Abstract
Abstract: Background: Diabetes mellitus (DM) caused by insulin secretion impairments. Hyperglycemia could be detected by evaluating the HbA1c level. Angular cheilitis (AC) is a clinical disorder, defined as an eroding and erythematous non - vesicular lesion radiating from the angle of the mouth. Between 0.7% and 3.8% of people worldwide with AC. It may occur at any age and affects both males and females equally. Aim of the work: The purpose of this study is to evaluate the prevalence of Angular Cheilitis among Libyan diabetic patients and to investigate its association with systemic diseases, comparing findings between glycemic controlled and uncontrolled patients. Materials and Methods: The present a cross sectional study was conducted on 426 Libyan diabetes patients (DPs). Demographic and medical data was gathered. Medical history, past dental history, age, gender, and HbA1c level for DPs. To examine the association of independent variable (s) with one dichotomous dependent variable, Logistic regression analysis was employed using SPSS 26 (IBM, USA) to describe data and explain the relationship between AC vs independent nominal, ordinal, and scale variables (age, gender, HbA1c, glycemic controlled and glycemic uncontrolled DPs. Result: DPS with AC 20% were glycemic controlled DPs (GCDPs) and 80% were glycemic uncontrolled DPs (GUDPs). (54.1%) were females and (45.8%) were males.60 - 69 years age group was the most frequent affected DPs. Conclusion: A low prevalent rate of Ac in Libyan DPS. There is a significant association between AC and GUDPs. AC was more predominant in females. Keywords: Angular cheilitis, Type 2 diabetes, Glycemic control, Systemic diseases, Prevalence