Diabetes osteoporosis

Diabetes osteoporosis takes a look at this serious but preventable disease.

The World health organisation declares that in 1980 there were 108 million adult folk suffering from diabetes; today it's over 420 million. That's nearly ten percent of the world's population, and increasing fast.

DM is a disease that can be prevented but, once established, is very difficult to manage. It becomes an expensive and painful disaster. Perhaps even worse is how disabling it is.

Many folk rate disability even higher than pain; no longer able to walk or garden, or even drive to the supermarket has huge consequences.

Type I has long been known to be associated with bone loss. In women, for example, there is a much higher rate of hip fracture compared to non DM women. How long you have had the disease is a major factor.

Women who have had type I for more than five years are a massive 12 times more likely to have a hip fracture than those without the ailment. Low bone mineral density is clearly a complication.

Of great concern is new research reported in the May 2014 journal of the American medical association which reveals that there has been a twenty one percent increase in type one in the American youth in only eight years. This affects all those treating bone and joint conditions, including obviously chiropractors.

I was recently walking with a poorly controlled teenage type I when the girl missed a step and fell headlong. She simply never saw the curb; I suspect the early loss of peripheral vision associated with the retinopathy of this now common illness.

Diabetes osteoporosis

Diabetes osteoporosis can be ameliorated but once established is very difficult to manage; prevention is definitely better than a cure.

Obviously thus children who have type one diabetes are particularly vulnerable. They aren’t going to have diabetes for only about 5 years. They are going to have it for 50 and more years. In particular, if they are less than 20, whilst they are still building up their calcium, they may never reach adequate bone density.

These fractures, of course, are not merely the result of diabetic osteoporosis, or weak bone structure. Diabetics are also prone to a variety of conditions like cataracts, for example, that increase the number of falls because of poor eye sight.

Diabetics also frequently have an altered gait; changes in the way they walk due to a diabetic nerve condition, and their balance is often poor.

The long and short of it is increased falls and, coupled with diabetic osteoporosis, that means more broken bones.

As a rule a young person with diabetes has more difficulty with good control of blood sugar and therefore require the best blood sugar meter.

This summary of diabetes osteoporosis may seem rather depressing. Quite the contrary, the scenario I have painted need not happen. I have numerous diabetic patients who in their eighties are extremely happy and healthy. They follow the rules. The alternative is simply too ghastly to contemplate. They don't want to be disabled and dependent on others, so they go for their walks and enjoy honey instead of sugar for example, because of its lower glycemic index; they make the lifestyle changes demanded of diabetics, and are ironically often more healthy than those eating the traditional Western diet.

In short, diabetes osteoporosis does not need to happen, but it certainly will to those who break the rules.

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Type II

In Type II diabetes the bones may actually be slightly stronger than normal but there is still an increased risk of hip and other fracture. Why? Because Type II diabetics are usually obese and often have a couch potato lifestyle; thus their balance is often not good and, because of poorer coordination and eyesight, they also tend to faller harder and more often than non diabetic women.

You may also have to get up more often at night to go to the toilet and, if it’s dark, the risk of falls is much greater. The Kegel exercises are important for all women, and men too really, but particularly for diabetics. Having a light on all night helps reduces falls.

Aside: A LED light can draw as little as 1-2 watts and give ample night light, whilst drawing minimal current. Ever thought about going solar? Solar powered generator ...

These three globes together draw only 5,8 watts; a normal incandescent globe draws 60 to 100 watts; they are incredibly bright. The central one is bright white, the right yellow and the left warm white. Every one of us owes it to Mother Earth, if we want our grandchildren to have a habitable planet, to reduce our demand on fossil and nuclear driven fuels. That means changing to light emitting diode globes from your old incandescent lamps and turning to the sun for heat and electrical energy. Don't change to the compact fluorescent lamps.

And now back to type two diabetes. That new research mentioned above reveals that the increase is even worse; a massive increase of 31 percent in the youth aged 10 to 19.

Type two diabetes has in the past mainly been a disease of the elderly who become obese because of increasing difficulty with exercising. Perhaps they have an arthritic knee, or Parkinsons's disease; going along with the inevitable weight gain is the risk of of what is primarily the adult onset form of the illness.

In contrast to the elderly, the youth are going to live much longer with diabetes; they have not yet reached skeletal maturity and still have the reproductive years to face. The researchers point out concerns about passing on the disease to subsequent generations.

This means that roughly 1 in every 300 children are diabetic.

As a rule the youth with diabetes have more difficulty with good control of blood sugar. Late nights, alcohol abuse, huge variation in exercise patterns and poor diet mean increased risks of complications like coma, vascular disease and osteoporosis.

The implications for society are vast, particularly if these trends continue, and the researchers predict that it is likely to do just that. Death due to heart disease and stroke are three times higher amongst diabetics. Seventy percent have high blood pressure; it's the main cause of new cases of blindness. It's the chief underlying factor in kidney failure, too.

Of significance to the chiropractic profession is that two thirds of diabetics develop nervous system damage.

This is all caused primarily by poorly controlled blood sugar.

Sedentary diabetics, and those whose life style is poor, often find their blood sugar is unstable and that certainly is associated with bone loss when compared with well controlled patients.

These are what we call modifiable risk factors in the management of diabetes osteoporosis. We are capable of change but those who refuse to face the reality of osteoporosis will experience much pain, and even worse disability and dependence on others, and death.

Modifiable Risk Factors @ Diabetes osteoporosis


Obesity of course is the primary cause of Type II diabetes, and extremely difficult to manage. I address it in a crass and direct way with my patients. "If you don't want to have lots of pain, and you want to see your grandchildren grow up, then get it off." It makes me no friends in the first instance, but about 15% of obese persons respond well to the direct approach. They actually do want to live a long and healthy life.

Our free weight loss programs have had considerable success with those who have the desire to avoid pain and live long in the land. It involves a restriction of carbohydrate in the diet: bread, pasta, rice, potatoes, flour products and sugar primarily. Because fruit is so important in the diet we are reluctant to forbid fruit, but the sweet fruits are somewhat curbed. Fruit contains many of the substances that prevent cancer. Phytosterol research ...

Type II folk can often completely cure themselves of diabetes, and thus the osteoporosis that goes with it, simply by losing the necessary weight.

Banting certainly helps the diabetic control their blood sugar and lose weight, but we have other concerns. Consider rather this Banting diet modified if you want to lose those unhelpful pounds.

I've been nagging a patient for two years about her weight. 111kg was far too much. Last month she got the shock of her life. Her doctor informed her she is diabetic, and was high risk for a heart attack or stroke. At less than 50 that's very serious, but not in the slightest surprising.

Fortunately routine testing discovered it first. She started on our free weight loss programs and today announced she has lost 9kg. It can be done; and what's more, her blood sugar has returned entirely to normal. Her knees are demanding she get below 90kg. 

Whole grains lower the risk of type 2 diabetes.

Researchers van Dam et al, reporting in the Annals of Internal Medicine reported that those following what they called a prudent diet, including whole grains had a moderately lower risk of type 2 diabetes.

However, those following at typical Western diet, high in refined grains, particularly if associated with low walking benefits and obesity, had a very great risk of developing type 2 diabetes.

Smoking and diabetes make poor bed fellows.

Smokers all know that their habit will cost them about ten years of their lives, and the end is usually nasty, unless they are lucky enough to have a massive heart attack or stroke.

Smoking also is one of the main causes of osteoporosis. Cellular tissues, including the bones, are starved of an adequate supply of oxygen with the obvious consequences.

But with diabetes osteoporosis it is far worse. A nightmare because it involves not only bone loss but blindness, loss of a limb and cardiovascular accidents. More falls mean injuries to the skeletal system including the spine and pelvis which is where chiropractors are primarily at work.

Risk of falling  @ Diabetes osteoporosis

These are some simple exercises that diabetics can do to reduce the risk of falling. CHIROPRACTIC HELP How to stop falling ...

"Those who will not hear, must feel."

Dutch proverb.

Walking benefits

Walking benefits are not just for the diabetic of course. Every woman in particular should be enjoying a regular stroll, and there's strong research showing how fast you walk is directly related to how long you will live; and whether you may in the future suffer from diabetes osteoporosis.

Diabetes osteoporosis is just one feature of the many walking benefits.

  1. A daily walk (and/or swim & cycle). Exercise is simply the best proven way to utilise blood sugar and help bring it within the normal range. Walking benefits are so numerous for each and every one of us, but for DIABETES OSTEOPOROSIS it's simply non-negotiable. Read more about Walking benefits ...

  2. A sensible diet, low in carbohydrate with a high glycemic index - Carbs that turn readily to sugar. That would include sugar itself, honey, fructose, fruit juices, potatoes and sweet fruits and of course all the colas is mandatory in the management of DIABETES OSTEOPOROSIS. A diet high in vegetables, salad, and the healthy fats like our Olive Garden salad dressing ... I have a bottle constantly in my fridge.
  3. Smoking. This may look glam but for every person it's pure foolishness. For the diabetic it's an unmitigated disaster. A patient told me just a few weeks ago of her 32 year old smoking diabetic daughter has had a terrible stroke. She can barely speak and is paralysed in one arm ...
  4. Weight loss. I know it's not easy but faced with the alternatives, it is simply the only option for Type II diabetics. Or suffer DIABETES OSTEOPOROSIS.
  5. Proper medication. Diabetics who control their blood sugar properly with insulin and/or the recommended medication, and follow the rules, really can and do live long healthy and normal lives.
  6. There is much research now proving the the host of soft drinks on the market, including the sugar-free, disturb the phosphate balance and cause osteoporosis.

Do it!

Chiropractic Help

Chiropractic help is in the main for you the patient; but a lot of DCs read it too. Traffic is still growing in leaps and bounds, and we have just fallen short of the first 20,000 pages per day this month. Diabetes osteoporosis is a huge concern for every doctor, whatever his or her specialization; for us it concerns in particular the danger of cracked ribs. 

The only bones at risk from chiropractic manipulation are the ribs. Every chiropractor should know to adjust his treatment protocol when managing any older patient but more particularly the patient, male or female, who is suffering from diabetes osteoporosis.

As a chiropractor entering the golden years, I find perhaps fifty percent of my patients are sixty plus, and a good few in their eighties. The elderly can certainly benefit from chiropractic help but the careless chiropractor will find himself cracking ribs.

"Today health has become synonymous with the giant global business of pharmaceutical and medical technologies, which thrive on disease, and not health."

- The Green Times

Fosamax reviews

Medical Fosamax reviews, the standard treatment for brittle bone disease, is now being seriously questioned. Firstly because of its side effects and secondly because of its effectiveness.

For example Fosamax reviews reveal that the drug actually increases the risk of fracture in both the jaw and the hip.

So often drugs like Fosamax and Statins, and even insulin for the type II diabetic are considered an easy alternative to what you really should be doing; walking more and eating more heathily, and consequently losing weight. A life without medication is what all of us should be striving to achieve; the benefits are vast.

This is particularly true at diabetes osteoporosis; those who will not hear, must feel, as the Dutch love to trot out when it's clear we are practising selective hearing.


Spinach is the queen of the vegetables when it comes to diabetes osteoporosis. Not only does it have a very low glycemic index, so it's excellent for those with raised blood sugar, but just one cup contains a quarter of your daily need for calcium.


› Diabetes osteoporosis

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Interesting challenges of the day

1. Mr S is a 76 year old man with neck pain of some 9 months duration. Luckily, most of the discomfort is upper cervical which is only rarely arthritic; his lower cervical spine is a degenerative mess that I've left alone. After seven treatments his pain and stiffness is 50 percent better, and he's happy in the circumstances. He can sleep through the night now and that makes a huge difference.

2. Mr P is 32 year old man with very severe lower back pain radiating to the big toe which is 30 percent numb. He had an episode three weeks ago, took anti inflammatories and was soon better as is typical of the medial disc herniation. But before it healed, after a trivia it came roaring back, much worse. The characteristic crossed sign was evident; sitting in a chair, straightening the right leg provoked severe left back pain and tingling in the leg. He's doing well.

3. Severe lower back pain is scary; just ask Mrs P. Just watching her get out of the car I she was in trouble; she had a slipped disc at L4 making her lean towards the opposite side; luckily she had no pain in the leg. Despite family pressure that this was far too severe for a chiropractor, she persevered. Within five days she was standing upright, and after two weeks almost painfree. 

Despite a hectic job, she wisely took my advice and stayed home for what I call exercising bed rest.

4. Mr S has had lower back, groin and back of thigh and calf pain for fourth months.

He has a pincer deformity in the hip causing the stabs in the groin, and a degenerative facet causing the sciatica. Both are responding well to chiropractic and he's well pleased; sixty five percent better after three treatments.

5. Mr T is a wise man; he's taken a warning TIA seriously and has lost 15 pounds, and has at least as much again to lose. A change to a low starch diet and half hour daily walk has made the difference; but the walking is making his foot and back miserable. The expensive orthotic is hopeless; luckily his hips and back are fine, but he needs a simple heel lift.

6. I too have had serious lower back issues, luckily fixed by my own chiropractor; so I too have to do my exercises, take care when lifting supers full of honey, gardening and using the chainsaw. Regaining the function of your spine is just as important as the pain.

7. My own granddaughter, only 7 is hypermobile giving her pelvic, knee and ankle issues. Xrays show a mildly dysplastic hip. Years ago we would have called it growing pains. She too regularly needs chiropractic care and luckily responds well. Increased range of motion is more difficult than too stiff in my opinion. Our care is for kids too.

8. This 65 year old lady is a serious gardener; every day she is bending, lifting and digging for 2 to 3 hours a day. It regularly catches her in the sacroiliac joint, so she has a treatment once a month that sorts it out. She does her lower back exercises faithfully.

9. This 88 year old lady is an inspiration; every day she is busy in the community. With a nasty scoliosis she manages very well with a chiropractic adjustment every six weeks and exercises faithfully done.  

10. Mr X is a 71 year old retired man who wants to continue with maintenance care every six to eight weeks; he had suffered from two years of lower back pain when he first came a year ago. He has no discomfort now after 8 chiropractic treatments, but is aware that danger lurks.

11. Mrs C has been having severe headaches, and taking a lot of analgesics. It's a non complicated upper cervical facet syndrome, and she's doing well.

12. Mr D is a 38 old year man with chronic shoulder pain after a rotator cuff tear playing cricket. It responded well to treatment, but he knows he must do his exercises every day; for two years he couldn't sleep on that shoulder.

13. Mr D, a 71 year old man, has a severe ache in the shoulder and midback since working above his head. Trapped nerve tests are negative but he has advanced degenerative joints of Luschka; after just two treatments he is 50 percent better. Can we reach 90?

And so the day goes; chiropractors shouldn't be treating the elderly most medical sites state but that's so much bunkum.

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