Associated Osteoporosis Factors In Patients With Type 2 Diabetes

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Thuạn Huynh Quang , Thuong Pham Hoai , Quy Dang Duy , Minh Hoang Thi , Tuan Nguyen Anh , Chau Nguyen Ngoc , Thuan Nghiem Duc

Abstract

Background: Fragility fractures are increasingly recognized as a complication of type 2 diabetes, with fracture risk that increases with disease duration and poor glycemic control. Yet the identification and management of fracture risk in these patients remains challenging. This review explores the clinical characteristics of bone fragility in adults with diabetes and highlights


 


Methods: A study of 101 type 2 diabetic patients aged 30 years and older was admitted to 175 Military Hospital for treatment from April 2018 to March 2019.


 


Results: Distribution of patients by sex was 45(44.6%) male with average age 65,16±10,57 and 56 (55.5%) female with average age 65,23±10,98. Total average age was 65,2±10,74 (p> 0,05). 36 (15 male and 21 female) patients had age < 60 years and 65 patients (30 male and 35 female) > than 60 years. We found strong correlation between height and weight vs bone density, middle correlation between BMI and bone density and weak correlation between age lumbar spine density. Strong correlation between disease duration and bone density. The correlation equals -0.52 for lumbar spine density and -0.572 for femoral neck density.


 


Conclusion: According to our research, main factors affecting bones in patients with T2DM are female sex, duration of T2DM more than 5 years, uncorrected glucose level and high BMI.

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