糖尿病性骨病的早期表现是骨质疏松。有些病例伴有明显的疼痛综合征,有的还出现管状骨和椎骨体自发性骨折以及关节损害。但是关于糖尿病性骨病的发病机制的概念还不清楚。作者研究糖尿病患者的趋钙激素水平和钙磷代谢情况,检查糖尿病113例,女66例,男47例,年龄17～76岁,胰岛素依赖型糖尿病(Ⅰ型)60例,非胰岛素依赖型(Ⅲ型)53例。主诉足痛98例(86.7%),踝关节痛51例(45.1%),膝关节痛17例(15%),脊柱痛10例(8.8%),上肢痛6例(5.3%)。X线检查66例:查出足骨骨质疏松29例(43.2%),腰椎—8例(11.9%),上肢 The early manifestation of diabetic bone disease is osteoporosis. Some cases with significant pain syndrome, some also appear in the tubular and vertebral body spontaneous fracture and joint damage. But the concept of the pathogenesis of diabetic bone disease remains unclear. The study of patients with diabetes calcium and hormone levels and calcium and phosphorus metabolism, check 113 cases of diabetes, 66 females, 47 males, aged 17 to 76 years, 60 cases of insulin-dependent diabetes mellitus (type I), non-insulin-dependent Ⅲ type) 53 cases. There were 98 cases (86.7%) complained of foot pain, 51 cases (45.1%) of ankle joint pain, 17 cases (15%) of knee pain, 10 cases of spinal pain (8.8%) and 6 cases of upper limb pain (5.3%). X-ray examination of 66 cases: found osteoporosis in 29 cases (43.2%), lumbar -8 cases (11.9%), upper extremity