Diabetes

Diabetes is a disease in which the glucose (sugar) levels in your blood are very high. The glucose comes from the food you eat. Insulin is a hormone that helps glucose enter your cells to supply them with energy. In type 1 diabetes, the body does not produce insulin. In type 2 diabetes, the most common type, the body does not produce or use insulin properly. Without enough insulin, glucose remains in the blood.

Over time, too much glucose in the blood can cause serious problems. It can damage the eyes, kidneys and nerves. Diabetes can also cause heart disease, stroke and the need for limb amputation. Pregnant women can also develop diabetes, called gestational diabetes.

A blood test can show if you have diabetes. One type of test, the A1c, can also check how well you are managing your diabetes. Exercise, weight control, and sticking to your meal plan can help control diabetes. You should also monitor your blood glucose level and, if you have a prescription, take medicine.

Brushing and flossing are everyday ways to keep your teeth bright, white and healthy. Still, if you might feel like your smile is lacking some sparkle or is more yellow than it used to be, you’re not alone.

When the American Academy of Cosmetic Dentistry asked people what they’d most like to improve about their smile, the most common response was whiter teeth. The American Association of Orthodontists also found that nearly 90% of patients requested tooth whitening.

Over time, your teeth can go from white to not-so-bright for a number of reasons. Coffee, tea and red wine are some major staining culprits. What do they have in common? Intense color pigments called chromogens that attach to the white, outer part of your tooth.

Two chemicals found in tobacco create stubborn stains: Tar and nicotine. Tar is naturally dark. Nicotine is colorless until it’s mixed with oxygen. Then, it turns into a yellowish, surface-staining substance.

There are also risk factors that increase a person’s chances of contracting this disease and its timely detection is essential to prevent Diabetes..

Types of
Diabetes

Type 1 
When the body loses the ability to produce insulin or can only make a very small amount of insulin. Type 1 diabetes is usually caused by an autoimmune process, and the body’s immune system mistakenly destroys insulin-producing cells. Approximately 10% of individuals with diabetes have type 1 diabetes.

Type 2
Caused by a dual effect of resistance to the action of insulin, combined with the inability to make enough insulin to overcome the resistance. Type 2 diabetes is the most common form of diabetes and accounts for 80% to 90% of diabetes worldwide.

Other types of diabetes:
a miscellaneous category that includes unusual or rare inherited or acquired causes of diabetes. This represents the minority of cases of people with diabetes.

Diabetes MODY (Maturity Onset Diabetes in the Young). It is caused by genetic defects of the beta cells. There are different types of MODY diabetes, to date 7 have been described. They are due to a defect in insulin secretion, not affecting its action. They are inherited in an autosomal dominant manner, so when a person has MODY diabetes it is common that several members of the family also suffer from it and in several generations.
Cystic Fibrosis Related Diabetes (CFRD). Cystic fibrosis is a disease that affects multiple organs including the pancreas, which can lead to the development of diabetes. The diagnosis of the disease is usually made in the second decade of life.
Diabetes secondary to medications. Some medications can alter the secretion or action of insulin. Glucocorticoids and immunosuppressants are among them.
Gestational diabetes. Glucose intolerance that occurs during pregnancy that may be due to multiple causes.

The treatment of diabetes mellitus is based on three pillars: diet, physical exercise and medication. The aim is to maintain blood glucose levels within the normal range in order to minimize the risk of complications associated with the disease. In many patients with type 2 diabetes, medication would not be necessary if excess weight were controlled and a regular physical exercise program was carried out. However, insulin replacement therapy or oral hypoglycemic drugs are often necessary.

Whitening Preparation &
How it's being done

Whitening can be done in the dental office or at home. For in-office whitening, your dentist probably will photograph your teeth first. This step will help him or her to monitor the progress of the treatment. Your dentist also will examine your teeth and ask you questions to find out what caused the staining.

Next, the dentist or a dental hygienist will clean your teeth. This will remove the film of bacteria, food and other substances that build up on your teeth and contribute to the staining. Once this is done, the whitening procedure begins. For whitening at home, your dentist can make trays to hold the whitening gel that fit your teeth precisely.

Home whitening gel usually needs to be applied daily for two to three weeks. Over-the-counter kits also are widely available for home use. They provide trays to hold the gel, or whitening strips that stick to your teeth. Talk to your dentist if you want to use these home products. Be sure to follow directions to avoid overuse and possible damage to your teeth and mouth.

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