ABCD position statement on the management of hypogonadal males with type 2 diabetes

408 Pract Diab Int November/December 2010 Vol. 27 No. 9 Copyright © 2010 John Wiley & Sons Introduction Levels of testosterone drop slowly with ageing. Within any age group there is a wide spectrum of what may be considered ‘normal’ levels of testosterone. This, and the fact that testosterone deficiency may present with a wide variety of non-specific symptoms, makes the diagnosis of testosterone deficiency or hypogonadism difficult in any given individual. In addition, the prevalence of obesity and diabetes is increasing and both of these conditions are associated with reduced serum testosterone levels. This position statement addresses the diagnosis and management of hypogonadism in type 2 diabetes, and highlights areas of controversy.