Innovative REMS approach on the paradox of diabetic cases

Ability of radiofrequency echographic multispectrometry to identify osteoporosis status in elderly women with type 2 diabetes

Caffarelli, M.D. Tomai Pitinca, A. Al Refaie, E. Ceccarelli, S. Gonnelli

Department of Medicine, Surgery and Neuroscience, University of Siena, Siena, Italy Aging Clinical and Experimental Research


It is well known from scientific literature that the currently available technologies and tools for bone health assessment underestimate the risk of fracture in patients with type 2 diabetes mellitus: for a given T-Score, the real risk of fracture is much higher in T2DM patients with respect to controls, despite a normal or increased BMD. This paper demonstrates how REMS technology can help clinicians in overcoming this paradox, providing a lower T-Score in T2DM patients with respect to controls hence allowing a more accurate evaluation of their fracture risk.

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