Retrospective Study: Hip Fractures in Diabetic Patients
NCT01379690 · Status: COMPLETED · Type: OBSERVATIONAL · Enrollment: 1162
Last updated 2012-02-23
Summary
Type 2 DM patients are at increased risk of falls as a consequence of long term hyperglycemic complications including retinopathy and neuropathy, and also as a result of hypoglycaemic therapy. Values of A1C \<= 7% has been shown to increase the risk of falls in elderly T2DM patients .
Increased fall risk may explain why T2DM patients are at increased risk of hip fractures , despite having a higher bone mineral density as compared to non-T2DM patients. Given the high morbidity and mortality (25% mortality in 1st year post-fracture) associated with hip fractures , all care must be given to prevent hip fractures in T2DM patients.
There is controversial data on T2DM medications and fracture risk. Vestergaard showed that use of metformin and sulphonylureas decreased the risk of all fractures, while there was there was a similar trend with insulin.
The present study sought to evaluate the relationship between A1c values and the risk of fractures in treated patients with T2DM.
Conditions
- Type 2 Diabetes
- Hip Fractures
Interventions
- OTHER
-
HBA1C
Used level of HBA1C as a reflection of glycaemic control of the cases and controls
Sponsors & Collaborators
-
Changi General Hospital
lead OTHER
Principal Investigators
-
Troy H Puar, MRCP · Changi General Hospital
Eligibility
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2011-04-30
- Primary Completion
- 2011-06-30
- Completion
- 2011-06-30
Countries
- Singapore
Study Locations
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