Is testosterone therapy safe

Diabetes mellitus is a disease in which a person's blood sugar (blood glucose) is either too high (hyperglycemia) or too low (hypoglycemia) due to problems with insulin regulation in the body. There are two main types of diabetes mellitus, type 1 and type 2. Type 1 diabetes usually occurs during childhood, while type 2 diabetes usually occurs during adulthood, however, rates of both types of diabetes in children, adolescents, and teens is increasing.

More men than women have diabetes in the US, and the disease can affect men differently than women.

Warning symptoms of diabetes that men have and women do not include:

  • Low testosterone (low-T)
  • Sexual problems
  • Impotence (erectile dysfunction)
  • Decreased interest in sex
  • Retrograde ejaculation

Type 1 and type 2 diabetes symptoms and signs that are the same in men and women include:
  • Skin infections
  • Numbness or tingling in the feet or hands
  • Nausea
  • Excessive thirst or hunger
  • Fatigue
  • Irritability
  • Blurred vision
  • Weight gain
  • Weight loss
  • Urinary tract infections (URI)
  • Kidney problems

Treatment for type 1 diabetes is insulin, and treatment for type 2 diabetes are lifestyle changes like eating a healthy diet, getting exercise daily, and if necessary, diabetes medications.

REFERENCES:

NIH; National Institute of Diabetes and Digestive and Kidney Diseases. "Preventing Type 2 Diabetes. Updated: Nov 2017.

NIH; National Institute of Diabetes and Digestive and Kidney Diseases. "Symptoms and Causes of Diabetes." Updated: Nov 2017.

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Other side effects include increased risk of heart problems in older men with poor mobility, according to a 2009 study at Boston Medical Center. A 2017 study published in JAMA found that treatments increase coronary artery plaque volume. Additionally, the Food and Drug Administration (FDA) requires manufactures to include a notice on the labeling that states taking testosterone treatments can lead to possible increased risk of heart attacks and strokes. The FDA recommends that patients using testosterone should seek medical attention right away if they have these symptoms:

Another point I’d like to make for people worried about a link between high testosterone and prostate cancer is that it just doesn’t make sense. Prostate cancer becomes more prevalent in men as they age, and that’s also when their testosterone levels decline. We almost never see it in men in their peak testosterone years, in their 20s for instance. We know from autopsy studies that 8% of men in their 20s already have tiny prostate cancers, so if testosterone really made prostate cancer grow so rapidly — we used to talk about it like it was pouring gasoline on a fire — we should see some appreciable rate of prostate cancer in men in their 20s. We don’t. So, I’m no longer worried that giving testosterone to men will make their hidden cancer grow, because I’m convinced that it doesn’t happen.

Is testosterone therapy safe

is testosterone therapy safe

Another point I’d like to make for people worried about a link between high testosterone and prostate cancer is that it just doesn’t make sense. Prostate cancer becomes more prevalent in men as they age, and that’s also when their testosterone levels decline. We almost never see it in men in their peak testosterone years, in their 20s for instance. We know from autopsy studies that 8% of men in their 20s already have tiny prostate cancers, so if testosterone really made prostate cancer grow so rapidly — we used to talk about it like it was pouring gasoline on a fire — we should see some appreciable rate of prostate cancer in men in their 20s. We don’t. So, I’m no longer worried that giving testosterone to men will make their hidden cancer grow, because I’m convinced that it doesn’t happen.

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