Bone up on your calcium facts

Tip 134Scientists are finding that diabetes is a risk factor for fractures due to osteoporosis. In people with newly diagnosed type 1 diabetes, this may be due to a lack of insulin, which may promote bone growth and strength. For people who have had type 1 longer, vascular complications may account for low bone mass and the increased risk of fractures. People with type 2 diabetes generally have higher bone density but are also more likely to be less active, another risk factor for osteoporosis. Pair all this with vision complications and nerve damage, and the risk of fractures increases for all people with diabetes.

There is no cure for osteoporosis but it can be prevented or treated through a proper diet, exercise, smoking cessation, controlled alcohol consumption, and, in some cases, medication. Calcium supplementation is a common preventive measure but it should not be taken lightly. When choosing your calcium supplement, consider the following:

• Experts recommend that adults get 1,000 to 1,200 mg (milligrams) of calcium each day, but the body best absorbs it at 500 mg or less at a time.
• Calcium supplements have the potential to interact with several prescription and over-the-counter medications, so take it as directed.
• Calcium works best in conjunction with vitamin D and magnesium, which promote absorption.

If you are concerned about your risk of developing osteoporosis, talk to your doctor about tests to determine your bone density and the best treatment options for you.

Reviewed by Francine Kaufman, MD. 4/08

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by Brenda Bell
Many people say that depression is a side effect or complication of diabetes. Without discounting the association of the psychological condition with the physical one, I'm not convinced that our high and/or unstable glucose levels are directly responsible for that change in our mental state. My belief is that the unrelenting need for self-care, for following the sort of care schedules that can drive licensed, professional caregivers crazy, is what overwhelms us...
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