7 Signs of Diabetes That Show Up in the Mouth and How to Detect the Disease

Written by Henrik Rothen

Jan.18 - 2025 8:39 AM CET

Health
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Photo: Shutterstock.com
7 Signs of Diabetes That Show Up in the Mouth.

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Learn how the first symptoms of diabetes manifest and how proper disease management contributes to better oral health.

Understanding the Basics of Diabetes

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Diabetes is caused by insufficient production or poor absorption of insulin, a hormone that regulates blood sugar levels and provides energy for the body. According to the American Diabetes Association, 11.6% of the population had diabetes in 2021.

Why the Mouth Is Affected

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Diabetes disrupts blood sugar regulation, reducing blood flow and saliva production. This leads to a drier mouth and altered saliva pH, weakening its protective effects.

Signs of Diabetes in the Mouth

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Experts state that diabetes often starts without obvious symptoms. However, certain signs in the mouth deserve close attention.

Dry Mouth

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Dry mouth, or xerostomia, results from reduced saliva production due to elevated blood sugar levels. This can be an early indicator of diabetes.

Red and Sensitive Gums

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High blood sugar promotes bacterial growth in the mouth, leading to red, sensitive, and painful gums that may bleed during brushing.

Tooth Loss

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Uncontrolled diabetes increases the likelihood of periodontal disease, cavities, and other oral infections, making tooth loss more common.

Increased Sugar in Saliva

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Elevated glucose levels in saliva create an ideal environment for bacteria, increasing the risk of cavities and infections.

Bad Breath

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A fruity odor, known as ketone breath, occurs with poorly controlled diabetes. It is an important sign, especially when accompanied by increased thirst, fatigue, and frequent urination.

Delayed Healing

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Diabetes can compromise the body's ability to recover from injuries, which can result in complications after dental procedures.

Mouth Ulcers

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Mouth sores and ulcers are more frequent in poorly managed diabetes. They can affect quality of life and require special care.