Like other complications of diabetes, gum disease is linked to blood sugar control. People with poor blood sugar control show both higher incidences of gum disease, and more severe incidences. Additionally, chronic high blood sugar leads to more teeth loss. In fact, people whose diabetes is well controlled have no more periodontal disease than persons without diabetes. Children with Type1 diabetes are also at a higher risk for gum disease. Good blood sugar control is the best protection against periodontal disease.