What is it about?

This review explores how diabetes affects bone health, leading to increased fracture risk in both type 1 and type 2 diabetes. It discusses the mechanisms behind bone fragility in diabetes and highlights the importance of monitoring fracture risk and addressing bone health in diabetic patients.

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Why is it important?

While the impact of diabetes on various organs is well-known, its effects on bone health are often overlooked. Understanding the connection between diabetes and bone fragility is crucial for improving the overall health and quality of life of diabetic individuals. By identifying the mechanisms involved and implementing appropriate treatments, healthcare providers can help reduce fracture risk and improve outcomes for diabetic patients. Key Takeaways: 1. Both type 1 and type 2 diabetes increase the risk of fractures, but through different mechanisms: reduced bone mineral density (BMD) in type 1 diabetes and altered bone microarchitecture in type 2 diabetes. 2. Chronic high blood sugar levels in diabetes lead to non-enzymatic glycation of collagen, further weakening bones and increasing fracture risk. 3. It's important to consider fracture risk when selecting diabetes medications, as some may have varying effects on bone health. 4. Routine assessment and management of bone health should be integrated into diabetes care to mitigate fracture risk and improve overall well-being. 5. Future research should focus on understanding how osteoporosis therapies affect patients with type 2 diabetes and evaluating the long-term impact of fracture prevention on mortality and quality of life in diabetic individuals.

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This page is a summary of: Diabetes and Bone Fragility, Diabetes Therapy, November 2020, Springer Science + Business Media,
DOI: 10.1007/s13300-020-00964-1.
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