Age specific hip fracture risk is significantly increased in both people with type 1 diabetes (relative risk 6.3) and those with type 2 diabetes (relative risk 1.7) in both sexes.
Type 1 diabetes is associated with osteoporosis but in type 2 diabetes, and increased risk of a fracture is seen despite higher bone mineral density (BMD).
Providers should assess fracture history and risk factors in older patients with diabetes and recommend measurements of bone mineral density (BMD).
Fracture prevention strategies for people with diabetes are the same as for the general population and may include vitamin D supplementation.
