I am interesting in problems of bone mineral density at children with a
different somatic pathology. Alsough I take part in studing of psychocharacteristic
peculiarities and behavior stereotypes formation at the adolescents on the
background of different endocrine pathology. In 2003 took the candidat of medical
science degree. The thesis theme was “Bone Mineral Density and Correction of its
Disturbances in Children with Diabetes Mellitus”.
Abstract of the Thesis for a candidat of medical science degree of
medicine in speciality 14.01.10  Pediatrics. Danyla Galytsky Lviv State Medical
University.  Lviv, 2003.
The work is devoted to improvement of diagnostics and development of
methods of correction of bones mineralisation disturbanses in children with
diabetes mellitus type I.
At 95 children in the age of from 5 till 15 years with diabetes mellitus, the
research of а bone mineral density using the method of dual energy x-ray
absorptiometry with parallel study of phosphoric-calcium metabolism and some
biochemical markers of bone turnover were spent. The influence of modificated
treatment on bones mineralisation disturbanses of children with diabetes mellitus
was simultaneously investigated.
According to a dual-energy x-ray densitometry, at 61,1 % surveyed the
different degrees of decreasing of bone mineral density were revealed, that it is
possible to regard as complication of diabetes and to define by the term “diabetic
osteopathy”.
The offered scheme of treatment of a diabetic osteopathy, which included
vitamin D and calcium glycerophosphate, at all treated patients promoted
improvement of a mineralization of lumbar vertebras with normalization of а bone
mineral density or decrease of a degree of gravity of an osteopathy in 68,8 % of
cases whereas at all nontreated children the demineralization of vertebras in
dynamics tended to a progressing with transition of an osteopathy in 57,1 % of
cases in more serious degree. Normalization of phosphoric-calcium turnover аnd
of an osteal tissue metabolism in our patients after the treatment also was noticed.
Key words: diabetes mellitus, bone mineral density, calcium, phosphorus,
bone metabolism, vitamin D.