ShugaShuga
Member
- Messages
- 24
- Type of diabetes
- Treatment type
- Diet only
Hi.@ShugaShuga . When I had to have most if my lower teeth removed, my dentist sent me to the hospital for the extraction (I had other complications as well as diabetes). Before the extractions my dentist explained to me that because of my diabetes, the healing process could be longer than usual and that although she outlined my options she made it very clear that we couldn't make a final decision until I was completely healed. She suggested that I had NHS dentures for the first year to allow complete healing of the gums and to ensure that no further problems developed before I spent shed loads of money on my 'final' teeth. I would consider her a good dentist! As it happens it took three months before I healed properly due to infection, and I didn't get on with the NHS dentures as they were too hard in my Diabetic gums. Ended up with the private dentures after six months and they are fantastic!!
I suppose I'm saying I agree with @CatLadyNZ , sounds like you might need a second opinion. Good luck hun, I know exactly what your going through. Sue xxxxx
With great difficulty is the answer. Plastic dentures pressing onto unhealed gums are painful.Hi.
I'm intrigued about how someone in your position (all teeth removed) managed to eat. How did you do this, until your extractions had healed sufficiently?
mashed food for about a week, lots of pain killers! Then moved on to cooked veg/soft food for another week then it was fine. Just avoided really hard stuff that could scrape the gums (nuts, crusty bread, crackers etc)!!Hi.
Again, I'm intrigued about how you managed to eat until your lower jaw had healed?
ACE stands for angiotensin converting enzyme - I think how an ACE inhibitor works is that the AC enzyme makes the blood vessels tighter and the drug blocks that so the vessels relax. This type of drug is the first line choice for reducing BP. There are lots of others if it's not suitable.Oh dear, the Ibuprofen issue is worse than I thought. I went to my GP and asked him. He said that the problem arises if you are diabetic and taking ACE Inhibitors to control blood pressure. In which case case, you shouldn't take Ibuprofen for more than a week otherwise this combination can cause kidney damage!
I am taking Perindopril (an ACE Inhibitor - 'don't know what that actually means) and have been mixing ibuprofen and paracetamol for about three months. I haven't used ibuprofen continuously, nor have I exceed the max dose, but.....
ACE stands for angiotensin converting enzyme - I think how an ACE inhibitor works is that the AC enzyme makes the blood vessels tighter and the drug blocks that so the vessels relax. This type of drug is the first line choice for reducing BP. There are lots of others if it's not suitable.
There is info about ACE inhibitors and NSAIDs like ibuprofen here:
http://www.phlaunt.com/diabetes/14046942.php
The biggest risk seems to be if you take both of these with a diuretic (water pill, like furosemide).
I take paracetamol daily for chronic pain... it's not ideal but I think it's the safest option. I have regular liver and kidney tests to make sure damage isn't being done.
The bottom line is if you are concerned about any drugs discuss them with your doctor. Better to be safe than sorry.
mashed food for about a week, lots of pain killers! Then moved on to cooked veg/soft food for another week then it was fine. Just avoided really hard stuff that could scrape the gums (nuts, crusty bread, crackers etc)!!
Indeed, they don't often take much notice of other conditions, in my experience. I think people assume Ibuprofen is fairly harmless, but it's not, if taken with certain other drugs. This is why I try to get a handle on all of my meds and I read up on any new ones that are suggested.Thank you for that. The contents of the link are very interesting. It's a bit like the problem of diabetes and gum disease. Nobody seems to tell us type 2's anything about this kind of thing. Ibuprofen is the "pain killer of choice" for dental problems and it is good at conditions where inflammation is involved. I have been given Ibuprofen by a dentist, but he never asked me if I was diabetic. Don't they know of the potential problems? Or are they so wrapped up in the world of dentistry that they have no thought for the effects upon other branches of medicine?
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