“…A key finding of our study is that children with type 1 diabetes were at increased risk of fracture compared with age-, sex-, and practice-matched participants without diabetes ( 1 ). In his commentary ( 2 ), Dr. Shah questions the clinical significance of childhood fractures and the contribution of type 1 diabetes to fracture risk in children. To clarify, in participants with type 1 diabetes and participants without diabetes, we found that fracture incidence was highest in the 10–20-year age-group for males only; the highest incidence in females occurred in those aged 80–90 years.…”