Diabetes took my teeth but not my life | CNN (2024)

Diabetes took my teeth but not my life | CNN (1)

CNN Fit Nation's Sia Figiel now stocks up on fruits and vegetables along with lean meats and whole-grain carbohydrates.

Editor’s Note: Sia Figiel is one of six CNN viewers selected to be a part of the Fit Nation Triathlon Challenge program. Follow the “Sassy Six” on Twitter and Facebook as they train to race the Nautica Malibu Triathlon with Dr. Sanjay Gupta on September 14.

Story highlights

Sia Figiel is from American Samoa, where food is a big part of the culture

Figiel developed diabetes and struggled to manage it

Since moving to the United States, Figiel has lost 100 pounds

Follow her journey training for a triathlon @TriHardSia

CNN

I was diagnosed with diabetes 12 years ago.

At the time, I was caring for my mother, who was on dialysis and had had her leg amputated. As a family, we knew very little about diabetes – only that once you got it, you deteriorated and died.

Like our father, who suffered a stroke and then died years later of a massive heart attack brought on by complications of diabetes.

Both my parents, in fact, died from complications of diabetes. They were strong pillars of our family and community, taken way too soon by a disease that is the leading cause of death among Pacific Islanders.

Before seeing the doctor, I had been experiencing extreme thirst, especially at night. The tips of my toes felt like bees lived there and were desperate to burst out of my skin. My vision became blurred after each meal.

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It was 2 p.m. and I hadn’t eaten anything when the doctor tested my blood sugar level. It was in the high 200s. Normal is between 110 and 125.

You have diabetes, Ms. Figiel, the doctor said. He prescribed metformin and directed me to a dietitian. She further reiterated what the doctor had told me: how food was related to high blood glucose levels and how consistently high blood glucose levels will eventually lead to amputations, blindness, kidney failure, stroke and other complications.

Fit Nation: Why I gave up soda

I followed the dietician’s plan for the next few months. I took up walking and noticed that my vision had become clearer. But it didn’t take me long to fall back to my old eating habits. A colleague’s birthday celebration, a brother’s graduation party, a friend’s wedding, a cousin’s funeral – these were all occasions where food was at the center. And in our culture, you show appreciation and respect for those who prepared the food by eating it.

I soon found myself hovering around 400 pounds.

After six years of oral medication, I was switched to insulin injections. My blood sugar levels were too high, and I was not managing them well.

Insulin was scary at first. But then I realized it gave me the freedom to eat all my favorite foods! I would just inject 100 units, and my blood sugar would be normal in a matter of minutes. Soon, I was injecting as much as 300 units of insulin a day.

It was at this time that I began experiencing extreme pain in my teeth and gums. One of my front teeth became longer than the rest, and I found that I couldn’t bite into certain foods, such as apples. This front tooth was eventually pulled. The dentist didn’t have to do much; it pretty much fell out on its own.

Injecting large amounts of insulin meant I was prone to low blood sugar. I would wake up in a sweat as energy quickly left my body. My 8-year-old son saved my life continuously during this time; he knew exactly what to do and how to inject insulin. The fact that my life was being saved by a child shamed me.

Eighteen months ago, my sister and I moved our family from American Samoa to Utah. I saw the move as an opportunity for me not only to change my own life but, most important, to give my son his childhood.

Fit Nation: Celebrate small victories

The first thing we did as a family was to enroll at a recreation center. We were all exercising together. The kids had fun in the pool, and I found myself walking again.

I also decided to educate myself about diabetes. I had read about people reversing diabetes by eating a plant-based diet. It was an easy plan to follow because I love fruit and vegetables, and they are in abundance here.

Yet I found that I couldn’t chew much without feeling extreme pain. I bought a Vitamix blender and started throwing all my vegetables and fruits into it. By Christmas, I had dropped 80 pounds.

Then, three days before Christmas, my dentist told me that I had advanced periodontal disease and all my teeth had to be removed. Not effectively controlling my diabetes had proven too much for my gums.

I was actually relieved. I welcomed anything to remove the pain I was experiencing. I decided to ask my friends to film the surgery. The filmmaker kept asking me, “Girl, are you sure about this? Aren’t you afraid people are going to talk about you?”

You can watch the film on YouTube. It’s called “Sia at the Dentist.”

Since then, my son hasn’t had to worry about waking up at 3 or 4 a.m. to revive me. In fact, since I began training for the Nautica Malibu Triathlon three weeks ago, we are all sleeping soundly through the night.

With the demands of training, I realize that my body needs more fuel. While I enjoy green smoothies, I also need protein and carbohydrates. Our choice of animal protein comes from turkey, salmon, chicken, canned tuna and eggs. I buy whole-grain pasta, quinoa and brown rice. We eat only wheat bread and do not eat white flour or sugar.

My boys love saimin, a form of ramen noodles popular on the islands. When I make it now, I add broccoli, peas and green onions and throw out the spice packet, which contains a ton of sodium. They complain and ask, “Then what’s the use of eating saimin?”

That’s when I show them my dentures, and there’s sudden silence.

I still don’t know all the answers to diabetes and obesity. All I know is that we have to look hard at our reasons for change. I’ll be damned if I lose any other body part to this disease.

Did I mention that I ran my first mile this morning nonstop?

How the ‘Sassy Six’ came to be

Diabetes took my teeth but not my life | CNN (2024)

FAQs

Does it take a diabetic longer to heal from a tooth extraction? ›

Delayed socket healing after tooth extraction

In addition, these people have a weakened immune system. Increased insulin levels reduce nitric oxide, which narrows blood vessels directly. Diabetic individuals are seen to have clogged blood vessels and lengthy healing times.

Why do diabetics lose their teeth? ›

If the sugar level is high in your blood, it's high in your saliva too. Bacteria in plaque, a sticky film, use sugar as food. Some of this bacteria can cause tooth decay, cavities, and gum disease. If the tooth is not treated, it can also lead to tooth loss.

Can I remove my teeth if I have diabetes? ›

Diabetics can have teeth extracted is not necessarily a question of many patients as well as the patient's family. Dental disease is one of the complications of diabetes. Therefore, the ability of diabetics to have a tooth extracted is no longer dependent on the blood sugar measured before the extraction.

How can I save my teeth from diabetes? ›

Take care of your teeth at home.

Use toothpaste with fluoride and floss once a day. Check your mouth for red or swollen gums, bleeding gums, loose teeth, a change in how your bite feels, or bad breath. Visit a dentist if you think you have gum disease. Limit food and drinks that are high in sugar.

What should your blood sugar level be to get a tooth pulled? ›

Fasting blood glucose level of 180 mg/dl is a cut-off point for any selective dental extraction. However, Random blood glucose level of 234 mg/dl (13 mmol/l) is a cut-off point for an emergency tooth extraction. Tightly controlled diabetic patients (blood glucose level below 70 mg/dl) are susceptible to hypoglycemia.

Why would a tooth extraction not heal? ›

Local factors dominate and the majority of cases are the result of clot dissolution, secondary infection, foreign bodies, etc.

What is diabetic tongue? ›

Diabetic tongue is another oral health problem that can cause a metallic taste in the mouth. This occurs when a combination of too much sugar in your saliva and a dry mouth triggers oral thrush. Thrush develops when a fungus that occurs naturally starts to grow out of control.

Does metformin affect your teeth? ›

Metformin improves periodontal health by controlling blood sugar levels and increases outcomes of periodontal therapy. More recent studies have indicated that it may have a direct antiresorptive effect on periodontal bone.

What do diabetics get free? ›

If you take diabetes medicine, you're entitled to free prescriptions for all your medicines, including medicines for other conditions. To claim your free prescriptions, you'll need to apply for an exemption certificate. To apply for an exemption certificate: fill in an FP92A form at your GP surgery.

Should diabetics get teeth implants? ›

Yes, in many cases. Despite the potential challenges posed by diabetes, people with type 1 or type 2 diabetes can still receive dental implants so long as they can keep their condition monitored and under control. During the consultation process, we can make suggestions regarding your treatment options for tooth loss.

Does type 2 diabetes ruin your teeth? ›

Did you know diabetes can also cause problems in your mouth? People with diabetes have a higher chance of having periodontal (gum) disease, an infection of the gum and bone that hold the teeth in place. Periodontal disease can lead to pain, persistent bad breath, chewing difficulties, and even tooth loss.

How do dentists handle diabetes patients? ›

In consultation with the patient's physician, the dentist can discuss the indications and contraindications of medications for the treatment of oral complications in patients with systemic complications resulting from diabetes. Using a glucometer may avert emergencies related to diabetes.

Which toothpaste is best for diabetics? ›

SUGAR-FREE TOOTHPASTE: Perfora Dream Toothpaste is formulated specifically for people with Diabetes. This Diabetic-Friendly Toothpaste is completely free of artificial sugar and helps to keep sugar intake in control. This natural toothpaste contains a blend of natural sweeteners like Stevia & Erythritol.

Does diabetes cause bone loss in teeth? ›

But when you have diabetes, your risk is higher. Gum disease is caused by one group of bacteria in plaque that makes toxins that inflame the gums, known as gingivitis. It can cause loss of bone around your teeth and gum recession over time. This can lead to tooth loss, known as periodontitis.

Does diabetes affect your hair? ›

Hair loss can be a symptom of both type 1 and type 2 diabetes and is thought to have a few possible causes, including hormonal imbalances, poor circulation due to hyperglycemia, or an autoimmune disorder. Hair loss can often be reversed with medications and by getting blood sugar levels under control.

How much longer does a diabetic take to heal? ›

If it's infected, you should make an appointment with your primary care doctor as soon as possible. Diabetic foot ulcers can take a long time to heal – about three months – and you'll need to check in frequently with a doctor to make sure that the healing process stays on track.

What slows down healing after tooth extraction? ›

Avoid Drinking From Straws or Smoking

Using a straw or smoking a cigarette or vape can cause negative pressure in your mouth. This pressure can dislodge the blood clot that forms to protect your tooth's socket during healing. A “dry socket” that results can be a cause for concern and can delay healing.

How does diabetes affect wound healing after surgery? ›

Diabetes results in several pathological changes that impair almost all of these healing processes. Diabetic wounds are often characterized by excessive inflammation and reduced angiogenesis. Due to these changes, diabetic patients are at a higher risk for postoperative wound healing complications.

How does diabetes affect oral surgery? ›

Poor healing of oral tissues: People with unmanaged diabetes do not heal quickly after oral surgery or other dental procedures because blood flow to the treatment site can be damaged.

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