Poorly controlled diabetes can cause osteoporosis, which can make certain parts of the bone so brittle that the slightest movement such as getting out of bed, going down stairs, or even coughing can cause a fracture, which is also known as a “spontaneous fracture”. This shows that diabetes in the elderly is prone to osteoporosis, and the slightest carelessness can lead to fractures, but it is not unpreventable. For this reason, it is recommended that elderly patients with diabetes should take the following interventions at an early stage: 1. Active and effective control of blood sugar is the key to preventing osteoporosis. Patients should strengthen blood glucose monitoring and glucose-lowering therapy to ensure that blood glucose control meets long-term standards and to prevent massive loss of calcium and phosphorus due to osmotic diuresis in order to stop bone loss and maintain bone reconstruction. 2. Proper calcium supplementation helps to strengthen bones and reduce bone loss. Diabetic patients should actively supplement calcium, phosphorus, magnesium and other minerals through diet, and eat more foods with high mineral quality, such as milk, soybeans, eggs, fish and lean meat. 3, adhere to outdoor exercise to promote the synthesis of endogenous vitamin D to promote the absorption and utilization of intestinal calcium. Patients should preferably choose to go out at eight or nine o’clock in the morning when the sun rises and carry out aerobic exercises such as jogging, walking, playing tai chi and doing gymnastics. 4, diabetic patients should strive to live sometimes, diet, do not smoke, do not drink alcohol, do not drink strong coffee and tea, avoid excessive mental tension and prevent overexertion, etc. At the same time, elderly diabetic patients should also pay special attention to prevent falls in daily life, so as not to increase the risk of fracture. 5. Actively and effectively treat the cardiovascular, renal and neurological complications of diabetes to prevent them from accelerating the progress of diabetic osteoporosis and from becoming a “gas pedal” for fractures. In addition to strict blood glucose control and active treatment of complications, elderly diabetic patients with clear osteoporosis should pay attention to the supplementation of calcium, phosphorus, magnesium, zinc, vitamin C and vitamin D to enhance bone quality and reduce and stop the continued loss of bone mass. They should also choose to use therapeutic drugs such as calcitonin and diphosphonate under the guidance of doctors to improve bone metabolism, reduce the degree of osteoporosis and lower the risk of fracture.