This just occurred to me because there was a recent thread on Vitamin D deficiency, and how common it is being found now that there is a simple blood test to check for it.
Vitamin D is essential for normal bone strength, and apparently there is an association between diabetes and Vitamin D deficiency, which may explain the association between diabetes and fractures.
"Role of vitamin d in insulin secretion and insulin sensitivity for glucose homeostasis. Vitamin D functions are not limited to skeletal health benefits and may extend to preservation of insulin secretion and insulin sensitivity...":
http://www.ncbi.nlm.nih.gov/pubmed/20011094
"Vitamin D in diabetes mellitus-a new field of knowledge poised for D-velopment. This commentary reviews the current state of knowledge regarding the role of vitamin D in the pathogenesis of diabetes mellitus. In type 1 diabetes mellitus or in adult onset latent autoimmune diabetes (LADA), vitamin D exhibits immunomodulatory actions, influencing the activity of lymphocytes and interleukins. In type 2 diabetes mellitus vitamin D appears to act through different mechanisms, affecting insulin secretion and insulin sensitivity through its effects on the beta cells, mediators of inflammation and parathyroid hormone. Much work remains to be done in this new field of knowledge before the role of vitamin D in the pathogenesis of diabetes mellitus is completely understood." :
http://www.ncbi.nlm.nih.gov/pubmed/19565622
"Diabetes and fractures: an overshadowed association. Observational and population studies have reported a higher risk of fractures in patients with type 1 and type 2 diabetes, especially at the hip. Type 2 diabetic patients have a higher bone mineral density compared with the general population, and yet, remain unprotected from fractures. Type 1 diabetic patients have a greater risk of fractures and a lower bone mineral density compared with the general population. Their lower bone mineral density, however, does not fully account for the raised fracture risk. Therefore, impaired bone quality rather than lower bone density appears to mediate the increased fracture risk in patients with type 1 and 2 diabetes. Recently, studies have shown an association between advanced glycation end products with increased fracture risk in diabetic patients. These studies support the hypothesis of poor glycemic control and chronic hyperglycemia having a direct detrimental effect on bone quality. In addition, increased fracture risk has been reported in patients with peripheral and autonomic neuropathy, recurrent hypoglycemic events, vitamin D deficiency, and those receiving thiazolidinedione therapy.":
http://www.ncbi.nlm.nih.gov/pubmed/19779334
While your fracture did involve lifting some pretty heavy weight, it still seems like an unusual accident. I wonder if is worth asking you doctor to check a Vitamin D level to see if that could be low in you. This may be especially important as you are healing the fracture, and low levels of Vitamin D are associated with slow healing of bone fractures (as is poor blood sugar control). Of course another approach would be to take Vitamin D tablets without checking a blood level.
And that line above about thiazolidinedione therapy being linked to an increased fracture risk causes me to ask if you are on either Rosiglitazone (Avandia) or Pioglitazone (Actos)?
