Osteoporosis: An Under-appreciated Complication of Diabetes
Care of patients with diabetes should include an assessment of bone health. It is now clear that patients with type 1 diabetes have lower bone mineral density (BMD) and higher risk of fractures. Evidence is accumulating that patients with type 2 diabetes who have complications are also at increased risk of certain types of osteoporotic fractures despite having a higher BMD when compared to patients with type 1 diabetes. Therapeutic interventions are key to preventing fractures, both by improving bone density and decreasing the risk for falls.
Sue A. Brown, MD, and Julie L. Sharpless, MD, are assistant professors of medicine in the Division of Endocrinology at the University of North Carolina, Chapel Hill.
- American Diabetes Association