A 45-year-old, overweight man presents with suppurative periodontitis. As you review his history, he tells you that he is always hungry, drinks water almost every hour, and awakens four times each night to urinate. What systemic disease is most likely a cofactor in his periodontal disease?
a. Hypo thyroidism b. Hyper thyroidism
c. Diabetes mellitus
d. Tuber culosis
The correct answer is C: The combination of polyuria, polyphagia,
polydipsia, and suppurative periodontal disease should raise a strong suspicion
of diabetes mellitus. A fasting blood glucose test is the most efficacious
screen.
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