Optimizing Bone Health in Diabetes: Strategies for Fracture Risk Reduction in Public Healthcare.

IF 5.2 2区医学 Q1 ENDOCRINOLOGY & METABOLISM

Current Diabetes Reports Pub Date : 2025-07-21 DOI:10.1007/s11892-025-01599-x

Lakshmi Nagendra, Khushboo Agarwal, Shinjan Patra, Saptarshi Bhattacharya, Latika Gupta, Nishka Talwar, Aditya Rao, Amit Gupta, A B M Kamrul-Hasan, Deep Dutta, Mickael Hiligsmann, Manju Chandran

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引用次数: 0

Abstract

Purpose of review: In this review, we explore the under-recognized burden of fractures in diabetes, focusing on resource-constrained healthcare systems. We examine the epidemiology, assessment methodologies, and management approaches to osteoporosis in diabetes and discuss strategies to improve skeletal health outcomes.

Recent findings: Public healthcare strategies for fracture risk reduction in diabetes include educating healthcare providers, empowering patients, and integrating fracture liaison services for secondary prevention. Community-based awareness programs, digital health solutions, and screening tools such as FRAX® (with diabetes-specific adjustments) facilitate early identification and management. Policies supporting insurance coverage and cost-effective management strategies are likewise crucial. Diabetes-related bone fragility, characterized by altered bone quality and increased fracture risk despite relatively preserved bone density, creates a significant yet underrecognized health burden. Fracture prevention in diabetes is both a clinical necessity and an economic imperative. In this expanding cohort, multidisciplinary, policy-supported strategies can reduce morbidity, mortality, and costs associated with fragility fractures.

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优化糖尿病患者的骨骼健康：公共医疗保健中降低骨折风险的策略。

综述目的：在这篇综述中，我们探讨了未被认识到的糖尿病骨折负担，重点关注资源有限的医疗保健系统。我们研究糖尿病骨质疏松症的流行病学、评估方法和管理方法，并讨论改善骨骼健康结果的策略。最近的研究发现：降低糖尿病患者骨折风险的公共卫生保健策略包括教育医疗保健提供者，增强患者的权能，以及整合骨折联络服务进行二级预防。基于社区的意识项目、数字健康解决方案和筛查工具，如FRAX®（具有糖尿病特异性调整），有助于早期识别和管理。支持保险范围的政策和具有成本效益的管理战略同样至关重要。糖尿病相关的骨脆弱性，其特征是骨质量改变和骨折风险增加，尽管骨密度相对保持不变，这造成了一个重大但未得到充分认识的健康负担。预防糖尿病患者骨折既是临床需要，也是经济需要。在这一不断扩大的队列中，多学科、政策支持的策略可以降低与脆弱性骨折相关的发病率、死亡率和成本。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Current Diabetes Reports 医学 -

CiteScore

9.80

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： The goal of this journal is to publish cutting-edge reviews on subjects pertinent to all aspects of diabetes epidemiology, pathophysiology, and management. We aim to provide incisive, insightful, and balanced contributions from leading experts in each relevant domain that will be of immediate interest to a wide readership of clinicians, basic scientists, and translational investigators. We accomplish this aim by appointing major authorities to serve as Section Editors in key subject areas across the discipline. Section Editors select topics to be reviewed by leading experts who emphasize recent developments and highlight important papers published over the past year on their topics, in a crisp and readable format. We also provide commentaries from well-known figures in the field, and an Editorial Board of internationally diverse members suggests topics of special interest to their country/region and ensures that topics are current and include emerging research.