They recommend that diabetic people control their bones, once the disease is diagnosed.
Numerous studies have found a close link between diabetes and bone damage.Type I diabetes and more recently type II diabetes are associated with a higher risk of fractures.
Several investigations carried out in recent years have shown that the use of certain antidiabetic treatments, the presence of other complications associated with the disease and the effect of the metabolic disorder itself can influence the risk of bone fractures.A significant increase in hip fracture has been proven, in patients with type1 diabetes.Being, according to a recent analysis, 7 times more likely hip fracture in these patients who do not suffer diabetes, while in patients with type 2 diabetes, the risk of fracturing the hip is almost 2 times greater thanwho do not have diabetes.On the other hand, renal damage and cardiovascular problems associated with diabetes can also affect bone quality, hindering vitamin D availability and proper blood flow.
“The risk of fractures should be another of the multiple complications that we must prevent in patients with diabetes.A proper consumption of calcium and vitamin D must be ensured and taking into account everything that may increase the risk of falls in these patients, ”says Dr. Belén Zanchetta, specialist in Endocrinology and Osteology at IDIM (Institute of Diagnosis and Metabolic Research).
prevention of falls in people with diabetes
Perform specific physical activity.Regular exercise can help prevent bone loss and, improving balance and flexibility, can reduce the risk of falls and bone fractures.It is very important for people with diabetes, as it helps insulin to lower blood glucose levels.
Avoid falls taking care of home details as carpets and cables
Adequate supplementation with vitamin D, seeking to reach levels of around 30 ng/ml.Adequate calcium intake (1000mg/day) A diet rich in calcium and vitamin D is important to have healthy bones.Some good calcium sources include low fat products, green leafy vegetables, and calcium drinks and foods.
Healthy lifestyle: smoking is bad for bones as well as for the heart and lungs.In addition, smokers can absorb less calcium from their diets.Alcohol can also negatively affect bone health.Large drinkers are more prone to bone loss and fractures due to poor diet, as well as an increase in the risk of falls.Avoiding tobacco and alcohol can also help with the management of diabetes.
A bone densitometry is performed: These tests can detect osteoporosis before a fracture occurs and predict the possibilities that the person has to fracture a bone in the future.People who have diabetes should talk to their doctors to see if they are candidates to perform bone densitometry.
For endocrinologists: identify patients at risk because treatments seem to have the same good efficacy in preventing fractures.
who are more risk of fracturing?
- Over 65 years
- Lower bone mineral density by DXA
- History of previous fractures
- Loss of more than 5 cm high
- Family history of fractures
- Frequent falls
- Use of corticosteroids
About the Institute of Diagnosis and Metabolic Research
With more than 30 years of experience, the Institute of Diagnosis and Metabolic Research (IDIM) is an institution specialized inEndocrinology, committed to the health of their patients.
Under the motto "We are our patients", provides health services of excellence, focused on the general area of endocrinology and the pathologies that the specialty covers such as thyroid disorders, osteoporosis, diabetes, among others.
Since its inception (in 1980, under the direction of Professor Dr. José Rubén Zanchetta), he is confident that excellence is only guaranteed by constant training, teaching and scientific research;that all aspects of the health service should be oriented to the situation of each patient.
At the forefront of the specialty, he incorporated the first densitometer into the country and has the only high-resolution peripheral computed tomograph (X-Treme CT) in Argentina, being also one of the institutions with more professional osteologists certified.His laboratory, a pioneer in the use of biochemical markers, has conducted more than 25,000 metabolic studies.
In constant interest in providing better service and medical quality for the comprehensive treatment of the patient, the IDIM has diagnostic support areas, such as laboratory, ultrasound, radiology, mammography, computed tomography and magnetic resonance.
On the other hand, IDIM carries out the Chair of Osteology and Mineral Metabolism, together with the University of the Salvador, thus being the first and only mastery of the specialty in the country.
www.idim.com.ar