Diabetes and Osteoporosis
Abstract
As part of our care of patients with diabetes, we monitor target organs for damage. We routinely screen for microvascular and macrovascular complications. In my opinion, the awareness of bones as a target organ of diabetes will improve the care that we provide to patients. Patients with both Type 1 (T1DM) and Type 2 (T2DM) are at increased risk of fractures. This will become a larger issue in the future as the prevalence of diabetes is rising and individuals with diabetes are living longer. In addition to skeletal factors, diabetes and its complications can increase fractures by increasing the patient’s propensity to fall. This can be due to neuropathy, visual impairment and hypoglycemia. However, there are some differences between the characteristics of bone disease between patients with T1DM and T2DM.
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