There is no doubt that the Osteoporosis and Metabolic Bone Disease Clinic is a vital asset to Texas Diabetes Institute, as osteoporosis is the most common bone disease. This silent disease is characterized by loss of bone mass and microarchitectural deterioration of bone tissue leading to bone fragility and an increased risk of bone fracture

At the Texas Diabetes Institute, we offer recommendations to patients and their referring physicians regarding prevention, risk assessment, diagnosis, and treatment for both men and women of all ages. Close to 44 million Americans over the age of 50 have osteoporosis. and 80 percent of those affected are women. The most common causes for bone loss is the loss of estrogen at the time of menopause and the aging process. This debilitating disease costs over $17 billion a year and the cost continues to rise.

It is estimated that 20 percent of Caucasian, 10 percent of Hispanic and five percent of African American postmenopausal women will have osteoporosis. The estimated prevalence in men is over 6 percent.

TDI Physician Leaders

Our team is led by:

Jan M. Bruder, MD serves as director of the Osteoporosis and Metabolic Disease Clinic at the Texas Diabetes Institute. Dr. Burder was trained at Louisiana State University in New Orleans and completed her internal medicine residency at the Medical College of Virginia in Richmond. After completing her endocrine fellowship at the University of Colorado in Denver, she remained on faculty where she was responsible for the Osteoporosis Clinic at the University at the University of Colorado, and was actively involved in the study of the regulation of gonadotropin releasing hormone gene expression. She joined the faculty at UT Health San Antonio in August of 1996 as assistant professor in the department of medicine division of endocrinology and metabolism. She is currently the clinical chief of the division of endocrinology, diabetes and metabolism subspecialty residency training program. She has been a member of the American Society for Bone and Mineral Research (1997) and is currently serving on the education committee. In addition, she is a member of International Society for Clinical Densitometry (1997) and actively participates as a faculty for the certification training in clinical densitometry. Recently she was appointed chair of the Bone Density Certification Course of the ISCD.