People with Diabetes are at Higher Risk of Bone Fractures

Diabetes patients are associated with an increase in both hip and non-vertebral fracture risk, reports a new study. The findings of the study are published in the journal Bone.

The research, conducted in collaboration with scientists from Sutter Health, concluded that people with type 1 and type 2 diabetes have an increased risk of suffering hip and non-vertebral fractures (those not occurring in the spine or skull).

‘Diabetes patients and the doctors who care for them should be aware of the increased risk of fractures as it is a major cause of high disability. ’

The findings revealed during Diabetes Awareness Week (8-14 June 2020), show people with type 1 diabetes are at greater risk than people with type 2 diabetes. However, insulin use and length of time someone has lived with the condition further increased the risk for people with type 2 diabetes.

Diabetes has a number of widely-known complications. However, this study highlights the impact of the condition on bone health - specifically fractures.

Lead researcher Dr. Tatiane Vilaca, from the University of Sheffield's Mellanby Centre for Bone Research, said: "Diabetes can cause a number of well-known complications including kidney problems, loss of eyesight, problems with your feet and nerve damage. However, until now many people with diabetes and their doctors are unaware that they are also at greater risk of bone fractures.

"We need to raise awareness about the greater risk people with diabetes face to help them to prevent fractures. For example, preventing falls can reduce their risk of fracture.

"Fractures can be very serious, especially in older people. Hip fractures are the most severe as they cause such a high disability. Around 76,000 people in the U.K. suffer a hip fracture every year, and it is thought of as many as 20 percent of people will die within a year of the fracture. Many others don't fully regain mobility, and for many people, it can cause a loss of independence."

One in 15 people in the U.K. has diabetes - a serious condition where your blood glucose level is too high. There are two main types, type 1 - when your body can't make insulin at all and type 2 - when the insulin your body makes either can't work effectively, or you can't produce enough of it.

Professor Richard Eastell, Professor of Bone Metabolism and Director of the University of Sheffield's Mellanby Centre for Bone Research, said: "This important research highlights the urgent need for doctors to evaluate the risk of fracture for patients with diabetes and also to look at potential treatments which may help to reduce that risk.

"We hope that by raising awareness about the greater risk people with diabetes face, bone density and bone strength will become something that doctors assess routinely in patients with the condition in the same way they do currently for other well-known complications."

The research published online in Bone was conducted in collaboration with researchers from the University of Sheffield's School of Health and Related Research (ScHARR) and the University of California.

Steven Cummings, M.D., from Sutter Health, California, said: "Patients with diabetes and the doctors who care for them should be aware of the increased risk of fractures. Patients are encouraged to ask their doctors what to do about that risk, and doctors should assess the risk and consider treatment to reduce that risk."

Source: Eurekalert