Because type 2 diabetes weakens the bone in often undetectable ways, both directly and indirectly via treatment side effects, experts here urged increased awareness.Kudos, fatsos.
Fracture has gained attention as a complication of the thiazolidinediones, but bone complications remain under-recognized in diabetes overall, Per-Henrik Groop, MD, DMSc, of the University of Helsinki, told reporters at a press conference at the European Association for the Study of Diabetes meeting.
One big part of the problem is the "invisible" damage, explained Peter Vestergaard, MD, PhD, of Aarhus University Hospital in Aarhus, Denmark.
"Before you are able to do something about a problem you need to be aware that it's there," he told reporters.
Typically, osteoporosis can be monitored through progressively declining bone mineral density. But Vestergaard's research has revealed greater structural frailty of bone in diabetes than expected for a given level of bone mineralization.
"When you measure in diabetics, their bone may look like normal bone at least under the scanners we use nowadays," he said at the press conference. "However, it fractures."
The biomechanical problems with bones in diabetes patients aren't fully understood yet, but the collagen that give bone its flexibility appears to be implicated, Vestergaard noted.
Another disease of choice.
And you expect us to pay for that, too.
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