Diabetes is a disease in which the body does not produce or properly use insulin. Insulin is a hormone that is needed to convert sugar, starches and other food into energy needed for daily life. Of the 20.8 million children and adults in the United States who have diabetes, nearly one-third are unaware that they have the disease.1 Recent research has suggested that periodontitis is often associated with diabetes and might be considered one of the chronic complications of the disease. A recent study consisting of over 200 subjects examined the relationship between diabetes and periodontitis. The results of the study indicate that subjects with diabetes had a greater level of periodontitis than subjects who did not have the disease.2