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

on behalf of the Bone and Diabetes Working Group of IOF

研究成果: ジャーナルへの寄稿総説査読

254 被引用数 (Scopus)

抄録

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.

本文言語英語
ページ(範囲)2585-2596
ページ数12
ジャーナルOsteoporosis International
29
12
DOI
出版ステータス出版済み - 01-12-2018

All Science Journal Classification (ASJC) codes

  • 内分泌学、糖尿病および代謝内科学

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