Back to Search
Start Over
Type 1 Diabetes and Bone Fragility: Links and Risks
- Source :
- Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy. 12:2539-2547
- Publication Year :
- 2019
- Publisher :
- Informa UK Limited, 2019.
-
Abstract
- Type 1 diabetes (T1D) is associated with an increased fracture risk, which is present at young and old age. Reductions in bone mineral density do not explain the increased fracture risk. Novel scanning modalities suggest that structural deficits may contribute to the increased fracture risk. Furthermore, T1D may due to insulinopenia be a state of low bone turnover. However, diabetes complications and comorbidities may influence fracture risk. Patients with T1D are fearful of falls. The diabetes related complications, hypoglycemic events, and antihypertensive treatment may all lead to falls. Thus, the increased fracture risk in T1D seems to be multifactorial, and earlier intervention with antiosteoporotic medication and focus on fall prevention is needed. This systematic review addresses the epidemiology of fractures and osteoporosis in patients with T1D and the factors that influence fracture risk.
- Subjects :
- Pharmacology
Bone mineral
Pediatrics
medicine.medical_specialty
Type 1 diabetes
Modalities
endocrine system diseases
business.industry
Osteoporosis
nutritional and metabolic diseases
030209 endocrinology & metabolism
030204 cardiovascular system & hematology
medicine.disease
Bone remodeling
03 medical and health sciences
0302 clinical medicine
Diabetes mellitus
Epidemiology
Internal Medicine
medicine
business
Fall prevention
Subjects
Details
- ISSN :
- 11787007
- Volume :
- 12
- Database :
- OpenAIRE
- Journal :
- Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy
- Accession number :
- edsair.doi...........abc792382fc3e3304d1c5c93b26e5331