Diagnosis and management of bone fragility in diabetes: an emerging challenge

on behalf of the Bone and Diabetes Working Group of IOF

Research output: Contribution to journalReview articlepeer-review

53 Citations (Scopus)

Abstract

Fragility fractures are increasingly recognized as a complication of both type 1 and type 2 diabetes, with fracture risk that increases with disease duration and poor glycemic control. Yet the identification and management of fracture risk in these patients remains challenging. This review explores the clinical characteristics of bone fragility in adults with diabetes and highlights recent studies that have evaluated bone mineral density (BMD), bone microstructure and material properties, biochemical markers, and fracture prediction algorithms (i.e., FRAX) in these patients. It further reviews the impact of diabetes drugs on bone as well as the efficacy of osteoporosis treatments in this population. We finally propose an algorithm for the identification and management of diabetic patients at increased fracture risk.

Original languageEnglish
Pages (from-to)2585-2596
Number of pages12
JournalOsteoporosis International
Volume29
Issue number12
DOIs
Publication statusPublished - 01-12-2018

All Science Journal Classification (ASJC) codes

  • Endocrinology, Diabetes and Metabolism

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