Issue: 2012, Vol. 17, No. 3

Skorodumova Елена Владимировна, Nazarova Ольга Анатольевна

Mineral density of feet bones in patients with diabetes mellitus

Keywords

feet osteopenia, diabetes mellitus, bone mineral density

Abstarct

Feet osteopenia prevalence was studied in patients with diabetes mellitus of 1 and 2 types; possible mechanisms of its development were clarified. Mineral bone density (MBD) of foot anterior zone was analyzed by doubleenergetic roentgen absorbtionmetry in 32 patients with diabetes mellitus of 1 type and in 47 patients with diabetes mellitus of 2 type. Then it was compared to analogous indices of the patients from control group who had the normal MBD of basic skeleton. Presence and severity of diabetic retinopathy (DR) and nephropathy (DN), distal sensomotor neuropathy (DPN), blood flow alterations on lower limbs and osteoporosis risk factors (ORF) were clarified in the patients. As the result feet osteopenia was revealed in 47% of the patients examined in every type of diabetes mellitus. It was more often combined with low MBD of basic skeleton, predominantly proximal femur zone and was rarely isolated. Feet osteopenia was connected to ORF by late diabetic complications, high malleolus-arm index and this fact should be used for prognosis.