dietary treatment regimen may be difficult. To control hyperglycemic conditions in diabetic neuropathy patients, diet therapy considering a patient's masticatory function by dentists and nutritionists could be helpful."

Citation: Hamamoto Y, Ouhara K, Miyagawa T, Shintani T, Komatsu N, Kajiya M, et al. (2022) Masticatory dysfunction in patients with diabetic neuropathy: A cross-sectional study. PLoS ONE 17(6): e0269594. https://doi.org/10.1371/journal.pone.0269594


PLOS Onetype 2 diabetesdiabetic neuropathymastication
Source : PLOS One
Medha Baranwal
Medha Baranwal

    MSc. Biotechnology

    Dr. Kamal Kant Kohli
    Dr. Kamal Kant Kohli

    Dr Kamal Kant Kohli-MBBS, DTCD- a chest specialist with more than 30 years of practice and a flair for writing clinical articles, Dr Kamal Kant Kohli joined Medical Dialogues as a Chief Editor of Medical News. Besides writing articles, as an editor, he proofreads and verifies all the medical content published on Medical Dialogues including those coming from journals, studies,medical conferences,guidelines etc. Email: drkohli@medicaldialogues.in. Contact no. 011-43720751

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