Raising Awareness in Oral Health Podcast – Topic 1 – Diabetes and Oral Health

Raising Awareness in Oral Health Podcast – Topic 1 – Diabetes and Oral Health


Welcome everyone to our first podcast.
The aim of this interview is to raise the awareness of oral health in diabetes
whether you have dry mouth or not. We are here to discuss a pressing issue which I
believe is overlooked within the medical society and general public. For example
did you know one of the oral complications of diabetes is dry mouth. Saliva is a
natural healer and it is important to prevent it from decaying. Oh look I am so
passionate about diabetes and oral health I forgot to introduce myself. I am
Aylin Baysan, a clinical academic working at Bart’s and the London School
of Medicine and Dentistry Queen Mary University of London. I am interested in
quantity and quality of saliva in diabetes patients. My ultimate aim is to
raise the awareness about oral health in diabetes patients within our medical
colleagues and general public and to introduce oral care as part of diabetes
care. Tim is an insulin dependent diabetic since 1972. He was diagnosed
when he was 10 years old. Our podcast will focus on his perspective as living
with diabetes type 1 and his conversation about how we can do better
for diabetes patients from the day they are diagnosed, their treatment
options and how oral health can be affected and managed. When Tim and I
first met he imagined how he benefitted being in our clinical study. Hello Tim
how are you today? Good excellent. Shall we start talking about your dry
mouth and how severe it is. On a scale of one to ten how dry your mouth is then? OK during the small hours of the night I’ll wake up to go to the toilet,
it is bone-dry so I must say at least the rate is nine. Oh Tim it must be really inconvenient for you.
How about then how did you learn what you know about diabetes and dry mouth? Well I
always wondered why my mouth was so dry in the night and after I mentioned it to my
consultant, who’s Professor Hitman, he seemed very very interested in it.
He wasn’t interested verbally but I could see that he did not stop writing. It’s great that
your dry mouth generated some interest Tim. How do you think diabetes with dry mouth
affects someone’s life then? Well it aggravates your control of tooth decay. Because there’s no salon but to help you with any stray coverings of sugar. You seem to be knowledgeable about dry mouth and its consequences Tim. Do you
think diabetes with dry mouth a problem for our community? Yes especially for people who have become type 2 diabetics after constantly having to eat processed food, which is high in sugar, fat and salt content. The type 1 diabetics, if their family can’t afford “Whole Foods”, they would have to
eat processed foods which affects their control of the diabetes. So Tim then what
support or resources are available to manage your dry mouth? Well the only thing I do is not only rinse my mouth when I rise to urinate but thereafter, whilst going to sleep, again encouraging saliva in my mouth and swallowing it before I sleep. You seem
to be managing your diabetes very well Tim. However you must have some
challenges. Which hurdles do you personally face living with diabetes and dry
mouth and how do you overcome them? Please tell us a little bit. Well because I’ve been on the insulin pump for 8 years and the only reason they put people on
an insulin pump is if they have an extensive knowledge on foods and insulin,
and different types of sugar, and different types of yogurt, I am both able
to control my insulin import with the exertion of weaning myself off,
doing that working, like talking, and I rarely become hypoglycemic because I
will check my blood sugar as and when I’m finished. This is excellent Tim as you mentioned
you manage your diet really well, can you tell me which foods and beverages should
you avoid due to diabetes and dry mouth? I avoid anything normally with a high sugar
content unless I’m going hypo, but water is freely available now and it will not
harm you to rinse with regards your mouth, unless it’s Volvic fruit flavoured
because that contains sugar and you do not want to rinse with that. Tim let’s
move to talk about our clinical study and you were one of the participants in
our study. As you know we use different type of dental varnishes, one contained
only fluoride and the other one contained fluoride calcium and phosphate to treat the root decays. How did you find the whole experience? Can you tell
us a little bit. Yes it was great being re-educated about my tooth care and coming
off the dental flosses because the little thing they said was that you do
not floss your teeth you use interdental brushes and that’s a great thing
because they don’t get stuck in your teeth when it breaks. How did you find the whole
experience being in our clinical study? Could you tell us a little bit? Well it
was great being re-educated about my tooth care because I had become got into
habits and they were not all good habits and I came off of dental floss and moved
onto interdental brushes by your advice and it was a lot easier than
using flossing and having flossing break in between the teeth. When you tried to get a broken bit of flossing out of your teeth it wasn’t half hard. It’s great, so during the clinical study
how many times did you have to come to the dental hospital? I think over a year it was about 4 times. When you arrived at the
Dental Hospital what happened then? Well I saw a clinician there, he
introduced himself whose name I cannot remember and he started, he examined,
he then said this is what I’m going to do with regards to varnishes and this is
what hopefully will help. The thing is is that, like I said before, my
own dentist, she thoroughly likes what you do, because the decayed parts
in my tooth are hard not soft now. How do you think the dental varnish applied regularly
helped you with your decay and dry mouth? I know it helps because
with the interdental brushing before a full brush twice daily, it has shown my dentist that the decay has hardened. It is no longer soft and I have apparently nil
decay active in my mouth. Is there anything you would like to change about
your diabetes care? If so, can you explain what you would like to change? Well I would educate diabetics on both their food intake and their insulin import. But I’m on an insulin pump and with my brain and my pump, I am imitating my own pancreas. How else can I help you Tim? I think with what you’ve done, thank you for the help
you’ve given me, and the help you give my teeth and hopefully you can show other
doctors, surgeons what they might think of doing in the future. I hope you enjoyed Living with Diabetes and Dry Mouth, a Vicious Circle podcast on
diabetes and oral health. This conversation with Tim reminded me there
is always more to say about the topic once I start I can talk for hours. If you
liked this interview and want to learn more about my research and findings
about diabetes and oral health please check out my QMUL page and Instagram on dr_abaysan. Also join me in future to find out more
about our patients experiences with diabetes and dry mouth from their
perspective. Bye for now.

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