Bone Health in Diabetes Dr Angela Sheu
In this episode, Dr Angela Sheu, a staff specialist endocrinologist, explores bone health in type 2 diabetes, discussing the increased risk of skeletal fragility and fractures. She highlights the elevated fracture risk and mortality rates post-fracture among diabetic individuals, as well as the complexities surrounding vertebral fractures. Sheu reviews clinical predictors of fractures linked to diabetes, including metabolic characteristics and duration of the condition. She emphasizes the limitations of traditional fracture risk assessment methods and introduces advanced imaging techniques, such as HRPQCT and the Trabecular Bone Score, to better evaluate bone quality. The podcast also covers current management strategies for osteoporosis in diabetic patients, noting the lack of targeted RCTs and advocating for individualized treatment approaches that integrate diabetes care with osteoporosis management.
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CPD for GPs - reflective questions to help you self claim Reviewing Performance CPD
- Identify and summarise 3 key points relevant to your scope of practice.
- Identify the key clinical learnings that may be incorporated into the clinical assessment, work-up and/or management plan for appropriate patients.
- If relevant, would you change any of your management strategies for those patients identified by appropriate screening, examination and investigation.
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