Diabetes is positively correlated with Periodontal Disease (Gum Disease). Some anaerobic periodontal pathogens (gum disease-causing germs) like: Spirochetes, Porphyromonas Gingivalis and Actinobacillus Actinomycetemcomitans are positively correlated with periodontal disease.

Oral Microbiology cultures should be obtained in Diabetic patients who have Periodontal Disease. The elimination of the periodontal pathogens via periodontal therapy, with our without oral antibiotics indicated by a culture, should be the goal. The elimination of the periodontal pathogens should be confirmed by a follow-up culture. This should be the standard of care for the treatment of people who have both DIabetes and Gum Disease.