Diabetes + High BMD = Brittle Bone

Patients with poorly controlled Diabetes and high blood sugar levels often have bone with above average Bone Mineral Density (BMD).  This is good?  WRONG !! High blood sugars lead to...

ISCD 2015

Driving to Chicago in February was cold and snowing.  But it was hot indoors at the ISCD (International Society for Clinical Densitometry) Annual Meeting and Position Development Conference (PDC). While...

Not Just DXA – Fracture Risk !!

DXA is very good at determining Bone Mineral Density (BMD), provided you look at the images and over-read the computer.  DXA alone is less good at predicting Fracture Risk.  But,...

Birthday Disease

“Why did I Fracture?” and “Why do I have Osteoporosis?” are common questions I hear from older women and men.  They are taking Calcium and Vitamin D3, eating a diet...

How Hard Is It To Manage Bone Density?

Wrong Question!  What you should be managing is Fracture Risk.  If you only look at Bone Mineral Density (BMD), you miss the chance to decrease Fracture Risk in the overwhelming...

Increased Fracture Risk = Osteoporosis

Fracture Risk is the elephant in the room.  Fractures can keep you from doing what you want for weeks or months.  Fractures can put you in a Nursing Home, sometimes...

Fracture Risk – More Important than DXA, BMD, & t-Score

The International Society for Clinical Densitometry (ISCD) met last week.  Our society has been dedicated to properly evaluating DXA to determine Bone Mineral Density (BMD) and t-score.  Now ISCD is taking...

Natural Risk

Several patients in the last month have decided not to take the “unnatural” risk of taking medication for their Postmenopausal Osteoporosis.  They have been scared by the media emphasis on...

Low Vitamin D Levels and Cancer

Several years ago researchers discovered that women with breast cancer had much lower blood levels of Vitamin D than women without breast cancer.  Another study showed that, among women being...

So, There Is Nothing You Can Do For Me

Recently a patient finished her half hour visit by saying, “so there is nothing you can do for me”.  We had discussed Low Bone Mineral Density (BMD) on her DXA;...