Patients with type 1 diabetes who have poor blood sugar control are at high risk of breaking something.
Patients with type 1 diabetes with poor blood sugar control are at higher risk of fracture, according to a study published in the Journal of Clinical Endocrinology & Metabolism.
Only for type 1 diabetes
There are two types of diabetes: type 1 diabetes and type 2 diabetes. People with type 1 diabetes need to take insulin every day, while those with type 2 diabetes can be treated mainly through diet, exercise and oral medications. Good blood sugar control is an important goal for patients with diabetes. Clinicians usually measure a patient’s glycemic control using the “hemoglobin A1c test”.
“We investigated the association between degree of glycemic control and fracture risk using a large cohort of patients with newly diagnosed type 1 and type 2 diabetes,” said Janina Vavanikunnel, University Hospital of Basel (Switzerland), co-author of the study. “If both types of diabetes are associated with fractures, we have shown that poor glycemic control is associated with an increased risk of fracture only for type 1 diabetes,” she explains.
A much larger patient population
These data were drawn from a cohort of 3,329 patients with type 1 diabetes and 44,275 patients with type 2 diabetes, a much larger patient population than previous research. It shows that glycemic control with “an HbA1c level” (reflecting blood sugar, editor’s note) greater than 8% is associated with an increased risk of fractures in patients with type 1 diabetes, but not type 1 diabetes. type 2, at least in the short term.
“Nevertheless, fracture risk in type 2 diabetes is of great clinical importance and is a major health concern worldwide due to its high prevalence,” said study co-author Sarah Charlier, still from Basel University Hospital.
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