Dr. McGlennen: Many resources confirm a bi-directional relationship between periodontal disease and Type II diabetes; which in simple terms means if you have one, you will most likely have the other. Elevated levels of periodontal bacteria can directly cause hyperglycemia.1 Long term, the inflammation associated with increased pathogen burden can affect the health of the pancreas. Specifically, there is the risk of the loss of beta cells that produce insulin and respond to elevated blood glu...