hello, Thank you for this query send directly to me. One thing you have not mentioned that whether it is the regular fasting sugar level for her after taking insulin.If not then you have to consult your physician to reduce it little more, at least below 150. But if she is having almost same level for long time then she can safely extract her tooth provided she has to follow the following measures. 1. Appointment should be in the morning, not after whole days strain 2. she will take her normal dose of Insulin in the morning 3. Then she will take her normal breakfast and the extraction should be done roughly one hour after breakfast. I am almost sure she will not face any problem with normal tooth extraction. But if it is a surgical procedure you must consult early with your oral surgeon. An optimum post extraction antibiotic cover is a must. If she is suffering with hypertension and allied cardiac problem, a consultation with her physician should be done. Hope i have answered your query. Any further clarification is always welcome. I will be available again after 9 PM IST. Thank you.

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