Diabetes can cause a series of complications, and osteoporosis is one of them. Professor Jiang Lihong of the Department of Geriatrics at the Second Hospital of Harbin Medical University reminds that in addition to controlling blood sugar levels, diabetic patients should also actively prevent the appearance of osteoporosis. According to Jiang Lihong, osteoporosis is a disease that reduces bone density and bone mass. According to statistics, about one-half to two-thirds of diabetic patients are accompanied by reduced bone density, and nearly one-third of them can be diagnosed as osteoporosis. Therefore, diabetic patients are more likely to develop osteoporosis compared to normal people. This is due to the high blood glucose concentration in diabetic patients and the increased filtration rate of calcium ions by the kidneys along with the excretion of excess glucose, which, over time, leads to a large amount of calcium loss from the urine. In diabetic patients, while excreting large amounts of calcium, phosphorus and magnesium are also lost from the bones, prompting the release of calcium from the bones and a decrease in bone mass. Diabetes causes insufficient insulin secretion in the body. Insulin is not only essential for sugar metabolism, but also affects protein synthesis and insufficient collagen synthesis, which also contributes to the occurrence of osteoporosis and increases the risk of fracture. Experts suggest that diabetic patients should be highly alert to the occurrence of osteoporosis. As a risk group for osteoporosis, in daily life, diabetic patients should pay attention to the presence of symptoms such as low back pain in general and regular testing of bone density for early detection and treatment, in addition to actively controlling diabetes. The treatment of osteoporosis in diabetic patients is the same as that of general patients. Treatment includes calcium supplementation, appropriate outdoor activities, and the application of vitamin D, bisphosphonates and other drugs under the guidance of physicians.