Annual increase of the morbidity of diabetes directly leads to the increase of incidence of diabetic osteoporosis.And it is likely to cause fractures and other adverse consequences, seriously affecting the quality of life of patients, and bringing a huge financial burden to the family and society.Currently, the treatment of diabetic osteoporosis mainly relies on the anti-osteoporosis drugs, but the effect of such drugs is still controversial.They are expensive, even worse, some patients cannot tolerate side effects from anti-osteoporosis drugs.To sum up, there is an urgent requirement to study the mechanism of diabetic osteoporosis and to find more economical and effective way for curing diabetic osteoporosis.As a result, the anti-osteoporosis effect of traditional Chinese medicine has been paid more and more attention.A large number of experimental and clinical researches affirmed the efficacy of Chinese medicine.Traditional Chinese medicine or combined therapy of Chinese and Western medicine has been widely used in clinical practices.Now, we will review the etiology and pathogenesis, the syndrome differentiation, modern researches, clinical researches and other aspects of the relevant researches of diabetic osteoporosis from the perspective of traditional Chinese medicine.