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Bone Mineral Density in Non-Insulin-Dependent Diabetes Mellitus
- Paulus L. A. van Daele, MD;
- Jan C. Birkenhager, MD; and
- Huibert A. P. Pols, MD
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IN RESPONSE:
We thank Dr. McKenna for his valuable comments. Indeed, some studies suggest that diabetes is associated with a low bone turnover [1, 2], which might result in a diminution of age-related bone loss in patients with non–insulin-dependent diabetes mellitus. However, this hypothesis is not supported by our recent finding that the rate of bone loss in our patients with non–insulin-dependent diabetes mellitus is not decreased [3].
We agree that it would be interesting to examine whether patients with non–insulin-dependent diabetes mellitus have more stress fractures. However, because all fractures in this study were self-reported, we do not have adequate information on the number of stress fractures. Nevertheless, because we found fewer reported nonvertebral fractures, the number of stress fractures would probably not be increased in patients with non–insulin-dependent diabetes mellitus.
Paulus L. A. van Daele, MD
Jan C. Birkenhager, MD
Huibert A. P. Pols, MD
Academisch Ziekenhuis Rotterdam; 3015 GD Rotterdam; the Netherlands
The Editors welcome submissions for possible publication in the Letters section. Authors of letters should:
•Include no more than 300 words of text, three authors, and five references
•Type with double-spacing
•Send three copies of the letter, an authors' form signed by all authors, and a cover letter describing any conflicts of interest related to the contents of the letter.
Letters commenting on an Annals article will be considered if they are received within 6 weeks of the time the article was published. Only some of the letters received can be published. Published letters are edited and may be shortened; tables and figures are included only selectively. Authors will be notified that the letter has been received. If the letter is selected for publication, the author will be notified about 3 weeks before the publication date. Unpublished letters cannot be returned.
Annals welcomes electronically submitted letters.
- Copyright ©2004 by the American College of Physicians
