Diabetes, particularly type 1 diabetes, is associated with poor bone quality and an increased risk of fractures. Those with long-standing illnesses, poor blood sugar management, and who use insulin are at the greatest risk of fracture.
Diabetes mellitus may have a negative impact on bone metabolism and bone quality. Diabetes promotes osteoclast function while decreasing osteoblast function, resulting in accelerated bone loss, osteopenia, and osteoporosis.
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