INS and type 2 diabetes mellitus: Conversely, in T2D, there is a 33% increase in the risk of hip fractures, a 19% increase in the risk of nonvertebral fractures,[2] a 54% increase in the risk of upper arm fracture, a 22% increase in any fracture, and a 15% increase in ankle fracture.[3] In T2D, the risk was higher in those younger, those using insulin, and those with a longer duration of diabetes.[2]