A new study has revealed that Caucasians and Hispanics with diabetes have an increased fracture risk compared to those without diabetes, while African Americans with diabetes have little to no additional fracture risk, according to a study presented at ENDO 2019, the Endocrine Society's annual meeting in New Orleans, La.
"Diabetes has been associated with additional risk of fracture, but it had not been well studied in African Americans or Hispanics, the two racial-ethnic groups with the highest rates of diabetes in the United States," said lead researcher Rajesh Jain, M.D., of the Lewis Katz School of Medicine at Temple University in Philadelphia, Pa.
He noted that because of the additional fracture risk associated with diabetes, some medical groups have suggested additional osteoporosis screening or treatment to help prevent fractures in patients with diabetes. "This research could mean that African Americans with diabetes may not require the additional screening or treatment for osteoporosis that Caucasians or Hispanics with diabetes may require," Jain said.
When controlling for other important factors, the risk of fracture in white and Hispanic people with diabetes was 23 percent higher than those without diabetes. However, the risk of fracture in African Americans with diabetes was not significantly different than those without diabetes. "This is a novel finding and has not been previously reported," Jain said. "This suggests risk factors for fracture may differ in African Americans," Jain said.