Diabetes management must go beyond blood sugar control to protect bone and joint health

Pune: Diabetes can affect more than blood sugar levels, with potentially significant consequences for bone strength, joint mobility and overall musculoskeletal health. On the occasion of World Diabetes Day, experts highlight  the need to address these often-overlooked complications to preserve mobility and independence.
Persistently high blood sugar can affect the internal structure and collagen of bones, making them less resilient and increasing fracture risk. People with Type 2 diabetes have more risk of hip fractures compared with those without diabetes, even when their bone density is normal or higher. Diabetes is also associated with conditions such as frozen shoulder, muscle weakness, nerve damage and balance problems, increasing the likelihood of falls. Poorly controlled diabetes can additionally delay fracture healing.
Dr.Pranit Patni Consultant Internal Medicine at Lokmanya Hospitals  said, “Normal bone density does not necessarily indicate normal bone strength in people with diabetes. Vitamin D and calcium deficiencies, which are common in India, can further compromise bone health. Diabetes management must therefore go beyond blood sugar control. Protecting bone strength, maintaining joint mobility and preventing falls are equally important for preserving independence and quality of life.”
So what is important is  timely bone health assessment, adequate calcium and vitamin D, a balanced protein-rich diet, regular walking, strength and balance exercises. DXA bone-density screening may  be considered with consultation of a doctor based on age and individual risk factors, particularly in older adults and those with a history of fractures or frequent falls.

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