The topic of my study is the prevention of diabetes and its consequences on the population; hence, the issue has many aspects to explore. Ho-Pham and Nguyen (2019) studied the trabecular bone score (TBS) in people with Type 2 diabetes to explain the increased risk of fractures compared to non-diabetic people. To this end, the authors conducted a systematic review and identified 12 studies suitable for analysis. Ho-Pham and Nguyen (2019) also used the random effects meta-analysis model to the synthesize of effect sizes. The results of the study demonstrated that diabetic patients have a much lower trabecular bone score (TBS) than non-diabetic people, which can explain the higher fracture risks with a higher areal bone mineral density. In addition, there was a more significant difference in results for women than men, and people with prediabetes also had significantly lower TBS than non-diabetic people (Ho-Pham & Nguyen, 2019). Therefore, TBS can be a helpful measurement for assessing and preventing fracture risks in people living with diabetes.
This article is of good quality and has the findings necessary to study the issue of the prevention of diabetes and its complications. Since the results demonstrate that people living with diabetes and prediabetes have lower TBS, this fact makes it possible to assess the risk of fractures adequately. These findings also demonstrate the need for measures, such as the use of medication or dietary adjustments, to increase TBS among people living with diabetes, in addition to current preventive measures. At the same time, these findings can also be included in educational programs for people living with diabetes to warn them of the risks of fractures and prevent them. Thus, understanding the causes of the high risk of fractures helps to take measures to reduce them.
Reference
Ho-Pham, L. T., & Nguyen, T. V. (2019). Association between trabecular bone score and type 2 diabetes: A quantitative update of the evidence.Osteoporosis International, 30(10), 2079–2085.