Diabetes is widely prevalent and can lead to chronic high blood sugar levels, which negatively impact many organs, including bones, leading to a higher risk of osteoporosis among diabetic patients.
The relationship between diabetes and osteoporosis involves complex mechanisms like the AGE-RAGE signaling pathway, which disrupts bone formation, and high glucose levels that can cause osteoblast cell death (ferroptosis).
Current diabetes treatments like thiazolidinediones may help manage blood sugar but can trigger osteoporosis, and there's a need for better tools to assess fracture risk in diabetic patients to improve diagnosis and treatment outcomes.