TY - JOUR T1 - The effect of long-term use of pioglitazone on bone mineral density in patients with diabetes mellitus AU - Durak, Muhammed Bahaddin AU - Yeşilaltay, Alpay PY - 2023 DA - July DO - 10.38053/acmj.1318023 JF - Anatolian Current Medical Journal JO - Anatolian Curr Med J / ACMJ / acmj PB - MediHealth Academy Yayıncılık WT - DergiPark SN - 2718-0115 SP - 261 EP - 265 VL - 5 IS - 3 LA - en AB - Aims: This study aimed to explore the incidence of osteoporosis in patients with diabetes mellitus (DM) who have been on a long-term pioglitazone regimen, and to ascertain the link between pioglitazone usage and the onset of osteoporosis.Methods: We enrolled patients prospectively and conducted a comparative analysis between two groups of DM patients: those who had been using pioglitazone for a period exceeding two years, and those with no history of pioglitazone use. Bone Mineral Density (BMD) was assessed using dual energy X-ray absorptiometry (DEXA).Results: There were no significant differences in age, gender, disease duration, fasting plasma glucose levels, and HbA1c levels between pioglitazone users and non-users. However, a significant variation was found in the BMD measurements. Patients on pioglitazone had an L1-L4 vertebra BMD T-score of -1.3, compared to -0.9 in non-users (p KW - Pioglitazone KW - bone mineral density KW - diabetes mellitus CR - Green A, Hede SM, Patterson CC, et al. Type 1 diabetes in. 2017: global estimates of incident and prevalent cases in children and adults. Diabetologia. 2021;64(12):2741-2750. CR - Xu G, Liu B, Sun Y, et al. Prevalence of diagnosed type 1 and type 2 diabetes among US adults in. 2016 and. 2017: population based study. BMJ (Clinical research ed). 2018;362:k1497. CR - Merlotti D, Gennari L, Dotta F, et al. Mechanisms of impaired bone strength in type 1 and 2 diabetes. 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