UAE experts warn of diabetes risks to oral health



DUBAI // Diabetics have been warned about the risk their disease carries to their oral health, with sufferers twice as likely to suffer from gum disease and tooth decay.

“Diabetes is a disease that can cause problems with your eyes, heart, kidneys and even your mouth,” said Dr Mohammad Mansoor, head of the paediatric dentistry department at Dubai Health Authority.

“High blood glucose levels can lower a person’s resistance to infection and can slow the healing process, making gum disease inevitable and more difficult to treat. When diabetes is not controlled properly, it can affect the body’s main defence against bacterial infections that can occur in the mouth.”

People with diabetes are at special risk for periodontal (gum) disease, an infection of the gum and bone that hold the teeth in place, he said.

It can lead to painful chewing difficulties and even tooth loss.

“Gum disease begins with gingivitis, where plaque begins to form around your gum line. If ignored, gingivitis could progress to the more severe stage called periodontitis.

“During this stage, pockets develop between your teeth and gums, and can become filled with germs and pus. The infection could potentially destroy the bone around your teeth, which may then result in your teeth falling out or needing to be pulled.”

Regular brushing, flossing and visiting a dentist every three to six months will provide protection against gum disease.

Dry mouth, often a symptom of undetected diabetes, is another risk factor.

It can cause soreness, ulcers, infections, and tooth decay because there is less saliva to wash away germs, said Dr Mansoor.

This can be combated by drinking plenty of water and chewing sugar-free gum to stimulate saliva production.

jbell@thenational.ae

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Round 5: February 25-27, Jeddah Corniche Circuit – Saudi Arabia

Mercer, the investment consulting arm of US services company Marsh & McLennan, expects its wealth division to at least double its assets under management (AUM) in the Middle East as wealth in the region continues to grow despite economic headwinds, a company official said.

Mercer Wealth, which globally has $160 billion in AUM, plans to boost its AUM in the region to $2-$3bn in the next 2-3 years from the present $1bn, said Yasir AbuShaban, a Dubai-based principal with Mercer Wealth.

Within the next two to three years, we are looking at reaching $2 to $3 billion as a conservative estimate and we do see an opportunity to do so,” said Mr AbuShaban.

Mercer does not directly make investments, but allocates clients’ money they have discretion to, to professional asset managers. They also provide advice to clients.

“We have buying power. We can negotiate on their (client’s) behalf with asset managers to provide them lower fees than they otherwise would have to get on their own,” he added.

Mercer Wealth’s clients include sovereign wealth funds, family offices, and insurance companies among others.

From its office in Dubai, Mercer also looks after Africa, India and Turkey, where they also see opportunity for growth.

Wealth creation in Middle East and Africa (MEA) grew 8.5 per cent to $8.1 trillion last year from $7.5tn in 2015, higher than last year’s global average of 6 per cent and the second-highest growth in a region after Asia-Pacific which grew 9.9 per cent, according to consultancy Boston Consulting Group (BCG). In the region, where wealth grew just 1.9 per cent in 2015 compared with 2014, a pickup in oil prices has helped in wealth generation.

BCG is forecasting MEA wealth will rise to $12tn by 2021, growing at an annual average of 8 per cent.

Drivers of wealth generation in the region will be split evenly between new wealth creation and growth of performance of existing assets, according to BCG.

Another general trend in the region is clients’ looking for a comprehensive approach to investing, according to Mr AbuShaban.

“Institutional investors or some of the families are seeing a slowdown in the available capital they have to invest and in that sense they are looking at optimizing the way they manage their portfolios and making sure they are not investing haphazardly and different parts of their investment are working together,” said Mr AbuShaban.

Some clients also have a higher appetite for risk, given the low interest-rate environment that does not provide enough yield for some institutional investors. These clients are keen to invest in illiquid assets, such as private equity and infrastructure.

“What we have seen is a desire for higher returns in what has been a low-return environment specifically in various fixed income or bonds,” he said.

“In this environment, we have seen a de facto increase in the risk that clients are taking in things like illiquid investments, private equity investments, infrastructure and private debt, those kind of investments were higher illiquidity results in incrementally higher returns.”

The Abu Dhabi Investment Authority, one of the largest sovereign wealth funds, said in its 2016 report that has gradually increased its exposure in direct private equity and private credit transactions, mainly in Asian markets and especially in China and India. The authority’s private equity department focused on structured equities owing to “their defensive characteristics.”

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