[Body weight and bone/calcium metabolism. Treatment of osteoporosis with diabetes.]

Nutritional guidance and exercise should be beneficial as well as pharmacotherapy in life style-related diseases including diabetes and osteoporosis. Sufficient and appropriate energy intake with protein, calcium and vitamin D is good for bone and muscles in osteoporotic patient. Diabetes patients are often recommended to reduce body weight. However, losing weight could be related to bone loss. Therefore, we should pay attention to keep balance between glucose metabolism and bone metabolism in the patients with both diseases. As for pharmacotherapy in osteoporosis with diabetes, there is so far no specific recommendation. Fall risk assessment and guidance should be emphasized in diabetes patient with osteoporosis, because they could have more fall risk due to diabetic complications such as neuropathy and retinopathy.