Evidence map›Paper›PMID 40690104›Full record

ReviewCurrent diabetes reports2025

Optimizing Bone Health in Diabetes: Strategies for Fracture Risk Reduction in Public Healthcare.

Lakshmi Nagendra, Khushboo Agarwal, Shinjan Patra, Saptarshi Bhattacharya, Latika Gupta, Nishka Talwar, Aditya Rao, Amit Gupta, A B M Kamrul-Hasan, Deep Dutta and 2 more

Abstract readReview
PubMed Publisher
In one paragraph

Review in Current diabetes reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. Review
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

12 authors.

Lakshmi NagendraDepartment of Endocrinology, JSS Medical College, JSS Academy of Higher Education and Research, Mysore, Karnataka, India. drlakshminagendra@gmail.com.
Khushboo AgarwalDepartment of Endocrinology, Diabetes and Metabolism, Christian Medical College, Tamil Nadu, Vellore, India.
Shinjan PatraDepartment of Endocrinology and Metabolism, All India Institute of Medical Sciences, Kalyani, West Bengal, India.
Saptarshi BhattacharyaDepartment of Endocrinology, Indraprastha Apollo Hospitals, Sarita Vihar, Delhi, India.
Latika GuptaDepartment of Rheumatology, Royal Wolverhampton Hospitals NHS Trust, Wolverhampton, UK.
Nishka TalwarUndergraduate at the University of Texas, Dallas, TX, USA.
Aditya RaoUndegraduate at JSS Medical College, JSS Academy of Higher Education and Research, Mysore, Karnataka, India.
Amit GuptaCentre for Diabetes Care, Greater Noida, Uttar Pradesh, India.
A B M Kamrul-HasanDepartment of Endocrinology, Mymensingh Medical College, Mymensingh, Bangladesh.
Deep DuttaDepartment of Endocrinology, Centre for Endocrinology, Arthritis, and Rheumatism (CEDAR), Superspeciality Healthcare, Dwarka, New Delhi, India.
Mickael HiligsmannDepartment of Health Services Research, Care and Public Health Research Institute (CAPHRI), Maastricht University, Maastricht, The Netherlands.
Manju ChandranOsteoporosis and Bone Metabolism Unit, Department of Endocrinology, Singapore General Hospital, Singapore, Singapore.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purpose of reviewIn this review, we explore the under-recognized burden of fractures in diabetes, focusing on resource-constrained healthcare systems. We examine the epidemiology, assessment methodologies, and management approaches to osteoporosis in diabetes and discuss strategies to improve skeletal health outcomes. RECENT

findingsPublic healthcare strategies for fracture risk reduction in diabetes include educating healthcare providers, empowering patients, and integrating fracture liaison services for secondary prevention. Community-based awareness programs, digital health solutions, and screening tools such as FRAX® (with diabetes-specific adjustments) facilitate early identification and management. Policies supporting insurance coverage and cost-effective management strategies are likewise crucial. Diabetes-related bone fragility, characterized by altered bone quality and increased fracture risk despite relatively preserved bone density, creates a significant yet underrecognized health burden. Fracture prevention in diabetes is both a clinical necessity and an economic imperative. In this expanding cohort, multidisciplinary, policy-supported strategies can reduce morbidity, mortality, and costs associated with fragility fractures.

Indexed as

Diabetes ComplicationsDiabetes MellitusFractures, BoneOsteoporosisOsteoporotic FracturesBone DensityHumansPublic HealthRisk Reduction BehaviorDiabetesFracture liaison services, cost-effectivenessFracture preventionOsteoporosisPublic healthcare

Identifiers

PMID40690104

What Socratic holds

Textmetadata
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.