Evidence map›Paper›PMID 38761257›Full record

ReviewDiabetologia2024

Bone metabolism in diabetes: a clinician's guide to understanding the bone-glucose interplay.

Angela Sheu, Christopher P White, Jacqueline R Center

Abstract readReview
In one paragraph

Review in Diabetologia, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

34 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. The Effect of Type 2 Diabetes on Bone Quality: A Systematic Review and Meta-Analysis of Cohort Studies.International journal of environmental research and public health · 2025
    Pooled it
  3. Article
  4. The Liver-Bone Axis in Steatotic Liver Disease.Calcified tissue international · 2026
    Review
  5. Article
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  7. Effects of spironolactone on cytotoxic damage in osteoblasts.Experimental and therapeutic medicine · 2026
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Angela SheuSkeletal Diseases Program, Garvan Institute of Medical Research, Sydney, Australia. a.sheu@garvan.org.au.ORCID http://orcid.org/0000-0002-2599-8503
Christopher P WhiteClinical School, Prince of Wales Hospital, Faculty of Medicine, University of New South Wales Sydney, Sydney, Australia.ORCID http://orcid.org/0000-0002-7732-2206
Jacqueline R CenterSkeletal Diseases Program, Garvan Institute of Medical Research, Sydney, Australia.ORCID http://orcid.org/0000-0002-5278-4527

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Skeletal fragility is an increasingly recognised, but poorly understood, complication of both type 1 and type 2 diabetes. Fracture risk varies according to skeletal site and diabetes-related characteristics. Post-fracture outcomes, including mortality risk, are worse in those with diabetes, placing these people at significant risk. Each fracture therefore represents a sentinel event that warrants targeted management. However, diabetes is a very heterogeneous condition with complex interactions between multiple co-existing, and highly correlated, factors that preclude a clear assessment of the independent clinical markers and pathophysiological drivers for diabetic osteopathy. Additionally, fracture risk calculators and routinely used clinical bone measurements generally underestimate fracture risk in people with diabetes. In the absence of dedicated prospective studies including detailed bone and metabolic characteristics, optimal management centres around selecting treatments that minimise skeletal and metabolic harm. This review summarises the clinical landscape of diabetic osteopathy and outlines the interplay between metabolic and skeletal health. The underlying pathophysiology of skeletal fragility in diabetes and a rationale for considering a diabetes-based paradigm in assessing and managing diabetic bone disease will be discussed.

Indexed as

Bone and BonesDiabetes Mellitus, Type 2Fractures, BoneBlood GlucoseBone DensityDiabetes Mellitus, Type 1HumansBlood GlucoseBoneDiabetesFracturesInsulin resistanceOsteoporosisReview

Identifiers

PMID38761257
PMCPMC11343884

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.