The mouth may offer clues to diabetes

Halitosis could be an early indicator of diabetes.

Experts cited in a report from Parade explained that when diabetic ketoacidosis occurs, the body begins to preferentially break down fat as fuel instead of sugars and carbohydrates because of a lack of insulin; the resulting ketone breakdown products make the blood acidic. Those with diabetic ketoacidosis may notice a fruity odor on their breath from the buildup of ketones in their blood. Individuals with diabetes may also have dry mouth.

The experts noted that patients with diabetes have a higher risk of developing periodontal disease because of plaque-causing bacteria feeding on the elevated levels of sugar in the saliva. Those with dry mouth related to diabetes also experience a lower level of saliva production, hampering the saliva’s ability to protect the oral cavity from harmful bacteria.

Patients with diabetes and halitosis were urged to establish an oral hygiene routine involving daily brushing and flossing as well as annual dental visits, monitor their blood glucose levels, follow a diabetes-specific diet limiting the intake of sugary foods and beverages, stay hydrated, avoid smoking and alcohol consumption, exercise regularly and visit their clinicians to determine whether diabetes drugs may be needed to manage the condition.

Read more: Parade

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