A Cross-Sectional Study on Ultrasonographic Measurements of Parotid Glands in Type 2 Diabetes Mellitus

Background. Diabetes mellitus is a metabolic disease which is seen increasing globally and is diagnosed and monitored on basis of invasive blood investigations. Salivary glands are affected in diabetes mellitus. The objective of this study was to assess ultrasonographic measurements of parotid gland...

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Main Authors: Abhishek Gupta, Vijayalakshmi Kondajji Ramachandra, Mubeen Khan, Kumari Sonam Jha, K. S. Vedaraju, Nirmala Alagudu Channaiah
Format: Article
Language:English
Published: Wiley 2021-01-01
Series:International Journal of Dentistry
Online Access:http://dx.doi.org/10.1155/2021/5583412
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author Abhishek Gupta
Vijayalakshmi Kondajji Ramachandra
Mubeen Khan
Kumari Sonam Jha
K. S. Vedaraju
Nirmala Alagudu Channaiah
author_facet Abhishek Gupta
Vijayalakshmi Kondajji Ramachandra
Mubeen Khan
Kumari Sonam Jha
K. S. Vedaraju
Nirmala Alagudu Channaiah
author_sort Abhishek Gupta
collection DOAJ
description Background. Diabetes mellitus is a metabolic disease which is seen increasing globally and is diagnosed and monitored on basis of invasive blood investigations. Salivary glands are affected in diabetes mellitus. The objective of this study was to assess ultrasonographic measurements of parotid glands and correlate with the glycosylated hemoglobin levels in type 2 diabetic mellitus and duration of type 2 diabetic mellitus and treatment regimens. Materials and Methods. This study was conducted on 50 subjects of type 2 diabetes mellitus and on 50 healthy controls. After HbA1C analysis of selected individuals, 100 individuals were grouped into group I (above 5.7) and group II (below 5.7). Ultrasonographic measurements (length (L), transverse dimension (TD), depth lateral to the mandible (DLM), and depth dorsal to the mandible (DDM)) of bilateral parotid glands were calculated. Statistical analysis was done using the chi-square test of significance and Spearman correlation coefficients. Results. On correlation with measurement of right (L, DLM, DDM) and left (TD, DLM, DDM) of parotid glands with duration of type 2 diabetes mellitus, we found a moderate positive relationship, whereas as for right (TD) and left (L), we found a low-positive relationship. Similarly, for right (L, TD, DLM, DDM) and left (TD, DDM) parotid glands with HbA1C, we found a low-positive relationship, whereas for left parotid gland (L, DLM) with HbA1C, we found a moderate positive relationship. The mean DLM of right and left parotids in the insulin group was found to be slightly more than that in the combined group which was statistically insignificant. Conclusion. Ultrasonographic measurements of parotid glands were found to be higher in study subjects as compared to control subjects, and they increased with increased HbA1C levels; also, there was no difference in treatment regimen. Ultrasonography could be a prospective diagnostic test for detection and monitoring of diabetes mellitus, and still further studies are required for this.
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spelling doaj-art-ec1c690186b94e3c9b4246f7fd2bf06e2025-08-20T02:21:49ZengWileyInternational Journal of Dentistry1687-87281687-87362021-01-01202110.1155/2021/55834125583412A Cross-Sectional Study on Ultrasonographic Measurements of Parotid Glands in Type 2 Diabetes MellitusAbhishek Gupta0Vijayalakshmi Kondajji Ramachandra1Mubeen Khan2Kumari Sonam Jha3K. S. Vedaraju4Nirmala Alagudu Channaiah5Oral Medicine and Radiology, KIST Medical College and Teaching Hospital, Lalitpur 44705, NepalOral Medicine and Radiology, Government Dental College and Research Institute, Bangalore 560001, IndiaOral Medicine and Radiology, Government Dental College and Research Institute, Bangalore 560001, IndiaOral Medicine and Radiology, Government Dental College and Research Institute, Bangalore 560001, IndiaDepartment of Radiodiagnosis, Bangalore Medical College and Research Institute, Bangalore 560001, IndiaDepartment of Medicine, Bangalore Medical College and Research Institute, Bangalore 560001, IndiaBackground. Diabetes mellitus is a metabolic disease which is seen increasing globally and is diagnosed and monitored on basis of invasive blood investigations. Salivary glands are affected in diabetes mellitus. The objective of this study was to assess ultrasonographic measurements of parotid glands and correlate with the glycosylated hemoglobin levels in type 2 diabetic mellitus and duration of type 2 diabetic mellitus and treatment regimens. Materials and Methods. This study was conducted on 50 subjects of type 2 diabetes mellitus and on 50 healthy controls. After HbA1C analysis of selected individuals, 100 individuals were grouped into group I (above 5.7) and group II (below 5.7). Ultrasonographic measurements (length (L), transverse dimension (TD), depth lateral to the mandible (DLM), and depth dorsal to the mandible (DDM)) of bilateral parotid glands were calculated. Statistical analysis was done using the chi-square test of significance and Spearman correlation coefficients. Results. On correlation with measurement of right (L, DLM, DDM) and left (TD, DLM, DDM) of parotid glands with duration of type 2 diabetes mellitus, we found a moderate positive relationship, whereas as for right (TD) and left (L), we found a low-positive relationship. Similarly, for right (L, TD, DLM, DDM) and left (TD, DDM) parotid glands with HbA1C, we found a low-positive relationship, whereas for left parotid gland (L, DLM) with HbA1C, we found a moderate positive relationship. The mean DLM of right and left parotids in the insulin group was found to be slightly more than that in the combined group which was statistically insignificant. Conclusion. Ultrasonographic measurements of parotid glands were found to be higher in study subjects as compared to control subjects, and they increased with increased HbA1C levels; also, there was no difference in treatment regimen. Ultrasonography could be a prospective diagnostic test for detection and monitoring of diabetes mellitus, and still further studies are required for this.http://dx.doi.org/10.1155/2021/5583412
spellingShingle Abhishek Gupta
Vijayalakshmi Kondajji Ramachandra
Mubeen Khan
Kumari Sonam Jha
K. S. Vedaraju
Nirmala Alagudu Channaiah
A Cross-Sectional Study on Ultrasonographic Measurements of Parotid Glands in Type 2 Diabetes Mellitus
International Journal of Dentistry
title A Cross-Sectional Study on Ultrasonographic Measurements of Parotid Glands in Type 2 Diabetes Mellitus
title_full A Cross-Sectional Study on Ultrasonographic Measurements of Parotid Glands in Type 2 Diabetes Mellitus
title_fullStr A Cross-Sectional Study on Ultrasonographic Measurements of Parotid Glands in Type 2 Diabetes Mellitus
title_full_unstemmed A Cross-Sectional Study on Ultrasonographic Measurements of Parotid Glands in Type 2 Diabetes Mellitus
title_short A Cross-Sectional Study on Ultrasonographic Measurements of Parotid Glands in Type 2 Diabetes Mellitus
title_sort cross sectional study on ultrasonographic measurements of parotid glands in type 2 diabetes mellitus
url http://dx.doi.org/10.1155/2021/5583412
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