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However, it is often underdiagnosed and not addressed in a timely or appropriate manner.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Recent studies were reviewed to explore the roles of energy metabolism, sarcopeina, low\u2010grade inflammation and gut microbiota in the development of diabetes osteoporosis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Osteoporosis in diabetic patients differs from primary osteoporosis. Novel biomarkers and risk factors that are biologically, physiologically, and pathologically linked to the development of diabetes osteoporosis are emerging, necessitating a shift in strategies for diagnosis, risk stratification, and prevention of diabetes osteoporosis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>There is an urgent need to approach this disorder from a fresh perspective, initiating a range of basic research and clinical investigations.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1753-0407.70091","type":"journal-article","created":{"date-parts":[[2025,4,23]],"date-time":"2025-04-23T10:28:58Z","timestamp":1745404138000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["New Evidence, Creative Insights, and Strategic Solutions: Advancing the Understanding and Practice of Diabetes 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