Diabetes and bone health

Abstract

Diabetes and osteoporosis represent two major public health challenges. Osteoporosis is characterised by decreased bone mineral density and micro-architectural changes of the bone leading to increased risk of low trauma (fragility) fractures. Both diabetes and osteoporosis are associated with significant morbidity, decreased quality of life and reduced life expectancy. This article will explore the current literature on the inter-relationships between diabetes and bone health, the impact on patients and the management strategies that may be considered in primary care to minimise risk of diabetes-related bone disease and improve outcomes.