Diabetes complications

Associations between diabetic neuropathy and bone density and bone microarchitecture in type 2 diabetes: The Deep Phenotyping Study

Osteoporos IntPublished cross-sectional study

Main finding · Areal bone mineral density at the total hip, individuals < 65 yearsResult — go to the resultβ −0.15 g/cm² 95% CI −0.24 to-0.06

Authors' conclusion

In individuals with type 2 diabetes <65 years, diabetic neuropathy is associated with lower bone density and differences in cortical and trabecular microarchitecture. These findings suggest neuropathy may be associated with impaired bone quality in younger adults with type 2 diabetes.

Study context

Population
Individuals with type 2 diabetes with and without diabetic neuropathy, stratified by age
Participants
50 vs 73
Exposure
Individuals with type 2 diabetes with vs without diabetic neuropathy
  • WITH NEUROPATHYn = 50
  • WITHOUT NEUROPATHYn = 73
Outcome
Areal bone mineral density at the total hip, individuals < 65 years
Methodological detailsmultivariable linear regression adjusted for age, sex, and BMI, age-stratified analyses ( < 65 and ≥65 years)
  • Multivariable linear regression adjusted for age, sex, and BMI
  • Age-stratified analyses ( < 65 and ≥65 years)

Main finding

As reported in the abstract

β

−0.15 g/cm²

95% CI −0.24 to-0.06

Observational data: associations, not effects.

Further findings

OutcomeEstimate
Areal bone mineral density at the femoral neck, individuals < 65 yearsLower with neuropathy · adjusted for age, sex, and BMIβ −0.18 g/cm² (CI −0.26 to −0.09)
TBS, individuals < 65 yearsLower with neuropathy · adjusted for age, sex, and BMIβ −1.56 (CI −2.23 to −0.89)

Tibia microarchitecture, individuals < 65 years

Neuropathy was associated with lower total, cortical and trabecular volumetric bone mineral density, lower trabecular bone volume fraction, and higher cortical porosity

Radius microarchitecture, individuals < 65 years

Lower cortical volumetric bone mineral density and lower trabecular number were observed

Bone Material Strength index; individuals ≥ 65 years

No significant associations were observed for Bone Material Strength index or in individuals ≥ 65 years

Original publication

Associations between diabetic neuropathy and bone density and bone microarchitecture in type 2 diabetes: The Deep Phenotyping Study. Osteoporos Int. Published 14 November 2026. doi:10.1007/s00198-026-08301-1

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