An insight into osteoporosis with relevance to diabetes needs extensive research and study. Although much is still required to be discovered on this subject, the present information can provide some level of clarity upon the association between diabetes and osteoporosis, both being life-affecting bodily conditions for a person.
Diabetes can bring in many complications deteriorating quality of life but many of them can largely be prevented through routine examinations and preventive measures.
Complications Osteoporosis In Diabetes
Diabetes And Osteoporosis
Osteoporosis, which is a condition where the bone has low mass, reduced quality and increased fragility, is a significant health problem. Osteoporosis poses an increased fracture risk and is the most rampant metabolic bone disease in America. It can affect both men and women but is widely found in White women. Traditionally speaking, osteoporosis is not believed to be a complication of diabetes but people having type 1 or type 2 diabetes are among those at high risk for this disease.
Diabetes, Osteoporosis And Thinner Bone
The relationship between type 1 diabetes and osteoporosis may need more intensive studies although present knowledge on the subject points to reduction in bone density of people having diabetes. In a survey, it was found out that there was a considerable increase in the rates of hip fracture among females (type 1 diabetes) compared to those who did not have diabetes. Low bone mass is likely to be a complication in type 1 diabetes.
It is thought that having diabetes for extended time period may also have a significant role in lowering bone density. It may be that cytokines, which are produced by certain cells in the body, have a contribution in the development of type 1 diabetes and osteoporosis. Although the mechanism of bone loss still remains unknown, many theories have emerged based on animal (and cellular) models.
It is thought that insulin-like growth factors may affect diabetic bone metabolism. In diabetes, increased fracture is also related to retinopathy, neuropathy and advanced cataracts. Unfortunately, the disease often begins at a young age when bone mass is still in the process of building up. Since the body is yet to build bone completely, a person with type 1 diabetes (developed during childhood) may not be lucky enough to reach the peak bone density.
Diabetes, Osteoporosis And Fracture
People with type 2 diabetes generally reveal an increased risk of falling owing to factors including neuropathy, hypoglycemia, and visual impairment. In general, people with type 2 diabetes are obese and lack appropriate coordination and balance which are crucial in preventing falls.
The general larger body size accompanied by (relative) high bone mass may cause higher fracture rates among people with type 2 diabetes. People with low bone density may experience lesser fracture rates when all factors are considered for assessing risk.
High Blood Sugar And Bone Quality
Poorly controlled diabetes can lead to greater bone loss. Micro vascular events, which are common in diabetes, also affect bone quality. A study revealed that women with type 2 diabetes have higher fracture rates as compared to those not having diabetes. Experts suggest that high blood sugar may adversely affect bone formation. This association seems similar to the working of steroids. Osteoporosis is a preventable condition and rapid fluctuations in blood sugar levels are likely to bring many more complications besides affecting bone quality.
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