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Current Osteoporosis Reports

Falls in People with Type 1 Diabetes: A Review of Prevalence, Risk Factors, and Preventive Strategies

Published in:
Authors
Asger Ahlmann Bech
Mia Daugaard Madsen
Nicklas Højgaard-Hessellund Rasmussen
Published in
Current Osteoporosis Reports | Issue 1/2025

Abstract

Purpose of the Review

This review aims to summarize recent literature on the prevalence, risk factors, and prevention strategies for falls in people with type 1 diabetes. It highlights current knowledge gaps and proposes directions for future research.

Recent Findings

Emerging evidence suggests that adults with type 1 diabetes experience a significantly higher fall risk than the general population. Key risk factors include sarcopenia, dynapenia, impaired postural control and executive function, hypoglycemia, neuropathy, and polypharmacy. While exercise interventions are effective in reducing falls in type 2 diabetes, studies in type 1 diabetes remain sparse. High-intensity interval training shows early promise in improving balance and strength.

Summary

Falls are an underrecognized yet significant complication in type 1 diabetes. Current evidence supports the need for multifaceted prevention strategies that target both physical deconditioning and diabetes-specific risk factors. More high-quality, type 1-specific studies are essential to develop effective interventions and improve patient outcomes.
Title
Falls in People with Type 1 Diabetes: A Review of Prevalence, Risk Factors, and Preventive Strategies
Authors
Asger Ahlmann Bech
Mia Daugaard Madsen
Nicklas Højgaard-Hessellund Rasmussen
Publication date
01-12-2025
Publisher
Springer US
Published in
Current Osteoporosis Reports / Issue 1/2025
Print ISSN: 1544-1873
Electronic ISSN: 1544-2241
DOI
https://doi.org/10.1007/s11914-025-00926-1
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