Abstract

Objective:To determine whether periodontal infections (PI), urinary tract infections (UTI) and cervical vaginal infections (CVI) are associated with the incidence of uncontrolled glycemia (UCG) in type 2 diabetics in the third trimester of their pregnancy and during the postnatal period. Materials and methods:An observational, prospective, longitudinal, comparative study was carried out. Patient selection was carried out through consecutive non-probability sampling. The convenient sample consisted of 52 pregnant INPerIER users. Glycemic control and the presence UTI, CVI and periodontal infections PI were assessed through clinical and laboratory examinations in the third trimester of pregnancy and during the postnatal period. Informed consent was requested. Results:The frequency of infections in the third trimester was: UTI 24, PI 22, and CVI 16. The incidence of uncontrolled glycemia (UCG) in the third trimester was 5 patients; PI was associated with the UCG. There was an increase in the frequency of PI associated with UCG; patients without PI maintained glycemic control (RR 6.14). The PI, the CVI and UTI are risk factors associated with uncontrolled blood glucose levels in the postnatal stage. Conclusions: Periodontal disease is associated with the incidence of uncontrolled blood glucose levels in cases of type 2 diabetes in the third trimester of pregnancy and during the postnatal period.

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