Abstract

Diabetes mellitus (DM) is a very common disorder with distressing effects on metabolism causing various complications including bone disorders. The aim of the study was to assess the occurrence of osteoporosis in diabetics along with other factors, to closely observe the relation of diabetes with risk of fractures & osteoporosis. Material and method- DM patients visiting outpatient clinic of GMC (Government medical college), Srinagar, J&K (Jammu & Kashmir) were recruited in the study along with healthy volunteers as control. Lumbar spine (LS) and femoral neck (FN) T-score was assessed by DXA (dual x-ray absorptiometry) scan and then WHO interpretation of T-score was done to evaluate risk of osteoporosis. Data was analyzed and “P≤ 0.05 was considered as statistically significant.” Result- Mean difference in age (between diabetics and control group) and association of gender with diabetes was found non-significant. The BMI (body mass index), FBS (fasting blood sugar) and HbA1c (glycosylated hemoglobin) levels were significantly higher in diabetics than non-diabetics. Mean LS T-score was significantly lower and FN T-score was non-significantly lower in diabetics than non-diabetics. LS and FN T-score of diabetic males was significantly more than diabetic females. Risk of osteoporosis was found significantly more in diabetic females than diabetic males. Conclusion- The Study recommends screening of DM population for bone health regardless of age and sex. Further for prevention and better management of osteoporosis in DM patients, clinicians must counsel them regarding adequate nutrient intake for good glycaemic control and bone health.

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