Mixed

Intentional long-term weight loss in overweight or obese adults with type 2 diabetes increases the risk of frailty fractures (hip, pelvis, upper arm/shoulder) despite not increasing total or hip fracture rates overall.

If you have type 2 diabetes and are planning to lose weight, be aware that this specific intervention (intensive lifestyle change) has been linked to a higher risk of breaking bones in the hip, pelvis, or shoulder area, even if your overall fracture risk doesn't change. To mitigate this, focus on preserving muscle mass through resistance training and ensure adequate calcium and vitamin D intake, as bone loss is a key mechanism for this increased risk.