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Title:
Oral anti-diabetic drugs and fracture risk, cut to the bone: safe or dangerous? A narrative review | Osteoporosis International
Description:
Fracture risk is higher in older adults with type 2 diabetes and may be influenced by treatments for diabetes. Oral anti-diabetic drugs have different effects on bone metabolism. The purpose of this review is to describe the effects of these drugs on bone metabolism and fracture risk. Osteoporosis is a progressive skeletal disorder that is characterized by compromised bone strength and increased risk of fracture. This condition has become an important global health problem, affecting approximately 200 million people worldwide. Another chronic and highly prevalent condition is diabetes mellitus, which affects more than 380 million people; both type 1 and type 2 diabetes are risk factors for fracture. Type 2 diabetes, in particular, is associated with impaired bone strength, although it is characterized by normal or elevated bone mineral density. Several therapeutic strategies are available to achieve the best outcomes in the management of diabetes mellitus but these have different effects on bone metabolism. The purpose of this narrative review is to describe the effects of oral hypoglycemic agents (metformin, sulfonylureas, thiazolidinediones, meglitinides, dipeptidyl peptidase-4 inhibitors, glucagon-like peptide-1 receptor agonists and sodium-dependent glucose transporter 2 inhibitors) on bone metabolism and on the risk of developing fragility fractures in patients with type 2 diabetes. Both diabetes and osteoporosis represent a significant burden in terms of healthcare costs and quality of life. It is very important to choose therapies for diabetes that ensure good metabolic control whilst preserving skeletal health.
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Keywords {🔍}
pubmed, google, scholar, cas, bone, diabetes, type, central, metab, endocrinol, risk, effects, patients, fracture, rosiglitazone, dois, metformin, clin, mellitus, mineral, density, thiazolidinediones, fractures, pioglitazone, receptor, res, study, int, randomized, effect, women, doijc, differentiation, cells, article, cell, rats, diabetic, treatment, antidiabetic, miner, trial, resorption, osteoporosis, metabolism, glucagonlike, peptide, eur, postmenopausal, marrow,
Topics {✒️}
gov/ downloads/advisorycommittees/committeesmeetingmaterials/drugs/ endocrinol pi3-kinases/akt signalling pathway peroxisome proliferator-activated receptors oral anti-diabetic drugs ppar-gamma regulates osteoclastogenesis pi3-kinase/akt pathway streptozocin-induced diabetic rats nord-trøndelag health survey advanced glycation end-products dipeptidyl peptidase-iv inhibitor month download article/chapter sodium-glucose cotransport inhibition estrogen-deprived rats treated tak1/tab1/nik cascade dipeptidyl peptidase-iv inhibition reverse hyperlipidic-related osteopenia obese candy-fed rats controlled case-series study camp-linked glp-1 receptor anti-diabetic drug metformin anti-diabetic drugs long-term glycaemic control promoting osteoblast/osteocyte apoptosis university campus bio-medico increases bone turnover population-based study idf diabetes atlas metformin prevents anti-osteogenic international osteoporosis foundation osteoblastic mc3t3-e1 cells peptide-1 receptor agonist open-label trial today clinical trial case–control study nuclear factor kappa ppar-gamma function oral hypoglycemic agents body fat mass glucose-lowering drugs bone marrow fat mesenchymal stem cells alpha agonist fenofibrate privacy choices/manage cookies oral antidiabetic medication de laet cedh trabecular bone microarchitecture ppargamma agonist brl49653 rosiglitazone induces decreases human bone marrow van der klift
Questions {❓}
- Bazelier MT, Vestergaard P, Gallagher AM et al (2012) Risk of fracture with thiazolidinediones: disease or drugs?
- Oral anti-diabetic drugs and fracture risk, cut to the bone: safe or dangerous?
- Oral anti-diabetic drugs and fracture risk, cut to the bone: safe or dangerous?
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headline:Oral anti-diabetic drugs and fracture risk, cut to the bone: safe or dangerous? A narrative review
description:Fracture risk is higher in older adults with type 2 diabetes and may be influenced by treatments for diabetes. Oral anti-diabetic drugs have different effects on bone metabolism. The purpose of this review is to describe the effects of these drugs on bone metabolism and fracture risk. Osteoporosis is a progressive skeletal disorder that is characterized by compromised bone strength and increased risk of fracture. This condition has become an important global health problem, affecting approximately 200 million people worldwide. Another chronic and highly prevalent condition is diabetes mellitus, which affects more than 380 million people; both type 1 and type 2 diabetes are risk factors for fracture. Type 2 diabetes, in particular, is associated with impaired bone strength, although it is characterized by normal or elevated bone mineral density. Several therapeutic strategies are available to achieve the best outcomes in the management of diabetes mellitus but these have different effects on bone metabolism. The purpose of this narrative review is to describe the effects of oral hypoglycemic agents (metformin, sulfonylureas, thiazolidinediones, meglitinides, dipeptidyl peptidase-4 inhibitors, glucagon-like peptide-1 receptor agonists and sodium-dependent glucose transporter 2 inhibitors) on bone metabolism and on the risk of developing fragility fractures in patients with type 2 diabetes. Both diabetes and osteoporosis represent a significant burden in terms of healthcare costs and quality of life. It is very important to choose therapies for diabetes that ensure good metabolic control whilst preserving skeletal health.
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