Diabetes: Prevent broken bones by preventing osteoporosis
People who suffer from diabetes have an increased risk of osteoporosis and thus of broken bones. Diabetics should therefore be specifically examined and treated for the bone metabolism disorder, my health experts.
Increased risk of bone fracture due to diabetes
Although over six million people in Germany are affected by osteoporosis, many have long been unaware of their bone metabolism disorder. In other countries, too, many patients do not get a correct diagnosis. In those affected, the resulting reduced bone density leads to an increased risk of fractures. "People with type 1 and type 2 diabetes also have an increased risk of osteoporosis and therefore also for broken bones," writes the German Diabetes Society (DDG) in a recent announcement.
Vitamin D deficiency as the cause
Broken bones can result in complications such as immobility, pneumonia or long-term disability. According to the experts, secondary diseases are associated with considerable treatment costs and an increased risk of death.
Vitamin D deficiency can be the cause of osteoporosis. Therefore, experts repeatedly point out that sufficient sun refueling is an important contribution to protecting yourself against osteoporosis.
Individual diabetes medications can also weaken bone health. Therefore, diabetics should be specifically examined and treated for osteoporosis at an early stage.
Stability of human bones
As the DDG explains, the stability of human bones is inherited and is influenced early on by environmental factors. The bone density is highest in early adulthood and slowly decreases in later life. However, diabetes mellitus can accelerate the breakdown and - especially with longer diabetes - promote broken bones.
"It plays a role here whether people move less physically, the diabetes is well or badly adjusted, which diabetes medication is taken and whether there is a vitamin D deficiency," said the diabetologist Professor Dr. med. Klaus Badenhoop.
Guaranteed effect on bone metabolism
A vitamin D deficiency is not uncommon in healthy people, but is particularly common in diabetes. According to the DDG, low vitamin D concentrations occur particularly in older people.
In addition to eating, a large part of the daily vitamin D requirement is produced by the body through the skin. Because of its proven effects on bone metabolism, vitamin D is part of the basic therapy for osteoporosis. The bones need sun.
"In addition, a vitamin D deficiency is considered a risk factor for various other chronic diseases," said Professor Badenhoop. Research is currently being carried out to determine whether a vitamin D deficiency even influences the development of type 1 diabetes in adolescence.
However, it can already be said that a vitamin D deficiency in existing diabetes mellitus must be avoided and treated. "People with diabetes, regardless of whether they are type 1 or 2, shouldn't wait until they break their bones, especially in old age," warned Professor Badenhoop: "A blood test at the family doctor can quickly determine the deficiency and early treatment can prevent late damage."
Focus on early diabetes detection
Professor Badenhoop is also the conference president of the 10th autumn conference of the German Diabetes Association (DDG), which takes place in Nuremberg under the motto "Diabetes and Family: Prevention - Detection - Relief".
The world diabetes day on November 14th is this year under the motto "Keep an eye on diabetes" and particularly targets type 2 diabetes and its early detection. Early detection of the disease makes it easier to prevent consequential damage. (ad)