Osteoporosis and diabetes mellitus

Authors: Peter Jackuliak;  Juraj Payer
Authors‘ workplace: V. interná klinika LF UK a UN Bratislava, prednosta prof. MUDr. Juraj Payer, PhD., FRCP
Published in: Forum Diab 2014; 3(3): 129-134
Category: Topic


Osteoporosis is now recognized, along with cardiovascular and oncologic diseases for civilization disease. It is a globally significant growing health problem due to the high incidence of fractures contributes significantly to morbidity, mortality and increased healthcare costs. Its growth is exponential and is related, as with other lifestyle-related diseases, with increases in life expectancy of the population and lifestyle changes. There is a wealth of data confirming the high incidence of osteoporosis in patients with diabetes mellitus type 1 and also type 2. While in type 1 diabetes the major reason is low bone mass, patients with type 2 diabetes are at an increased risk despite increased bone mineral density (BMD) and this is caused by inferior quality of bone. The main problem in daily practice is how to evaluate the bone quality. We present the ability of Trabecular Bone score to assess the bone quality in T2DM. Although the relationship “osteoporosis – diabetes mellitus” are already subject to certain clearly defined will require even more monitoring, more-year prospective study to a large number of patients to clarify many still have unanswered questions. Nevertheless, from a clinical perspective while complex care for diabetic patients should be remembered that there is also a high risk of osteoporosis.

Key words:
bone quality – diabetes mellitus fractures – osteoporosis


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