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First of all, it varies with the person. If your blood sugars are going to be high because you’re not using precise blood sugar control, you are going to need the antibiotic for a longer period of time.
When one of my patients needs a procedure, I look at their blood sugars to make sure they are essentially normal. They have the procedure, and they are put on an antibiotic. We may stop it in a month. If their blood sugars go up, they still have the infection, and we continue the antibiotic. We may stop it then in another two months, and if their blood sugar goes up, we continue, etc. Frequently we must continue antibiotics (and probiotics) for a year.
The reason for this antibiotic protocol is a condition called osteomyelitis, which is infection in a bone. It’s usually an infection in the jawbone that is transmitted from a tooth or gum infection. An endodontist usually discovers a root canal infection by looking for a loss of bone in the adjacent jaw bone. Osteomyelitis is very hard to cure because the levels of antibiotic are always much lower in the bone than levels in the blood stream.
Richard K. Bernstein, MD is one of the most knowledgeable, committed and successful pioneers in the field of diabetes today. He invented blood sugar self-monitoring and basal/bolus insulin dosing, when he was an engineer.
Dr. B is Director Emeritus of the Peripheral vascular Disease Clinic of the Albert Einstein College of Medicine. His private medical Practice in Mamaroneck N. Y. specializes in treating diabetes and obesity.
He is a physician, research scientist, thriving Type 1 for 67 years, and best-selling author of nine diabetes books including Diabetes Solution , The Diabetes Diet and several E-books. This link diabetes-book.com will give you more information about his publications. To sign up for his free monthly teleseminars, visit askdrbernstein.net.
Diabetes Health is the essential resource for people living with diabetes- both newly diagnosed and experienced as well as the professionals who care for them. We provide balanced expert news and information on living healthfully with diabetes. Each issue includes cutting-edge editorial coverage of new products, research, treatment options, and meaningful lifestyle issues.