Osteoporosis in diabet patient
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Date
2018-04-13
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faculty of Basic Medical Science - Libyan International Medical University
Abstract
Osteoporosis is a bone condition defined by low bone mass, increased fragility,
decreased bone quality, and an increased fracture risk , Type 1 diabetes has long been
associated with low bone density , Type 2 diabetes was previously believed to provide bone
protection because of its associated normal to increased BMD
Description
Duration of diabetes seems to play a key role given the lower BMD found
among patients who have had diabetes for >5 years. In the Iowa Women’s Health Study,
women with type 1 diabetes were 12.25 times more likely to report having had a fracture
compared to women without diabetes ,
type 2 When considering all of the risk factors, patie nts with diabetes generally have an
increased risk of falling because of peripheral neuropathy, possible hypoglycemia, nocturia,
and visual impairment. Because many type 2 diabetic patients are obese and sedentary,
coordination and balance factors that are protective in falls may be absent. Thus, patients with
generally larger body size and relatively high bone mass may have higher fracture rates.
Conversely, patient groups with low BMD, such as Asians, may have lower fracture rates
when one considers all factors in a risk assessment
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Except where otherwised noted, this item's license is described as Attribution 3.0 United States