question from a user
What are your thoughts on testosterone and its impact on blood glucose and possible prevention of t2 diabetes according to some studies over the last 10 years? Is reactive hypoglycaemia also potentially related to a testosterone deficiency and low SHBG related to insulin resistance?
AlphaMD's Answer
Its now widely recognized that low testosterone is a risk for metabolic disorders, obesity, and heart disease. Study results have demonstrated that normalizing testosterone levels with TRT reduces Hgb A1C, fasting glucose, insulin resistance, and fasting insulin levels. We have certainly seen drastic improvements in our patient population.
Reactive hypoglycemia can certainly be more prevalent in testosterone deficiency as insulin resistance increases, the pancreas is taxed more and creates "spurts" of insulin release in an effort to keep up with demand.
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