A large study suggests that type 1 diabetics are more likely to have bone fractures when blood sugar levels are so high.
The researchers examined data from more than 47,000 diabetics, including 3329 patients with type 1 diabetes, the less common type of diabetes, and it usually occurs in childhood or early adolescence when the pancreas can not secrete insulin. The other study participants were people with type 2 diabetes linked to obesity and aging and the incidence of infection when the body can not use or excrete enough insulin to convert blood sugar into energy.
The risk of bone fracture was higher in type 1 patients when mean blood sugar levels were significantly higher, according to the study.
"It is important that people with type 1 diabetes have good control of blood sugar levels for all reasons, and it is important to avoid fractures," said researcher Francesque Formiga of the University of Barcelona.
"People with high sugar levels should realize that this is detrimental to overall health and to the bones and may increase the risk of fractures so they need to change the treatment based on the doctor's recommendations," he said.
"Diabetes has been linked to an increased risk of fractures, but research results have varied in the role of high blood sugar levels," wrote Christian Meyer of the University Hospital of Basel in the Journal of Clinical Endocrinology and Metabolism.
Some complications of diabetes can increase the risk of falls and fractures, including cognitive impairment and nerve damage, which limits foot sensation and retinal impairment, making it difficult for the patient to see any obstacles in the way and fall.
The study showed that patients with type 1 diabetes with complications such as retinopathy were 29% more likely to have fractures than those who did not.
"The risk of falls in people who can not cope with any change in body posture, such as road stumbling or ankle sprain, is about 400 parts per second," said James Richardson, a professor of physical therapy at the Michigan School of Medicine, who did not participate in the study.