Toronto, ON, Canada Diabetes mellitus is a metabolic disorder characterized by altered glucose tolerance and impairedlipid and carbohydrate metabolism, and is associated with a number of complications directly resulting from hyperglycemiainducedinflammation. Vascular changes in diabetes lead to increased risk of myocardial infarction and stroke due to atherosclerosis,retinopathy, end-stage renal disease, debilitating neuropathies, poor wound healing, enhanced risk of infection, andperiodontal disease.