Assessment of Prevalence of Low Testosterone Level in Men with Type 2 Diabetes Mellitus in Western U.P
Background: Diabetes Mellitus is a chronic disease that occurs either due to inadequate production of insulin or resistance to insulin action and excessive or inadequate production of glucagon. Hyperglycemia is a result of uncontrolled diabetes and over the time leads to damage to various body systems by microvascular, macrovascular and neuropathic complications. It is also seen that testosterone level was found low in uncontrolled type 2 diabetic patient.
Aim and objectives: To study the prevalence of low testosterone level in men with type 2 Diabetes mellitus and to study the prevalence of erectile dysfunction in men with type 2 Diabetes mellitus and its effect on daily activities of life.
Methods: This study was carried out in affiliated hospital of Saraswathi institute of medical sciences, Hapur in the Department of Medicine. 100 males of type 2 Diabetes Mellitus were selected to see the prevalence of low level of testosterone. Results: 100 type 2 DM patients with age above 40years were enrolled in this study to look for serum testosterone level. In 69 patients in whom HbA1C was more than 7.5% testosterone level was found low. Erectile dysfunction was observed in low testosterone groups. Association between type2 DM and hypogonadism has been studied in detail in various studies also but whether treatment of DM can treat hypogonadism or testosterone can improve glycaemic control in Diabetic patients with hypogonadism is still controversial.
Conclusions: The high prevalence of both low testosterone levels and of ED should prompt the screening of all diabetic male patients older than 40 years.
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