does diabetes lower testosterone

Diabetes mellitus can lead to diminished levels of testosterone. While this occurrence is not rare in clinical settings, the extent of its impact varies among individuals.

Firstly, due to insulin resistance or a deficiency in insulin secretion, individuals with diabetes may experience increased breakdown of adipose tissue, which can adversely affect testicular function and consequently reduce testosterone synthesis. Secondly, the state of hyperglycemia may exert a negative influence on the hypothalamic-pituitary-gonadal axis, further suppressing testosterone production. Additionally, chronic hyperglycemia can impair endothelial function, affecting the blood supply to the testes and indirectly lowering testosterone levels. Lastly, diabetic patients often present with other metabolic disorders, such as obesity and hypertension, which can also influence testosterone levels through various mechanisms.

Hence, it is imperative for diabetic patients to have their testosterone levels monitored regularly and to implement appropriate therapeutic interventions. Moreover, enhancing lifestyle practices, managing blood glucose levels, adopting a balanced diet, and engaging in moderate physical activity can contribute to elevating testosterone levels. However, any pharmacological treatment should be conducted under the supervision of a physician to avoid the risks associated with self-medication.