Diabetes and bone health have a close connection, with type 1 diabetics in particular having a higher than usual risk of osteoporosis. This increased susceptibility is mostly caused by inadequate blood sugar management and diabetes management-related variables. Dr. Akhilesh Yadav, who is the Associate Director - Orthopaedics & Joint Replacement at Max Hospital, Vaishali mentioned multiple ways by which high blood sugar can affect bone health.



  • First of all, they may cause a gradual decline in bone mineral density, making bones more fragile and prone to fractures.

  • Additionally, endangering the integrity of bones is the fact that diabetes can lead to persistent inflammation within the body. 

  • Some diabetic drugs, especially glucocorticoids, may hasten bone loss, and insulin resistance may impair hormone balance, which may have an effect on bone metabolism.

  • Since lifestyle choices can influence the development of osteoporosis, they have a substantial impact on the link between diabetes and this condition.


How Osteoporosis Is Related To Diabetes?


Dr. Chethana D, who is a Consultant – Rheumatology, at Aster CMI Hospital said, "One in four people with diabetes worldwide have osteoporosis.  Due to irregular sugar levels, bone density gets affected making bones brittle and prone to fractures."


Diabetes is a metabolic disease that alters how the body uses glucose, resulting in high blood sugar. Here’s how they intersect



  • Hormonal Imbalance: Diabetes, particularly type 2 diabetes, is associated with insulin resistance. High blood sugar levels can affect the balance of hormones that regulate bone health, like insulin and osteocalcin. This can result in decreased bone formation and weaker bones.

  • Inflammation: Diabetes often involves chronic inflammation, which can accelerate bone loss. Inflammation can trigger the release of certain proteins that break down bone tissue, exacerbating osteoporosis.

  • Medications: Some medications like glucocorticoids, whican cause diabetes can also weaken bones and increase the risk of osteoporosis.

  • Complications: Diabetes can lead to complications such as diabetic neuropathy, which may increase the risk of falls and fractures in individuals with osteoporosis.

  • Diet and Lifestyle: People with poorly managed diabetes may have dietary and lifestyle habits that contribute to both conditions. For instance, a diet high in sugar and low in essential nutrients can weaken bones and exacerbate diabetes.


How People With Diabetes Can Deal With Osteoporosis?


Dr. Manoj Kutteri, who is a Medical Director & CEO, at Atmantan Wellness Centre said, "Diabetes and Osteoporosis are the result of common lifestyle factors and they share the same etiology. Both these can be caused or made worse by smoking, poor eating habits, and not exercising. Diabetes and osteoporosis are linked to persistent inflammation which can lead to the release of various chemicals causing degradation of bone tissues."


Age plays an important factor in this case as both diabetes and osteoporosis are associated with older age. They are mostly present in combination among older persons.


In this regard, Dr. Manoj Kutteri said, "It is necessary that individuals with diabetes take proactive measures to safeguard their bone health and are cognizant of their increased risk of developing osteoporosis. This can entail regular cardio and low impact exercises, maintaining optimum levels of calcium and vitamin D, keeping the blood sugar levels in check and maintaining an ideal weight. Diabetes mellitus (DM) increases osteoclast function but decreases osteoblast function, thereby leading to accelerated bone loss, osteopenia and osteoporosis."


"To mitigate the interplay between osteoporosis and diabetes, it's essential to focus on comprehensive health management. This includes maintaining a balanced diet, staying physically active, managing blood sugar levels, and discussing medication side effects with healthcare providers. By addressing both conditions, individuals can work towards better bone health and diabetes management," he added.


[Disclaimer: The information provided in the article, including treatment suggestions shared by doctors, is intended for general informational purposes only. It is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified healthcare provider with any questions you may have regarding a medical condition.]