Men with Diabetes Type 1 Are At Risk for Osteoporosis

Men with type 1 diabetes are at an increased risk of developing osteoporosis, an Australian study reveals. This might indicate the need for these patients to take osteoporosis meds like Fosamax, unlike those diagnosed with osteopenia.


This five-year study showed that, among men with type 1 diabetes, a drop in bone density was observed similar to women with type 2 diabetes. This study was performed as a follow-up to past epidemiological studies that focused on researching a link to why men with type 1 diabetes have an increased rate of fractures.


Type 1 diabetes patients have a 6.3 to 6.9 percent risk of bone fracture, while type 2 diabetes patients 1.4 to1.7 percent risk. Those with type 1 diabetes have an almost 7 percent higher risk of developing fractures.


In this study that was published in Acta Diabetology, it was shown that from 17 men and nine women with type 1 diabetes, and 16 men and 11 women who are type 2 patients, gender might play a role in how this phenomenon is explained.


The researchers studied bone mineral density and bone turnover from 2000 to 2001 at the start of the study then five more years later. The men in the study with type 1 were shown to have lost bone mass much more quickly than women with the same diagnosis in the same age group whose bone turnover rates remained similar to other diabetes-free premenopausal women. The exact mechanism and factors behind this deleterious effect on men’s skeletal bone health is as yet unclear.


By contrast, type 1 women only reflected accelerated bone loss once they were post-menopause and type 2 diabetics have greater bone density with insulin acting as an anabolic bone building compound. And while this is true type 2 diabetics are still more prone to bone fractures than the normal population.


Dr. Emma Hamilton, the lead study author, proposes larger studies be conducted to fully establish the factors and relationship between diabetes type 1, men and osteoporotic fractures. While other studies haven’t shown any difference in results based on gender, the study models used were different.


In the mean time the researchers recommend that type 1 diabetic men should incorporate weight bearing exercises and increased calcium and vitamin D intake to delay rapid bone turnover brought about by their condition.


For more articles on osteoporosis and updates on the Fosamax lawsuit there are online resources available for use.


URL Reference:

abc.net.au/science/articles/2012/09/18/3584585.htm

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