Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2020 Nov 27;20(12):78.
doi: 10.1007/s11892-020-01361-5.

Impact of Type 2 Diabetes Mellitus and Antidiabetic Medications on Bone Metabolism

Affiliations
Review

Impact of Type 2 Diabetes Mellitus and Antidiabetic Medications on Bone Metabolism

Hae Sang Lee et al. Curr Diab Rep. .

Abstract

Purpose of review: This review focuses on the complex interactions between hyperglycemia and bone fragility and the effects of antidiabetic medications on bone metabolism.

Recent findings: Type 2 diabetes (T2D) is associated with increased risk of bone fracture even in those with increased or normal bone mineral density (BMD). The pathophysiology of diabetic bone disease is not completely understood, but it is thought to be multifactorial and associated with complex cross talk among factors such as AGEs, IGF-1, enteric hormones, and pro-inflammatory cytokines. Treatment for T2D may have an impact on bone metabolism. Diabetic bone disease should be considered a serious complication of long-standing T2D.

Keywords: Bone remodeling; Fracture; Osteoporosis; Type 2 diabetes.

PubMed Disclaimer

References

    1. Saeedi P, Petersohn I, Salpea P, Malanda B, Karuranga S, Unwin N, et al. Global and regional diabetes prevalence estimates for 2019 and projections for 2030 and 2045: results from the International Diabetes Federation Diabetes Atlas, 9(th) edition. Diabetes Res Clin Pract. 2019;157:107843. https://doi.org/10.1016/j.diabres.2019.107843 . - DOI - PubMed
    1. Wang Y, Lobstein T. Worldwide trends in childhood overweight and obesity. Int J Pediatr Obes. 2006;1(1):11–25. - DOI
    1. Kwon EB, Lee HS, Shim YS, Jeong HR, Hwang JS. The changes of subtypes in pediatric diabetes and their clinical and laboratory characteristics over the last 20 years. Ann Pediatr Endocrinol Metab. 2016;21(2):81–5. https://doi.org/10.6065/apem.2016.21.2.81 . - DOI - PubMed - PMC
    1. Napoli N, Chandran M, Pierroz DD, Abrahamsen B, Schwartz AV, Ferrari SL. Mechanisms of diabetes mellitus-induced bone fragility. Nat Rev Endocrinol. 2017;13(4):208–19. https://doi.org/10.1038/nrendo.2016.153 . - DOI - PubMed
    1. Lee HS, Yoon JS, Park KJ, Lim JS, Hwang JS. The relationship between bone mineral density and type 2 diabetes in obese children and adolescents at the time of initial diagnosis. Horm Metab Res. 2019;51(1):42–6. https://doi.org/10.1055/a-0755-2799 . - DOI - PubMed

MeSH terms

Substances

LinkOut - more resources