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21.01.2017 | Bone and Diabetes (A Schwartz and P Vestergaard, section editors) | Ausgabe 1/2017

Current Osteoporosis Reports 1/2017

Is Diabetic Skeletal Fragility Associated with Microvascular Complications in Bone?

Current Osteoporosis Reports > Ausgabe 1/2017
Roberto Jose Fajardo
Wichtige Hinweise
This article is part of the Topical Collection on Bone and Diabetes


Purpose of Review

The objective of this literature review is to determine whether there are indications that microvascular complications occur in diabetic bone. Evidence definitively linking diabetic skeletal fragility with microvascular complications in bone remains elusive.

Recent Findings

Circumstantial evidence, some recent and some lost to time, suggests that atherosclerotic vascular diseases such as peripheral arterial disease cause poor blood perfusion of bone and subsequent hypoxia and contribute to low bone density and high cortical porosity, patterns similar to some recently observed in diabetic subjects. Evidence also exists to suggest that potentially anti-angiogenic conditions, such as impaired vascular endothelial growth factor (VEGF) signaling, predominate in diabetic bone.


Microvascular complications may contribute, in part, to diabetic skeletal fragility but data supporting this interpretation are primarily circumstantial at this time. This review highlights gaps in our knowledge and hopefully spurs further discussions and research on this topic.

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