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Optimizing the Continuum of Care in Patients with Metastatic Colorectal Cancer
Fibrosis markers improve
Target fasting glucose levels The ADA suggests a target fasting glucose level of 80 130 mg/dL for many (non-pregnant) adults with diabetes (ADA 2021a)
Stimulate Saliva Production Several techniques can help increase saliva flow: Sugar-Free Gum: Chewing gum containing xylitol stimulates saliva production while the xylitol helps prevent cavity formation Sugar-Free Lozenges: These provide similar benefits to gum if you prefer not to chew Saliva Substitutes: Over-the-counter products like Biotene can provide temporary relief from dry mouth Prescription Options: For severe dry mouth, your dentist might prescribe medications like pilocarpine that increase saliva production Maintain Impeccable Oral Hygiene When taking GLP-1 medications, your oral hygiene routine becomes even more critical: Brush Twice Daily: Use a soft-bristled toothbrush and fluoride toothpaste, brushing for a full two minutes each time Floss Daily: Remove plaque and food particles from between teeth where your toothbrush cant reach Use Fluoride Products: Consider using fluoride mouthwash or applying prescription-strength fluoride treatments to strengthen enamel Dont Brush After Vomiting: Wait 30 minutes and rinse with baking soda solution first Replace Your Toothbrush: Change toothbrushes every three months or sooner if bristles fray Focus on Nutrition Even with reduced appetite, prioritize nutrient-dense foods that support oral health: Dairy Products: Excellent sources of calcium and vitamin D (cheese, yogurt, milk) Leafy Greens: Provide calcium, vitamins, and minerals (kale, spinach, collards) Lean Proteins: Support tissue repair and healing (fish, chicken, eggs) Nuts and Seeds: Deliver healthy fats, calcium, and phosphorus Crunchy Vegetables: Stimulate saliva production while providing nutrients (carrots, celery) If eating enough nutrient-dense foods proves difficult, discuss supplementation with your healthcare provider
