Osteoporosis is a condition characterized by weak and brittle bones, making them more prone to fractures. It is a significant concern for individuals with diabetes as they may have an increased risk of developing osteoporosis. Understanding the relationship between diabetes and bone health is crucial for managing and preventing osteoporosis in this population.
Several risk factors contribute to osteoporosis in people with diabetes. These include age and menopause, poor blood sugar control, medications used for diabetes management, and a sedentary lifestyle. Age and menopause play a role in the loss of bone density, while poor blood sugar control can affect bone health and the body’s ability to build and repair bone tissue. Medications used for diabetes management, such as certain types of insulin, may also have an impact on bone health. a sedentary lifestyle lacking weight-bearing and strength-training exercises can further increase the risk of osteoporosis.
Preventing and managing osteoporosis in individuals with diabetes involves various strategies. Maintaining optimal blood sugar levels is essential as it promotes overall bone health. Consuming a well-balanced diet rich in calcium and vitamin D provides the necessary nutrients for strong bones. Engaging in weight-bearing and strength-training exercises helps improve bone density and strength. Quitting smoking and limiting alcohol consumption are also crucial for maintaining healthy bones.
Screening and diagnosis of osteoporosis in people with diabetes typically involve a dual-energy X-ray absorptiometry (DXA) scan, which measures bone density in the spine, hip, or forearm. Additional tests may be conducted to assess bone health further.
Treatment options for osteoporosis in individuals with diabetes focus on lifestyle modifications and medications. Lifestyle modifications include implementing a balanced diet, regular exercise, and fall prevention techniques. Medications may be prescribed to slow down bone loss or stimulate new bone formation.
By understanding the relationship between diabetes and bone health and implementing appropriate management and prevention strategies, individuals with diabetes can effectively manage osteoporosis and reduce the risk of fractures.
What is Osteoporosis and How Does it Relate to Diabetes?
Osteoporosis is a condition characterized by low bone density and deterioration of bone tissue, leading to an increased risk of fractures. It occurs when the body loses too much bone mass or fails to produce enough new bone. Osteoporosis is often referred to as the “silent disease” because it progresses without noticeable symptoms until a fracture occurs.
In relation to diabetes, individuals with diabetes are at a higher risk of developing osteoporosis. Here’s why:
- Insulin and Bone Health: Insulin plays a vital role in bone metabolism. In individuals with diabetes, insulin production or utilization may be impaired, which can affect bone formation and maintenance.
- Chronic Hyperglycemia: Prolonged high blood sugar levels, known as hyperglycemia, can have a negative impact on bone health. High blood sugar levels can lead to increased bone turnover, reduced bone formation, and decreased bone strength.
- Inflammation and Bone Loss: Diabetes is associated with chronic low-grade inflammation, which can contribute to bone loss and the development of osteoporosis.
- Vitamin D Deficiency: Vitamin D is essential for calcium absorption and bone health. Many individuals with diabetes have lower levels of vitamin D, which can further contribute to the risk of osteoporosis.
- Complications of Diabetes Medications: Some medications used to manage diabetes, such as certain types of insulin and thiazolidinediones, have been associated with an increased risk of bone loss and fracture.
- Lifestyle Factors: Individuals with diabetes may have other lifestyle factors that contribute to the development of osteoporosis, such as sedentary behavior, smoking, excessive alcohol consumption, and poor nutrition.
It is important for individuals with diabetes to be aware of the increased risk of osteoporosis and take steps to manage and prevent it. This includes maintaining good blood sugar control, ensuring an adequate intake of calcium and vitamin D, engaging in weight-bearing exercises, avoiding tobacco and excessive alcohol consumption, and discussing the potential effects of diabetes medications on bone health with healthcare professionals.
Risk Factors for Osteoporosis in People with Diabetes
Discover the hidden risks to bone health faced by individuals with diabetes. Age and menopause, poor blood sugar control, specific diabetes medications, and a sedentary lifestyle all contribute to the development of osteoporosis. Brace yourself for valuable insights into these risk factors, backed by scientific studies and expert opinions. Stay tuned to learn how to protect your bones and maintain optimal bone health while managing diabetes.
1. Age and Menopause
- Age: Age and menopause are important factors to consider when discussing the risk of osteoporosis in individuals with diabetes. As individuals age, their bones naturally become weaker and more susceptible to fractures. The hormonal changes that occur during menopause can further contribute to bone loss. This makes women in this age group particularly vulnerable to osteoporosis.
- Menopause: Age and menopause are important factors to consider when discussing the risk of osteoporosis in individuals with diabetes. As individuals age, their bones naturally become weaker and more susceptible to fractures. The hormonal changes that occur during menopause can further contribute to bone loss. This is because estrogen, which plays a vital role in maintaining bone health, decreases during menopause. The decline in estrogen levels during menopause can lead to accelerated bone loss and an increased risk of osteoporosis.
Age and menopause are important factors to consider when discussing the risk of osteoporosis in individuals with diabetes. As individuals age, their bones naturally become weaker and more susceptible to fractures. The hormonal changes that occur during menopause can further contribute to bone loss. It is crucial for individuals with diabetes, particularly women going through menopause, to be aware of these factors and take steps to prevent and manage osteoporosis. This may include maintaining a healthy lifestyle, engaging in weight-bearing and strength-training exercises, and ensuring an adequate intake of calcium and vitamin D. Regular screening and early diagnosis are also important for identifying any signs of bone loss and implementing appropriate treatment options. By addressing these factors, individuals with diabetes can prioritize their bone health and reduce the risk of developing osteoporosis.
Be sweet to your bones and keep your sugar in check to avoid a brittle situation.
2. Poor Blood Sugar Control
Poor Blood Sugar Control and its Impact on Osteoporosis Risk
Poor blood sugar control is a significant risk factor for individuals with diabetes in developing osteoporosis. Here are some important points to consider:
- 1. Hyperglycemia: High blood sugar levels can lead to increased bone resorption and decreased bone formation, resulting in a higher risk of osteoporosis.
- 2. Glycemic variability: Frequent fluctuations in blood sugar levels can negatively impact bone health and increase the risk of fractures.
- 3. Advanced glycation end products (AGEs): The formation of AGEs due to poor blood sugar control can impair bone quality and increase the risk of fractures.
- 4. Impaired calcium metabolism: High blood sugar levels can disrupt the body’s ability to effectively absorb and utilize calcium, essential for strong bones.
- 5. Inflammation: Chronic inflammation, often present in individuals with poorly controlled blood sugar, can contribute to bone loss and weaken bone density.
To help improve blood sugar control and reduce the risk of osteoporosis:
- 1. Monitor blood sugar levels regularly and follow a personalized diabetes management plan.
- 2. Follow a balanced diet low in refined sugars and high in whole foods, incorporating calcium-rich foods like dairy products, leafy greens, and fortified foods.
- 3. Engage in weight-bearing exercises, such as walking or strength training, to promote bone health and improve blood sugar control.
- 4. Manage stress levels and incorporate stress-reducing activities, such as yoga or meditation, to support overall well-being.
- 5. Discuss with healthcare professionals about potential medications or treatments that may enhance blood sugar control and bone health.
By addressing poor blood sugar control and adopting healthy lifestyle habits, individuals with diabetes can help reduce the risk of osteoporosis and maintain optimal bone health.
3. Medications Used for Diabetes Management
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|Medications Used for Diabetes Management
|Potential Side Effects
|Reduces glucose production in the liver and improves insulin sensitivity
|500-2000 mg per day
|Nausea, diarrhea, stomach upset
|Helps regulate blood sugar levels by replacing or supplementing natural insulin
|Dosage varies depending on individual needs and type of insulin
|Hypoglycemia (low blood sugar), weight gain
|Stimulate the pancreas to produce more insulin
|Dosage varies depending on the specific medication
|Hypoglycemia, weight gain
|Helps lower blood sugar levels by preventing the breakdown of incretin hormones
|Dosage varies depending on the specific medication
|Upper respiratory tract infection, headache
|Helps lower blood sugar levels by increasing glucose excretion through the kidneys
|Dosage varies depending on the specific medication
|Genital yeast infections, urinary tract infections
It is important to note that the choice of medication depends on various factors such as the individual’s overall health, diabetes type, and response to different medications. Your healthcare provider will determine the most appropriate medication and dosage for you. It is essential to closely follow your healthcare provider’s instructions and regularly monitor your blood sugar levels to ensure the effectiveness and safety of the chosen medication.
Being a couch potato won’t just give you squishy abs, it might also lead to weak bones if you have diabetes.
4. Sedentary Lifestyle
A sedentary lifestyle can have detrimental effects on bone health, especially for individuals with diabetes. Lack of physical activity can lead to decreased bone density and increased risk of osteoporosis. Studies have shown that being sedentary for long periods of time can weaken bones and increase the chances of fractures.
To combat this, it is important to incorporate regular exercise into your daily routine. Engaging in weight-bearing exercises such as walking, jogging, or weightlifting can help strengthen bones and improve overall bone health. Aim for at least 30 minutes of moderate-intensity exercise most days of the week.
It is important to avoid prolonged periods of sitting or inactivity. If you have a desk job, make an effort to get up and move around every hour. Take short breaks to stretch or walk around to reduce the negative impact of prolonged sitting on bone health.
Remember, a sedentary lifestyle can increase the risk of osteoporosis, so it is important to prioritize physical activity and avoid prolonged periods of inactivity. Incorporating regular exercise and avoiding excessive sitting can help maintain and improve bone health, especially for individuals with diabetes.
Pro-tip: Create a schedule or set reminders to ensure you are getting enough physical activity throughout the day. Consider incorporating activities you enjoy, such as dancing or swimming, to make exercise more enjoyable and sustainable.
Prevention and Management of Osteoporosis in Individuals with Diabetes
Individuals with diabetes face unique challenges when it comes to managing and preventing osteoporosis, a condition that weakens the bones. In this section, we will uncover effective strategies to prevent and manage osteoporosis in people with diabetes. From maintaining optimal blood sugar levels to consuming a well-balanced diet rich in calcium and vitamin D, we will explore various approaches that can help safeguard bone health. We will discuss the importance of engaging in weight-bearing and strength-training exercises, as well as the significance of screening and diagnosing osteoporosis in individuals with diabetes. Get ready to discover practical tips for maintaining strong and healthy bones!
1. Maintain Optimal Blood Sugar Levels
To maintain optimal blood sugar levels, individuals with diabetes should follow these steps:
- Monitor blood sugar regularly: It is important for individuals with diabetes to regularly check their blood sugar levels. This helps them keep track of their levels and make necessary adjustments to their treatment plan. The aim should be to reach the target blood sugar levels recommended by a healthcare professional.
- Follow a balanced meal plan: Eating a well-balanced diet is crucial for regulating blood sugar levels. It should include a variety of fruits, vegetables, whole grains, lean proteins, and healthy fats. It is important to avoid sugary foods and beverages that can cause blood sugar spikes.
- Manage carbohydrate intake: Carbohydrates have the most significant impact on blood sugar levels. Therefore, it is important to consistently monitor and control carbohydrate intake to maintain stable blood sugar levels throughout the day.
- Engage in regular physical activity: Regular exercise offers numerous benefits for individuals with diabetes, including regulating blood sugar levels. It is recommended to engage in aerobic exercises, strength training, or any form of physical activity to improve insulin sensitivity and lower blood sugar levels.
- Take prescribed medications: Following the prescribed medication regimen is crucial for managing blood sugar levels. Individuals with diabetes should take their medications as directed by their healthcare provider and consult with them if any adjustments are needed.
Remember, maintaining optimal blood sugar levels is vital for overall health and well-being. It is recommended to consult with a healthcare professional to develop an individualized plan that best suits one’s needs and goals.
Don’t wait for the doctor to tell you to eat your calcium and vitamin D, just do it and save his breath.
2. Consume a Well-Balanced Diet Rich in Calcium and Vitamin D
- To maintain optimal bone health, individuals with diabetes should consume a well-balanced diet rich in calcium and vitamin D. Here are some steps to follow:
- Incorporate dairy products such as milk, yogurt, and cheese into your daily diet. These are excellent sources of calcium.
- Include leafy green vegetables like spinach and broccoli in your meals. These vegetables are not only rich in calcium but also contain other essential nutrients.
- Eat fish such as salmon, sardines, and mackerel, which are high in vitamin D. Alternatively, you can opt for fortified dairy products or cereals that are enriched with vitamin D.
- Consider taking supplements if your diet does not provide enough calcium and vitamin D. Consult with a healthcare professional for guidance on the appropriate dosage.
Pro-tip: It’s important to note that calcium and vitamin D work together to strengthen bones. Vitamin D helps the body absorb calcium effectively. So, make sure you get enough sunlight exposure as it helps the body produce vitamin D naturally.
Say goodbye to weak bones and hello to biceps, because weight-bearing and strength-training exercises are the bone-building superheroes for people with diabetes!
3. Engage in Weight-Bearing and Strength-Training Exercises
Engaging in weight-bearing and strength-training exercises is crucial for individuals with diabetes in managing and preventing osteoporosis.
- Weight-bearing and Strength-Training exercises: These exercises are essential for improving bone density and strength. Activities such as walking, jogging, hiking, dancing, and aerobics put stress on the bones, stimulating them to become stronger and denser.
- Weight-bearing and Strength-Training exercises: These exercises help to build muscle strength and improve balance, reducing the risk of falls and fractures. Some examples include weightlifting, resistance band exercises, and bodyweight exercises like squats and lunges.
- Frequency and intensity: Aim for at least 150 minutes of moderate-intensity aerobic activity, such as brisk walking, per week. Include weight-bearing and strength-training exercises two or more days a week, targeting all major muscle groups.
- Proper technique: It’s important to perform weight-bearing and strength-training exercises with correct form to prevent injuries. If you’re new to strength training, consider working with a certified fitness professional to learn proper techniques and develop a safe and effective exercise program.
Pro-tip: Remember to start slowly and gradually increase the duration and intensity of your weight-bearing and strength-training exercises. Listen to your body, and if you experience any pain or discomfort, consult with your healthcare provider before continuing.
4. Quit Smoking and Limit Alcohol Consumption
When it comes to managing and preventing osteoporosis in individuals with diabetes, one important factor to consider is quitting smoking and limiting alcohol consumption. These lifestyle choices can greatly impact bone health and decrease the risk of developing osteoporosis.
- Quit smoking: Smoking has been linked to a higher risk of developing osteoporosis. Smoking negatively affects bone health by reducing calcium absorption and decreasing estrogen levels in both men and women. By quitting smoking, you can improve bone density and reduce the risk of fractures.
- Limit alcohol consumption: Excessive alcohol intake can also have detrimental effects on bone health. Alcohol interferes with the body’s ability to absorb calcium, which is crucial for maintaining strong bones. It can also increase the risk of falls and fractures. To protect your bone health, it is recommended to limit alcohol consumption to moderate levels.
Jane, a 55-year-old woman with diabetes, was diagnosed with osteoporosis. She was a long-time smoker and enjoyed drinking several glasses of wine every day. Concerned about her bone health, she decided to make some changes. Jane quit smoking and significantly reduced her alcohol consumption. Over time, she noticed improvements in her bone density and a decrease in fracture risk. Jane’s commitment to quitting smoking and limiting alcohol intake proved to be beneficial for her overall bone health and well-being.
Bone health checks are like a game of doctor’s roulette: it’s a gamble, but with X-rays instead of bullets.
5. Screening and Diagnosis of Osteoporosis in People with Diabetes
The screening and diagnosis of osteoporosis in individuals with diabetes is a comprehensive process that involves several key steps to accurately assess bone health and identify potential issues:
- Dual-Energy X-ray Absorptiometry (DXA) Scan: This is the most common test used to diagnose osteoporosis in people with diabetes. By measuring bone mineral density (BMD) at various sites of the body, such as the hip and spine, a DXA scan provides T-scores. These scores compare an individual’s BMD to that of a healthy young adult, helping healthcare professionals determine the presence and severity of osteoporosis.
- Additional Tests to Assess Bone Health: Alongside DXA, healthcare professionals may conduct other tests to evaluate bone health in individuals with diabetes. These additional tests can include physical exams, blood tests to measure calcium and vitamin D levels, and urine tests to assess bone turnover markers.
- Screening Guidelines: Regular bone density screenings are recommended for individuals with diabetes, particularly post-menopausal women and men aged 50 or older. However, women and men below these age ranges may also be considered for screening based on specific risk factors, such as a history of fractures or long-term use of certain medications.
- Consultation with Healthcare Professionals: To ensure an accurate interpretation of screening tests and appropriate guidance on prevention and treatment options, it is crucial for individuals with diabetes to consult healthcare professionals who specialize in bone health and diabetes, such as endocrinologists or rheumatologists.
- Consideration of Diabetes-related Factors: When assessing the risk of osteoporosis in individuals with diabetes, healthcare professionals take into account various diabetes-related factors. These factors include age, duration of diabetes, glycemic control, and the presence of complications like neuropathy or kidney disease. Considering these factors is essential as they may impact bone health and the risk of fractures.
By following these screening and diagnostic procedures, healthcare professionals can successfully identify osteoporosis in individuals with diabetes and develop personalized treatment plans to manage and prevent further bone loss.
Dual-Energy X-ray Absorptiometry Scan
When it comes to screening and diagnosis of osteoporosis in people with diabetes, a valuable tool is the Dual-Energy X-ray Absorptiometry (DXA) scan. This DXA scan, also known as a Dual-Energy X-ray Absorptiometry scan, measures bone mineral density and is considered the gold standard for diagnosing osteoporosis. The Dual-Energy X-ray Absorptiometry scan uses low-dose radiation to produce detailed images of the spine, hip, or wrist, which are the most common sites for fractures related to osteoporosis.
|Advantages of DXA Scan
|Disadvantages of DXA Scan
|Provides accurate measurement of bone mineral density
|Exposure to a small amount of radiation
|Non-invasive and painless procedure
|May not capture all aspects of bone health
|Quick and convenient process
|Costly for some individuals
It is important for individuals with diabetes to undergo regular Dual-Energy X-ray Absorptiometry scans or DXA scans to identify any potential bone loss and assess the risk of fractures. The results of the Dual-Energy X-ray Absorptiometry scan, also known as the DXA scan, can help healthcare professionals determine the appropriate management strategies, such as lifestyle modifications or medications, to prevent further bone deterioration.
The Dual-Energy X-ray Absorptiometry (DXA) scan, also referred to as the Dual-Energy X-ray Absorptiometry scan, was first developed in the 1980s and has since become a widely used method for assessing bone health. It revolutionized the diagnosis and management of osteoporosis, allowing for early detection and intervention. With its accurate measurement of bone mineral density, the Dual-Energy X-ray Absorptiometry scan or DXA scan has helped improve the quality of life for countless individuals at risk of fractures. Today, it continues to be an essential tool in the fight against osteoporosis, providing valuable information to guide treatment decisions and promote better bone health.
Don’t let osteoporosis sneak up on you like a bone-stealing thief — get tested and keep those bones in check!>
Additional Tests to Assess Bone Health
Additional tests to assess bone health can be conducted for individuals with diabetes. These tests provide valuable information about the condition of the bones and their susceptibility to osteoporosis. Some common additional tests to assess bone health include:
- Dual-Energy X-ray Absorptiometry (DEXA) Scan: This widely recognized test is used to diagnose osteoporosis and assess bone mineral density. It measures the density of minerals, such as calcium, in different regions of the body, including the spine, hip, and wrist.
- Bone Turnover Markers: These tests measure the levels of certain substances in the blood or urine that indicate the rate at which bone remodeling occurs. High levels of these markers may suggest increased bone resorption and a higher risk of osteoporosis.
- Bone Biopsy: In certain cases, a small sample of bone may be taken to assess its structure and quality under a microscope. This can provide valuable information about bone health and help identify any underlying conditions contributing to bone loss.
- Quantitative Ultrasound: This non-invasive test uses sound waves to measure the density and strength of bones. It is commonly used to estimate bone mineral density in the heel, serving as a quick and cost-effective screening tool.
These additional tests, along with the DEXA scan, can help healthcare professionals accurately assess the bone health of individuals with diabetes and determine the appropriate preventive measures or treatment options.
Don’t let diabetes crumble your bones, explore these treatment options for osteoporosis!
Treatment Options for Osteoporosis in Individuals with Diabetes
When it comes to managing osteoporosis in individuals with diabetes, understanding the treatment options is crucial. In this section, we’ll dive into the different avenues available to tackle this dual challenge. From lifestyle modifications to medications specifically designed for osteoporosis, we’ll explore the strategies that can help maintain bone health in diabetic individuals. So, get ready to discover practical ways to address this important aspect of diabetes management and prevent the complications of osteoporosis.
1. Lifestyle Modifications
Lifestyle modifications are crucial in managing and preventing osteoporosis in individuals with diabetes. Here are some steps you can take:
Maintain a healthy body weight: Achieving and maintaining a healthy weight can reduce the risk of fractures and improve bone health.
Engage in regular exercise: Weight-bearing exercises such as walking, jogging, or dancing, and strength-training exercises like lifting weights or using resistance bands, can help strengthen bones and improve bone density.
Consume a balanced diet: Include foods rich in calcium and vitamin D in your diet, such as dairy products, leafy green vegetables, fortified foods, and fatty fish. These nutrients are essential for building and maintaining strong bones.
Avoid smoking: Smoking can negatively impact bone health and increase the risk of fractures. Quitting smoking is important for overall bone health.
Limit alcohol consumption: Excessive alcohol intake can weaken bones and increase the risk of fractures. It is recommended to limit alcohol consumption to moderate levels.
Manage blood sugar levels: Properly managing blood sugar levels is crucial for individuals with diabetes, as high blood sugar can affect bone health. Follow your healthcare provider’s recommendations for managing blood sugar levels.
Get regular check-ups: Regular screenings and discussions with your healthcare provider can help monitor your bone health and detect any issues early on.
By incorporating these lifestyle modifications, individuals with diabetes can take positive steps towards maintaining strong and healthy bones.
2. Medications for Osteoporosis Treatment
When treating osteoporosis in individuals with diabetes, there are several medications for osteoporosis treatment that can be used:
- Bisphosphonates: These medications, such as alendronate and risedronate, work by slowing down bone loss and increasing bone density. They are often prescribed to reduce the risk of fractures in individuals with osteoporosis.
- RANK ligand inhibitors: These medications, such as denosumab, help to prevent bone loss and increase bone density by blocking a protein involved in the breakdown of bone. They are given as injections every six months.
- Selective estrogen receptor modulators (SERMs): Medications like raloxifene mimic the effects of estrogen in the body. They help to reduce bone loss and increase bone density, but do not have the same risks as hormone replacement therapy.
- Parathyroid hormone (PTH) analogs: Teriparatide is a medication that is similar to a naturally occurring hormone in the body. It stimulates bone formation and can be used to increase bone density in individuals with osteoporosis.
It’s important to note that the choice of medication will depend on various factors, including the individual’s medical history, overall health, and preferences. A healthcare provider will assess these factors and determine the most suitable medication for each individual.
Frequently Asked Questions
How does diabetes affect bone health?
Individuals with Type 1 or Type 2 diabetes have an increased risk of bone fractures and osteoporosis. Women with Type 1 diabetes are 12 times more likely to have a fracture than women without diabetes. While bone mass may or may not be decreased in Type 2 diabetes, there is evidence of altered bone quality. Elevated blood glucose levels lead to chronic inflammation, which affects the quality and strength of the bone.
What lifestyle changes can I make to manage my diabetes and maintain bone health?
Healthy lifestyle changes for optimal diabetes control and bone health include being physically active, eating well-balanced meals, having good diabetes control, quitting tobacco products, and limiting alcohol consumption. Regular weight-bearing exercises like stair climbing and strength training can help strengthen the bones. It is important to speak to a healthcare professional about specific recommendations for your condition.
Why are routine bone density tests important for individuals with diabetes?
Routine bone density testing is recommended every 2 years for post-menopausal women and men over the age of 70. Women above 65 years of age and postmenopausal women younger than 65 years of age with risk factors should also get a bone density test. These tests help assess the risk of osteoporosis and fractures in individuals with diabetes, enabling early detection and appropriate intervention.
How does diabetes medication affect bone health?
Medications used to control blood sugar can also affect bone health. Metformin, commonly used for diabetes management, potentially reduces fracture risk. However, certain medications like TZDs (thiazolidinediones) can increase the risk of fractures. It is essential to discuss fracture risk and any bone-strengthening medication with your healthcare provider.
What are the complications associated with diabetes?
Diabetes is a chronic health condition that can lead to various complications, including heart disease, stroke, problems with the feet and eyes, peripheral vascular disease, and coronary artery disease. Managing diabetes effectively is crucial to minimize the risk of these macrovascular and microvascular complications.
Why is it important to control blood sugar levels in diabetes?
Controlling blood sugar levels is vital for individuals with diabetes as excess sugar in the bloodstream can attach to collagen in the bones, making them less flexible and more brittle. Maintaining optimal blood sugar levels helps protect bone health and reduces the risk of impaired bone health and fractures.