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Testosterone replacement therapy in men with type 2 diabetes mellitus and functional hypogonadism -an Integrated
Sujoy Majumdar1, Jagat Jyoti Mukherjee2, Subir Ray2
1Peerless Hospital, Kolkata, India; Department of Diabetes and Endocrinology, GD Hospital and Diabetes Institute, Kolkata, India.
Background:
Though testosterone replacement therapy in men with organic hypogonadism is established, its role in men with type 2 diabetes mellitus (T2DM) and functional hypogonadism is unclear.
Methods:
Thirteen experts addressed ten topic-specific questions after an in-depth review of literature, where all relevant issues were critically evaluated.
Results:
Ten recommendations concerning diagnosis and management of men with T2DM and functional hypogonadism have been put forward.
Conclusion:
Routine measurement of serum testosterone in all, and inappropriate replacement of testosterone in asymptomatic T2DM men with functional hypogonadism and borderline low serum testosterone values, is not recommended.
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