Role of Anabolic Anti-Osteoporosis Therapy in Diabetes Subjects

Diabetes mellitus (DM) is a metabolic disorder that leads to the destruction of various tissues including bones. The pathogenesis of osteoporosis (OP) varies in DM due to many specific factors. DM increases the risk of fracture as well as post-fracture mortality. It is because of this fact that OP t...

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Main Authors: Harsh Durgia, Rajan Palui, Jayaprakash Sahoo, Sadishkumar Kamalanathan, Dukhabandhu Naik
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2025-01-01
Series:Indian Journal of Endocrinology and Metabolism
Subjects:
Online Access:https://journals.lww.com/10.4103/ijem.ijem_81_24
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author Harsh Durgia
Rajan Palui
Jayaprakash Sahoo
Sadishkumar Kamalanathan
Dukhabandhu Naik
author_facet Harsh Durgia
Rajan Palui
Jayaprakash Sahoo
Sadishkumar Kamalanathan
Dukhabandhu Naik
author_sort Harsh Durgia
collection DOAJ
description Diabetes mellitus (DM) is a metabolic disorder that leads to the destruction of various tissues including bones. The pathogenesis of osteoporosis (OP) varies in DM due to many specific factors. DM increases the risk of fracture as well as post-fracture mortality. It is because of this fact that OP treatment should not be neglected in patients with DM. OP therapy comprises anabolic as well as anti-resorptive agents. Primary OP as observed in post-menopausal women is associated with high bone turnover, whereas OP in DM is a disease of low bone turnover. Therefore, anabolic agents seem to be quite promising in cases of OP in DM. Although the anti-fracture efficacy of these drugs is proven beyond any doubt in the general population without DM, evidence in persons with DM is limited. Among the anabolic agents, teriparatide has the most evidence in favor of its efficacy and safety in persons with DM. Studies evaluating other anabolic agents such as abaloparatide and romosozumab in diabetic osteopathy are scarce in the literature. Future studies specifically in both type 1 and type 2 DM populations are needed to evaluate the effects of osteoanabolic agents.
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issn 2230-8210
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publishDate 2025-01-01
publisher Wolters Kluwer Medknow Publications
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series Indian Journal of Endocrinology and Metabolism
spelling doaj-art-0b90de02158e406aa56741fcb4637a402025-08-20T02:05:21ZengWolters Kluwer Medknow PublicationsIndian Journal of Endocrinology and Metabolism2230-82102230-95002025-01-01291323810.4103/ijem.ijem_81_24Role of Anabolic Anti-Osteoporosis Therapy in Diabetes SubjectsHarsh DurgiaRajan PaluiJayaprakash SahooSadishkumar KamalanathanDukhabandhu NaikDiabetes mellitus (DM) is a metabolic disorder that leads to the destruction of various tissues including bones. The pathogenesis of osteoporosis (OP) varies in DM due to many specific factors. DM increases the risk of fracture as well as post-fracture mortality. It is because of this fact that OP treatment should not be neglected in patients with DM. OP therapy comprises anabolic as well as anti-resorptive agents. Primary OP as observed in post-menopausal women is associated with high bone turnover, whereas OP in DM is a disease of low bone turnover. Therefore, anabolic agents seem to be quite promising in cases of OP in DM. Although the anti-fracture efficacy of these drugs is proven beyond any doubt in the general population without DM, evidence in persons with DM is limited. Among the anabolic agents, teriparatide has the most evidence in favor of its efficacy and safety in persons with DM. Studies evaluating other anabolic agents such as abaloparatide and romosozumab in diabetic osteopathy are scarce in the literature. Future studies specifically in both type 1 and type 2 DM populations are needed to evaluate the effects of osteoanabolic agents.https://journals.lww.com/10.4103/ijem.ijem_81_24abaloparatideanabolicdiabetes mellitusosteoporosisromosozumabteriparatide
spellingShingle Harsh Durgia
Rajan Palui
Jayaprakash Sahoo
Sadishkumar Kamalanathan
Dukhabandhu Naik
Role of Anabolic Anti-Osteoporosis Therapy in Diabetes Subjects
Indian Journal of Endocrinology and Metabolism
abaloparatide
anabolic
diabetes mellitus
osteoporosis
romosozumab
teriparatide
title Role of Anabolic Anti-Osteoporosis Therapy in Diabetes Subjects
title_full Role of Anabolic Anti-Osteoporosis Therapy in Diabetes Subjects
title_fullStr Role of Anabolic Anti-Osteoporosis Therapy in Diabetes Subjects
title_full_unstemmed Role of Anabolic Anti-Osteoporosis Therapy in Diabetes Subjects
title_short Role of Anabolic Anti-Osteoporosis Therapy in Diabetes Subjects
title_sort role of anabolic anti osteoporosis therapy in diabetes subjects
topic abaloparatide
anabolic
diabetes mellitus
osteoporosis
romosozumab
teriparatide
url https://journals.lww.com/10.4103/ijem.ijem_81_24
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AT rajanpalui roleofanabolicantiosteoporosistherapyindiabetessubjects
AT jayaprakashsahoo roleofanabolicantiosteoporosistherapyindiabetessubjects
AT sadishkumarkamalanathan roleofanabolicantiosteoporosistherapyindiabetessubjects
AT dukhabandhunaik roleofanabolicantiosteoporosistherapyindiabetessubjects