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Diabetic osteopenia and circulating levels of vitamin D metabolites in type 2 (noninsulin-dependent) diabetes
Authors:H Ishida  Y Seino  S Matsukura  M Ikeda  M Yawata  G Yamashita  S Ishizuka  H Imura
Affiliation:1. Second Division, Department of Internal Medicine, Kyoto University School of Medicine, Kyoto, Japan.;2. Division of Metabolism and Clinical Nutrition, Kyoto University School of Medicine, Kyoto, Japan.;3. the Diabetes Center, Ikeda Clinic, Amagasaki, Japan.;4. Kitano Hospital, Osaka, Japan.;5. the Department of Biochemistry, Teijin Institute for Biomedical Research, Tokyo, Japan.
Abstract:
The degree of diabetic osteopenia and serum vitamin D metabolite levels were measured in 168 type 2 (noninsulin-dependent) diabetic patients. Based on six indices obtained by microdensitometry, we found the bone mass in 26.2% of diabetic patients to be clearly decreased and in 11.9% to be severely decreased. Our direct method of analysis of bone mass shows that diabetic osteopenia differs from typical osteoporosis in character. In addition, serum 24,25-dihydroxyvitamin D was significantly decreased (P less than 0.01), but 25-hydroxyvitamin D and 1,25-dihydroxyvitamin D were similar to those of controls.
Keywords:Address reprint requests to Hitoshi Ishida   MD   Second Division   Department of Internal Medicine   Kyoto University School of Medicine   Shogoin Kawahara-cho   Sakyo-ku   Kyoto 606   Japan.
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