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. 2022 Mar 12;15:779–797. doi: 10.2147/DMSO.S349769

Figure 11.

Figure 11

The relationship between bone turnover markers and diabetic ketoacidosis (DKA) conditions. (A) Many risk factors, such as missing insulin shots, infection, and unawareness of DM in individuals with newly diagnosed diabetes, can all lead to ketoacidosis. (B) Besides the factors that cause osteoporosis (OP), such as deficiency of insulin, abnormal estrogen after menopause in women, aging, and imbalance of the hypothalamus-pituitary-Thyroid (HPT) axis, diabetic ketoacidosis causes serum Ca2+, 25 (OH) D, N-MID to decrease while the bone-breaking marker, β-CTX, to increase.