4.1 Review

Diabetes Mellitus and Bone Metabolism

Journal

EXPERIMENTAL AND CLINICAL ENDOCRINOLOGY & DIABETES
Volume 125, Issue 4, Pages 213-217

Publisher

JOHANN AMBROSIUS BARTH VERLAG MEDIZINVERLAGE HEIDELBERG GMBH
DOI: 10.1055/s-0042-123036

Keywords

bone; fracture risk; energy metabolism; Diabetes < Autoimmunity; osteoporosis

Funding

  1. Hopp foundation
  2. DFG [SFB 1118]
  3. Havemann family, Berlin

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Diabetes mellitus and bone metabolism affect mesenchymal tissues and have numerous epidemiological and pathophysiological associations in common. Diabetes mellitus affects bone metabolism and increases fracture risk. The pathophysiological mechanims how type 1 and type 2 diabetes impair bone metabolism and bone strength may differ which is outlined in this review. Direct metabolic effects in additon to centrally controlled endocrine loops exert suppressive effects on bone formation and may also stimulate bone Resorption. Decreased bone formation in combination with increased bone resorption strongly increases fracture risk.

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