ECE2014 Poster Presentations Bone and Osteoporosis (36 abstracts)
Clinic for Endocrinology, Diabetes and Metabolic Disorders, Medical Faculty, University of Novi Sad, Novi Sad, Vojvodina, Serbia.
Introduction: Literature data suggests increased fracture risk in women with diabetes mellitus type 2 but the underlying mechanism is not fully understood.
Aim of the study was to analyse bone turnover parameters in women with DM2 and in healthy women with osteoporosis in menopause.
Materials and methods: There were 76 participants out of wich 36 women with DM2. Average diabetes duration was 14.48±10.51 years with mean HbA1c 7.83±1.75%. Osteoporosis was diagnosed by hip and spine DXA scan. Osteocalcine, β-crosslaps and 25-OH-D were determined by ECLIA method on Elecsys machine.
Results: Women with DM2 compared to healthy women with osteoporosis: age (62.75±7.93 vs 63.92±7.21 god; P>0.05), body mass index (26.61±5.45 vs 25.84±4.34 kg/m2, P>0.05), spine bone mineral density (BMD) (0.839±0.084 vs 0.801±0.056 g/cm2, P<0.05), total hip BMD (0.752±0.109 vs 0.782±0.082 g/cm2, P>0.05), femur neck BMD (0.691±0.085 vs 0.742±0.084 g/cm2, P<0.05), osteocalcin (29.98±10.53 vs 33.11±8.56 ng/ml, P>0.05), β-crosslaps (530.59±225.58 vs 540.88±167.16 pg/ml, P>0.05), 25-OH-D (39.11±20.52 vs 38.85±17.38 nmol/l, P>0.05). Vitamin D deficiency (25OHD <30 nmol/l) was found in 41.7% women with DM2 and 37.5% healthy women, without statistical significance between groups.
Conclusion: Women with DM2 have significantly lower femur neck BMD. Statistical significance between bone turnover parameters, vitamin D status and vitamin D deficiency frequency between groups was not found. Further studies of complex mechanism of increased fracture risk in women with DM2 are needed.