In recent years, several studies have found an association between both disorders is bidirectional, since not only diabetes increases the risk of periodontal disease, but they can also affect diabetes, affecting glycemic control.

According to the authors say of this report, diabetes causes an exacerbated inflammatory response against bacterial pathogens present in the gum, and also alters the ability to resolve inflammation and subsequent repair capacity, accelerating the destruction of the tissues periodontal support.

Moreover, it appears, this process is mediated by cell surface receptors for advanced glycation products (produced as a result of hyperglycemia), and is expressed in the periodontium of individuals with diabetes.

Moreover, other studies have shown that periodontitis may start or increase insulin resistance in a similar way as does obesity, favoring the activation of the systemic immune response initiated by cytokines.

Chronic inflammation caused by the release of these inflammatory mediators is associated with the development of insulin resistance, which is also influenced by environmental factors such as physical inactivity, inappropriate diet, obesity or infections.

It has been shown that diabetics who have periodontal disease have a poorer control of blood glucose values, while having twice the risk of microalbuminuria and five times the risk of kidney disease.

Therefore, the report of the SEPA and the Founding of the SED calls for collaboration among diabetes specialists and dentists to identify both conditions among their patients and refer them as appropriate.