 - Osteoporosis T-score -2.5 and below on hip or spine scan or history of fragility fractures Diabetes mellitus requiring insulin for treatment or with a fasting blood glucose of 140 mgdl, andor HbA1c 8.5 Those excluded from the study because of fasting blood glucose of 140 mgdl or HbA1c8.5 will be referred to their primary care provider for follow-up and appropriate treatment. 