Research Article
A Study of Bone Mineral Density and Its Determinants in Type 1 Diabetes Mellitus
Table 1
Factors implicated in poor bone health and increased fracture risk in T1DM.
| Factors causing low BMD | | (1) Deficiency of insulin—loss of bone anabolic action [1] | | (2) Poor glycaemic control—↑ renal calcium excretion, ↓ IGF-1/↑ IGF-BP1, acidosis, alterations in collagen, and inflammation [1, 18] | | (3) Associated deficiency of other bone anabolic peptides—for example, amylin [1] | | (4) Other associated autoimmune disorders like celiac disease [1] | | (5) Associated hypogonadism | |
| Factors increasing fracture risk | | (1) Hypoglycemic episodes—fits and falls [1] | | (2) Poor vision—retinopathy, cataracts, and so forth [1] | | (3) Neurologic complications—neuropathy, cerebrovascular episodes, and so forth [1] | |
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