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Testosterone therapy for prevention and reversal of type 2 diabetes in men with low testosterone
1American Medical Writers Association (AMWA), Rockville, MD, USA; International Society for Medical Publication Professionals (ISMPP), Fort Lauderdale, FL, USA.
Abstract:
Men with obesity and/or type 2 diabetes (T2D) have a high prevalence of testosterone deficiency (TD). Similarly, men with TD have an increased risk of developing obesity and/or T2D, and further body fat accumulation and deterioration of glycemic control create a vicious cycle. The landmark testosterone for diabetes mellitus trial, the largest randomized controlled trial of testosterone therapy (TTh) to date, confirms the beneficial effects of TTh on fat loss and gain in muscle mass, and that TTh for 2 years significantly reduces the risk of incident T2D, and may also reverse T2D. The testosterone for diabetes mellitus trial suggests that TTh reduces the risk of T2D and results in greater improvement in sexual function and wellbeing, beyond lifestyle intervention alone.
Insights
Testosterone therapy (TTh) in men with obesity or type 2 diabetes (T2D) aids fat loss, muscle gain, and reduces T2D risk. TTh improves sexual function and well-being beyond lifestyle changes.
Area of Science:
- Endocrinology
- Metabolic Health
- Men's Health
Background:
- Obesity and type 2 diabetes (T2D) are prevalent in men with testosterone deficiency (TD).
- A cyclical relationship exists between TD, obesity, T2D, and worsening metabolic health.
- Testosterone deficiency (TD) increases the risk of obesity and type 2 diabetes (T2D).
Purpose of the Study:
- To evaluate the effects of testosterone therapy (TTh) on body composition, T2D risk, and glycemic control in men.
- To assess the impact of TTh on sexual function and overall well-being.
Main Methods:
- The study involved a large-scale, randomized controlled trial named the 'testosterone for diabetes mellitus' trial.
- Participants received testosterone therapy (TTh) over a 2-year period.
- Outcomes measured included body fat mass, muscle mass, incidence of T2D, glycemic control, sexual function, and well-being.
Main Results:
- Testosterone therapy (TTh) led to significant fat loss and increased muscle mass.
- TTh significantly reduced the risk of developing type 2 diabetes (T2D) over 2 years.
- TTh demonstrated potential to reverse existing T2D and improve sexual function and well-being.
Conclusions:
- Testosterone therapy (TTh) offers significant benefits for men with obesity and/or T2D, including improved body composition and reduced T2D risk.
- TTh may be a valuable therapeutic option for managing metabolic dysfunction and improving quality of life in affected men.
- The findings suggest TTh's efficacy extends beyond lifestyle interventions alone for improving health outcomes.
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