Vnitr Lek 1989, 35(7):656-664

[Diabetic osteopathies. 2. Findings on bones].

J Kocián, J Brunová

By assessment of corticodiaphyseal indices from the clavicle the bone mineralization was investigated in a group of 215 type II diabetics and 40 type I diabetics. In 56% of type II diabetics pathologically reduced values of bone mineralization were recorded: in 49% of the men and more than 60% of the women. Among type I diabetics 42.5% pathological values were recorded; in men only 29% but in women in more than 52%. Among patients with type II diabetes the worst results were recorded in the group treated with oral antidiabetics, followed by patients treated only by dietetic treatment and the best results were obtained in insulin-treated patients, similarly as in type I diabetics where all are insulin-treated. In all group women always have poorer results than men. The authors emphasize not only the need of active screening of ostepenias in diabetics of both types, their early diagnosis and treatment but also their prevention.