Medscape (9/2, Barclay) reported that “persistent decreases in bone mineral density (BMD) may affect the risk for future postmenopausal osteoporotic fractures in adulthood” in young women with type 1 diabetes, according to research published in the September issue of the journal Diabetes Care. For the study, “at baseline and two years later, 63 women with type 1 diabetes and 85 age-matched, community control subjects underwent BMD measurement by dual-energy x-ray absorptiometry.” The “investigators also evaluated hemoglobin A1c, insulin growth factor-1, insulin growth factor–binding protein-3, serum osteocalcin, and urine N-telopeptide.” The authors found that, “compared with control subjects, women 20 years or older with type 1 diabetes continued to have lower total hip, femoral neck, and whole-body BMD at year two.” Based on their study results, the researchers concluded that even though “bone density testing is not routinely performed in young women…screening may be important in young women with type 1 diabetes.” In addition, they suggested that “these women should be counseled regarding lifestyle interventions that may improve bone health, including adequate intake of calcium and vitamin D, and exercise.”
Thanks for posting this, Sohair. Bone density is something I’d never actually think of as being in any way connected with diabetes!
I had a bone density done after i had 5 stress fractures in my ankles from running. I found out i have osteopenia at age 29. I exercise and take calcium with d for several years and was very surprised at my diagnosis. I have bone loss in my spine and neck.
I screen all my patients( children& adolescents) for ricketes & osteomalacia,and I check prathroid hormone.Many I start them on vit D3,being covered& diabetic propmt me to protect their bone.Dietary advice for rich calcium food is mandatory
My grandmother is diabetic and has issues with bone density. Since many asian women have such small frames, we have issues with osteoporosis. Doing weight bearing exercises and taking exoprin are some things that can help increase bone density. Here also a study that shows drinking green tea can increase bone density.
My mom and gran both have osteoporosis, so I started taking a calcium and magnesium supplement just in case. It’s good to know that I should still be vigilant though.
Soft drinks have high phosphate which stimulate prathroid hormone leading to negative effect on bone density
This post must come forward
This is also the case with MEN as I have found out …at 42 mt T-score is -3.3 in the spine and neck.
.All with diabetes should monitor their calcium,vit-D, selenium,boron, zinc,copper,from food sources and then discuss supplementation with their doctor.
J Osteoporos. 2011;2011:651867. Epub 2011 Jun 15.
Osteoporosis in men with diabetes mellitus.
Issa C, Zantout MS, Azar ST.
Source
Department of Internal Medicine, Division of Endocrinology, American University of Beirut-Medical Center, P.O Box 11-0236, Riad El Solh, Beirut 1107 2020, Lebanon.
Abstract
Osteoporosis is more common in women than in men. The prevalence in men is not defined yet; however it is becoming much more recognized as its prevalence and impact have become explicable. It is estimated that around 1% of bone mineral density is lost in men every year. Studies show that secondary osteoporosis is the major cause thus, making it important to define the disorders associated with male osteoporosis. Diabetes is a risk factor for bone fractures. In male patients with diabetes measures should be undertaken such as encouraging exercise, assuring adequate calcium and vitamin D intake, and treating diabetic complications.
PMID: 21772974 [PubMed - in process] Free PMC Article
I read somewhere that Type 2’s have greater bone mineral density, but are still at greater risk for fractures than the general population. But measures to improve bone health really should apply to everyone, especially since we are living longer these days! 