(Ivanhoe Newswire) -- Patients taking a commonly prescribed class of
diabetes medications may be at risk for bone fractures.
Thiazolidinediones are a relatively new and effective class of drugs
designed to treat insulin resistance in type 2 diabetes patients. Twenty-one
percent of oral medications prescribed in the United States are pioglitazone
(Actos) and rosiglitazone (Avandia) -- two drugs in this category. Previous
studies have suggested these medications may cause slower bone formation and
faster bone loss, but a new study now reveals they may also be linked to
fractures.
Researchers in Switzerland looked at 1,020 patients with diabetes who had
fractures. For each patient, they had up to four control subjects who had
diabetes, were the same age and sex, had the same physician, but did not
have fractures. The results showed those currently taking rosiglitazone and
pioglitazone were roughly two to three times more likely to have hip and
other non-spine fractures than those not taking the drugs. The risk for
fractures increased in those who took the drugs for 12 to 18 months and was
highest for those taking them for two or more years.
“No such effect was seen for other antidiabetic drugs in this study
population,” study authors wrote. “These findings, although they are
consistent with recently reported data from a randomized trial, are based on
relatively few thiazolidinedione-exposed patients and need to be confirmed
by additional observational studies and by controlled clinical trials.”
SOURCE: Archives of Internal Medicine, 2008;168:820-825