An Observational Study of Distribution of Symptoms in Patients of Diabetes Mellitus Type2 and Their Correlation with Low Serum Free Testosterone

Background;. The prevalence rate of symptomatic hypogonadism in men with type 2 DM is high and documented rates range from 20-64% with higher prevalence rates reported in the elderly.1 Some of the clinical features of the testosterone deficiency syndrome(TDS) include diminished sexual function, changes in mood, decreased intellectual activity, fatigue, sleep disturbance, increased abdominal fat, decreased body hair and bone mineral density. The commonly documented feature of the TDS in men with DM is erectile dysfunction (ED); it is reported to be three times higher in men with DM than in those without DM.18
Methods and material;- In this observational (case control) study, 80 male patients with Type-2 diabetes mellitus , aged between 30-70 years seen in OPD and in medicine ward of Medical College Jhanshi, was taken as cases. And 40 Age & sex matched healthy controls were taken and an observational Study was done between March 2012 and February 2013 to evaluate the symptoms of diabetes mellitus ,its risk factors and their correlation with low serum free testosterone level.
Results;- Symptoms of low serum testosterone were present in 51.25% of patients with type 2 diabetes mellitus. Decreased libido and decreased or absent morning tumescence were the symptoms most commonly present.