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Osteopenia in juvenile diabetes.

R M Shore, R W Chesney, R B Mazess

    Calcified Tissue International
    |January 1, 1981
    PubMed
    Summary
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    Children with diabetes mellitus exhibit lower bone mineral content, regardless of disease duration. Higher insulin doses were observed in children with reduced bone density, indicating a potential link between diabetes management and bone health in pediatric patients.

    Area of Science:

    • Pediatric Endocrinology
    • Metabolic Bone Disease
    • Diabetes Mellitus Research

    Background:

    • Diabetes mellitus can affect bone metabolism.
    • Osteopenia is a concern in children with chronic diseases.
    • Understanding bone mineral status in pediatric diabetes is crucial.

    Purpose of the Study:

    • To assess bone mineral status in children with diabetes mellitus.
    • To investigate factors associated with bone demineralization in this population.
    • To evaluate the relationship between diabetes duration, insulin dosage, and bone density.

    Main Methods:

    • Single photon absorptiometry was used to measure bone mineral content.
    • Bone mineral content was compared to age, sex, height, and weight-predicted values.

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  • Data on diabetes duration, insulin dose, growth, renal function, and serum calcium/phosphorus were collected.
  • Main Results:

    • Children with diabetes had 13% lower mean bone mineral content than predicted.
    • Osteopenia was present even in children with diabetes duration of one year or less.
    • Demineralized children received higher daily insulin doses; no associations with sex, growth, renal function, or serum minerals were found.

    Conclusions:

    • Children with diabetes mellitus frequently present with reduced bone mineral content.
    • Early-onset diabetes does not appear to mitigate osteopenia risk.
    • Higher insulin requirements may be linked to decreased bone mineral density in pediatric diabetes.