Does low testosterone cause fatigue

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.

Free and Bio-Available Androgen Levels . The typical range for free blood serum testosterone is 9-30 ng/dL and bio-available blood serum 80 to 200 ng/dL. The androgens Free Testosterone and DHT (dihydrotestosterone) circulate in the blood plasma unbound or freely at about 2% to 4%. The bound androgens consist of specific protein bound (60%) and non-specific protein bound (36%) which accounts for the remaining 97% to 98%. How are these remaining androgens bound ? The remaining testosterone is bound to specific plasma proteins called SBHG or sex hormone-binding globulin and to nonspecific plasma proteins known as the albumin. The SHBG-bound androgens are biologically unavailable for use by a man's body whereas those non-specific loosely bound to albumin are relatively bio-available. For male hormone replacement and testosterone optimization purposes, Free testosterone which is entirely unbound and Bioavailable testosterone which is weakly bound are the most important measurements to consider.

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It may be in your best interest to seek a second opinion from a local provider. It certainly seems as though you are a candidate for therapy based on the limited information I have been presented about your history and symptoms. I would whole-heartedly advise against doing TRT unsupervised. Once TRT is necessary, it is almost certain that it will be necessary life-long thereafter. My personal preference is to manage TRT via weekly injections. Unfortunately, those results and given units of measure don’t seem to add up. Normal free testosterone levels in pg/ml 90-300. One nanogram equals 1,000 picograms, and there are 100 ml in a deciliter.

Does low testosterone cause fatigue

does low testosterone cause fatigue

It may be in your best interest to seek a second opinion from a local provider. It certainly seems as though you are a candidate for therapy based on the limited information I have been presented about your history and symptoms. I would whole-heartedly advise against doing TRT unsupervised. Once TRT is necessary, it is almost certain that it will be necessary life-long thereafter. My personal preference is to manage TRT via weekly injections. Unfortunately, those results and given units of measure don’t seem to add up. Normal free testosterone levels in pg/ml 90-300. One nanogram equals 1,000 picograms, and there are 100 ml in a deciliter.

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