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proLékaře.cz / Journals / Forum Diabetologicum / 2021 - 1

Osteoporosis management in diabetic patient

Czech version

Authors: Peter Jackuliak;  Magdaléna Kovářová;  Martin Kužma;  Zdenko Killinger;  Juraj Payer
Authors‘ workplace: V. interná klinika LF UK a UNB, Nemocnica Ružinov, Bratislava
Published in: Forum Diab 2021; 10(1): 17-24
Category:

Overview

Diabetes mellitus and osteoporosis are two serious civilization diseases with increasing incidence. Osteoporosis and osteoporotic fractures are already accepted as a severe co-morbidity and complications of diabetes mellitus. In management of diabetic patients is necessary to identify the high-risk group for osteoporosis and fractures, and to take appropriate preventive and therapeutic options. Available antiresorptive and osteoanabolic drug agents, which are used to treat osteoporosis, are effective also in diabetes patients. Most of the data of their effects in diabetics come only from clinical practice. But it is also necessary to achieve optimal glycemic control, with regard to the effect of antidiabetics on bone. This review provides data from clinical studies on the effect of antiporotics in diabetics as well as the effect of antidiabetics on bone.

Keywords:

antidiabetic therapy – antiresorptive therapy – diabetes mellitus – osteoporotic fracture

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Labels
Diabetology Endocrinology Internal medicine
Osteoporosis in endocrinopathies
Assessment of the osteoporosis risk in patients with type 2 diabetes mellitus – when bone mineral density measurement is not sufficient
Contribution of metformin therapy with extended release formulas
De-intensification of treatment in patient with diabetes mellitus could be beneficial
Population differences in the prevalence of diabetes mellitus, its risk factors and complications
Second generation basal insulin analogues in clinical trials using continuous monitoring of glucose levels
Practical experience confirms the results of the RCT and RWE studies with empagliflosin: case reports
Diabetic macular oedema treatment with intravitreal dexamethasone: case report
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