Treat to Target # 2 – Fragility Fracture

Treat to Target means aiming for NO NEW FRACTURES.  As discussed last time, the original target was to maintain Bone Mineral Density (BMD) at the level first tested.  25 years...

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...

You Don’t Have To Fall To Break A Hip

Sometimes a person breaks a hip first, then they fall.  This happens a lot more often than we realize.  When the break is just below the ball of the hip,...

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...

Anabolic Medications Make New Bone

Anabolic medication for osteoporosis actually increases bone thickness and strength!  Antiresorptive medications for osteoporosis (Fosamax, Alendronate, Actonel, Atelvia, Boniva, Evista, Reclast, Prolia) only preserve bone. We have talked about all...

NOF 2014 – Prevent Second Fractures

The Second Fracture can be prevented.  How?  Realize that your first fracture is a “Bone Attack” – a warning to start working on your Bone Health. The National Osteoporosis Foundation...

Identify Fracture Risk – Prevent Fractures

Tomorrow I am at the 2014 National Osteoporosis Foundation meeting.  Actually the name “National Prevent Fractures Organization” would better explain our goals.  We don’t care about Osteoporosis as much as...