For a poorly controlled diabetic patient with caries and gum issues, what should be the next step?

In the context of a poorly controlled diabetic patient experiencing caries and gum issues, referring the patient to a physician for a consult is a crucial step. Diabetes can significantly impact oral health, leading to increased susceptibility to infections and slower healing processes, particularly in periodontal issues. A physician can evaluate and manage the patient's diabetes more effectively, ensuring that their blood sugar levels are controlled before any dental procedures are performed. This helps mitigate the risk of complications that could arise from dental treatments in a patient with uncontrolled diabetes.

Managing the underlying health issues through proper medical care can also improve the patient's overall oral health outcomes. Once the patient's diabetes is stabilized, dental interventions like restoration or periodontal cleaning can be safely performed. Therefore, involving a physician for a comprehensive assessment is a vital part of the treatment plan in such cases.