Diagnosis and management of bone fragility in diabetes : an emerging challenge
(2018) In Osteoporosis International 29(12). p.2585-2596- 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... (More)
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.
(Less)
- author
- author collaboration
- organization
- publishing date
- 2018-12
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- Diabetes, Diabetes-related bone disease, Fracture, Osteoporosis
- in
- Osteoporosis International
- volume
- 29
- issue
- 12
- pages
- 2585 - 2596
- publisher
- Springer
- external identifiers
-
- scopus:85051441673
- pmid:30066131
- ISSN
- 0937-941X
- DOI
- 10.1007/s00198-018-4650-2
- language
- English
- LU publication?
- yes
- id
- b4070e3f-8e0c-4f5a-989d-12b1b9f3081d
- date added to LUP
- 2018-09-13 12:10:47
- date last changed
- 2024-04-15 12:34:27
@article{b4070e3f-8e0c-4f5a-989d-12b1b9f3081d,
abstract = {{<p>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.</p>}},
author = {{Ferrari, S. L. and Abrahamsen, B. and Napoli, N. and Akesson, K. and Chandran, M. and Eastell, R. and El-Hajj Fuleihan, G. and Josse, R. and Kendler, D. L. and Kraenzlin, M. and Suzuki, A. and Pierroz, D. D. and Schwartz, A. V. and Leslie, W. D.}},
issn = {{0937-941X}},
keywords = {{Diabetes; Diabetes-related bone disease; Fracture; Osteoporosis}},
language = {{eng}},
number = {{12}},
pages = {{2585--2596}},
publisher = {{Springer}},
series = {{Osteoporosis International}},
title = {{Diagnosis and management of bone fragility in diabetes : an emerging challenge}},
url = {{http://dx.doi.org/10.1007/s00198-018-4650-2}},
doi = {{10.1007/s00198-018-4650-2}},
volume = {{29}},
year = {{2018}},
}