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Medication for diabetes and its relation to osteoporosis have long been studied. It is safe to say that diabetics have a better chance of experiencing hip fractures.
The review does not mention the effects of diabetes medications. That will come later. The point they emphasize at this point is that those who suffer from type 2 diabetes are more prone to maintain hip fractures by 70% while those who suffer from type-1 diabetes are six times more likely to experience hip fractures.
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Around this time, researchers only said that the reason for the higher risk could be due to complications of diabetes. They say that those who have diabetes and have low blood glucose levels, stroke, neuropathy, and retinopathy have a greater chance of falling.
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One study even said that bone loss that can cause osteoporosis is an unknown complication of diabetes. Even researchers say that osteoporosis from type-1 diabetes is different from what is often found among older people.
In Germany, this study found an increase in the occurrence of osteoporosis and diabetes. They say this might be due to a lack of anabolic effects on insulin. Vascular complications are considered to be behind low bone mass which in turn causes an increased risk of fractures.
What I like about this is the fact that they suggest ways to prevent fractures. To reduce the risk of fractures, the main thing to do is to maintain tight control of blood sugar levels. It is also recommended that vascular complications be prevented or treated aggressively.
Note that they have not mentioned diabetes medicine as a cause of osteoporosis among diabetics. In fact, they also point to high fat which is responsible for the high risk of developing low bone mass.