Bone development ‘abnormal’ in teens with type 1 diabetes

Routine assessment of BMD should be considered in this population, paediatric endocrinologists suggest
Clare Pain

Type 1 diabetes is associated with abnormal bone development in formative years, Australian physicians say after conducting a systematic review.

Their finding supports consideration of routine assessment of bone mineral density (BMD) in older children with the disease, they say.

Adults with the condition are known to have abnormal bone health and an increased risk of fracture, but the evidence in children is limited, according to paediatric endocrinologist Professor Maria Craig, from The Children’s Hospital at Westmead in Sydney, and colleagues.

Their systematic review and meta-analysis of the literature from the past 30 years included 46 studies comparing bone health in youth aged under 20 years with and without type 1 diabetes.