ABSTRACT
Background: Diabetes Mellitus is a complex disease with varying degree of systemic and oral complications. The prognosis is quite favorable if a disease is diagnosed in early stages. Since a large number of patients seek dental treatment routinely, screening procedures for early detection of subclinical cases can help in diagnosis of asymptomatic diabetes. Aim: The present study was undertaken to evaluate if gingival crevicular blood can be used for the estimation of blood glucose levels in periodontitis patients. Material and Methods: A prospective study was carried out comprising 150 patients Group A comprised of 75 subjects with gingivitis and group B comprised of 75 subjects with periodontitis. For gingival crevicular blood glucose (GCBG) level estimation, the blood was drawn onto the glucometer strip after gently probing the gingival sulcus and the readings were recorded. At the same time, blood Vijayendra Pandey, Akhilesh Chandra, Deepak Kumar, Anup Kumar Singh, Priyankesh, Alok Kumar Gupta. Estimation of gingival blood glucose using a sensitive self-monitoring device in periodontitis patients. IAIM, 2019; 6(6): 51-56. Page 52 was also collected from the index finger onto the glucometer strip for the capillary finger-prick blood glucose (CFBG) sample. Both the values were compared and statistical analysis of data was performed. Results: The mean GCBGL and CFBGL in group A was 98.43 mg/dl ± 18.62 and 103.48 mg/dl ± 13.90 respectively, while in group B it was 136.37 mg/dl ± 36.95 and 141.62 mg/dl ± 51.84, respectively. There was no statistically significant difference (p> 0.05) between the two values in both the groups. Conclusion: It can be concluded that GCBG levels are positively correlated with CFBG levels. Therefore, clearly indicating that gingival crevicular blood collected during diagnostic periodontal examination may be an excellent source of blood sample for glucometric analysis.
ABSTRACT
Introduction. Transverse cerebellar diameter (TCD) measurement is very accurate in assessment of gestational age especially in cases where the LMPs are not exactly known. Normally value of the transverse cerebellar diameter in mm is considered roughly equivalent to the gestational age in week (particularly between the 14-20 weeks of gestation). It is of utmost importance to identify the fetal growth restriction during the antenatal period because it involves perinatal mortality and morbidity. TCD is a useful parameter for assessing fetal growth retardation. The purpose of my study is to evaluate the accurate measurement of transverse cerebellar diameter as against the conventional parameters in assessment of gestational age in normal pregnant women between 16 to 38 weeks. Material and Methods:It was a prospective cross-sectional study and All data were collected from 100 antenatal women of gestational age 16-40 weeks referred to Department of Radio diagnosis, Father Muller Medical College and Hospital for routine antenatal scans from May 2018 to October 2018 based on inclusion and exclusion criteria. Results: In this study 100 cases were studied. Age distribution of normal pregnancies was ranged from: 18 to 35 years. 63 cases were multigravida and 37 were primigravida. In 95 cases the estimated gestational age predicted by measuring BPD, HC, AC and FL was also closely correlated with gestational age estimated from transverse cerebellar diameter measurements with a p value of 0.001. In 5 cases it was poorly correlating. We found good curvilinear relationship between the TCD and gestational age (R2=0.956) and (P=0.00012). Conclusion: So our study shows that the TCD in the estimation of gestational age is consistently correlating with gestational age.