**10. Diabetes and bone fragility**

Both osteoporosis and diabetes mellitus are widespread chronic diseases that affect the elders. A considerable number of the population who are at risk for osteoporosis is expected to have a corresponding diabetes because the incidence of both diseases might be as high as 35–40% [118–121].

With a fracture relative risk (RR) ranging from 1.5 to 3, it is clear that type 2 diabetes is linked to a higher risk of fractures. This appears to be more prevalent in older persons with poorly controlled diabetes and a longer disease duration (>5 years) [120–124].

Diabetic osteoporosis and diabetic bone disease have been proposed, but they are still not commonly used, in persons who have had diabetes for longer than 10 years [125, 126].
