Joseph TV, Caksa S, Misra M, et al. - In this cross-sectional comparison, researchers evaluated differences in hip geometry and imaging-based estimates of bone strength between youth with and without T1D using dual-energy x-ray absorptiometry (DXA)-based hip structural analysis. Participants in the study were girls ages 10-16 years, 62 with T1D and 61 controls. According to results, DXA-based hip structural analysis showed that girls with T1D have unfavorable geometry and lower estimates of bone strength at the hip that can lead to skeletal fragility and excess hip fracture risk in adulthood. The effects of T1D on hip geometry can be exacerbated by higher average glycemia.