Testosterone therapy (TTh) prevents progression from prediabetes to type 2 diabetes (T2DM) in hypogonadal: 9-year data from a registry study
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1 Testosterone therapy (TTh) prevents progression from prediabetes to type 2 diabetes (T2DM) in hypogonadal: 9-year data from a registry study F Saad 1,2, KS Haider 3, A Haider 3 1 Global Medical Affairs Andrology, Bayer AG, Berlin, Germany 2 Gulf Medical University School of Medicine, Ajman, United Arab Emirates 3 Private Urology Practice, Bremerhaven, Germany
2 Background: The recommended strategy to prevent progression from prediabetes to T2DM is weight loss. Method: Of 400 men with symptomatic hypogonadism, 45 (11.3%) had prediabetes defined by HbA 1c of %. Most men had presented to the urology office with complaints of erectile function or urinary function. All men men received testosterone undecanoate injections (TU) 1000 mg/12 weeks following an initial 6-week interval. No structured recommendations for lifestyle modifications were provided. Most measurements were performed 2 to 4 times a year for up to 11 years. 9-year data are presented.
3 20 Trough total testosterone (nmol/l) in 45 hypogonadal men with prediabetes on longterm treatment with testosterone undecanoate
4 HbA 1c (%) in 45 hypogonadal men with prediabetes on long-term treatment with testosterone undecanoate 6 5,9 5,8 5,7 5,6 5,5 5,4 5,3 5,2 5,1 5
5 Fasting glucose (mmol/l) in 45 hypogonadal men with prediabetes on long-term treatment with testosterone undecanoate 6 Testosterone 5,9 5,8 5,7 5,6 5,5 5,4 5,3 5,2 5,1 5 p<0.001 p<0.005 p<0.01 p<0.005 p<0.005 p<0.001 p< NS * ; NS=non-significant
6 Triglyceride:HDL ratio in 45 hypogonadal men with prediabetes on long-term treatment with testosterone undecanoate 7,5 7 6,5 6 5,5 5 4,5 4 3,5 3
7 Weight (kg) in 45 hypogonadal men with prediabetes on long-term treatment with testosterone undecanoate
8 Waist circumference (cm) in 45 hypogonadal men with prediabetes on long-term treatment with testosterone undecanoate
9 BMI (kg/m 2 ) in 45 hypogonadal men with prediabetes on long-term treatment with testosterone undecanoate
10 Weight change (%) in 45 hypogonadal men with prediabetes on long-term treatment with testosterone undecanoate
11 Systolic and diastolic blood pressure (mmhg) in 45 hypogonadal men with prediabetes on long-term treatment with testosterone undecanoate
12 Prediabetes Nebido HAIDER ,4 27,1 6,3 5, ,9 24 6,1 5, ,1 6,1 5, ,8 32,1 6,1 5, ,1 23,9 5,9 5, ,1 27 6,1 5, ,7 26,8 5,9 5, ,6 31,1 5,8 5, ,1 25,1 5, ,3 29 6,1 5, ,7 30,7 6,2 5, ,7 25,6 6, ,3 26,5 5,7 5, ,9 26,3 5,7 5, ,6 25,6 5, ,1 24,9 5, ,4 23,6 5,8 5, ,1 25,9 5, ,7 29,1 5,9 5, ,6 29,7 6,1 5, ,5 25,4 5,7 5, ,7 28,4 5,9 5, ,9 23,3 5,7 5, ,4 25,4 5,7 5, ,3 25,9 5,7 4, ,8 30 5,7 5, ,7 26,4 5,7 4, ,8 23,5 5,8 5, ,3 23 5,7 5, ,5 23,5 5,8 5, ,5 23,9 5,9 5, ,2 23,2 5,8 5, ,9 29 5,8 5, ,7 31 5,7 5, ,9 5, ,7 5, ,6 29 5,7 5, ,9 31 6,1 5, ,1 31,7 5, ,2 31 5,8 5, ,6 6, ,4 29,3 5,8 5, ,1 33,1 6,1 5, ,5 30 5, ,6 32,8 5,9 5 Individual patients: No progression from prediabetes to T2DM HbA 1c <5.7% (cut-off for prediabetes) HbA 1c 5.7% and <6.5% (cut-off for diabetes)
13 Conclusions Long-term TTh with TU in hypogonadal men with prediabetes completely prevented progression from prediabetes to type 2 diabetes. This effect may have been mediated by weight loss which was demonstrated by sustained reductions in weight and waist circumference. In addition, it is known that testosterone increases lean body mass and reduces fat mass, changes in body composition which are beneficial over and beyond weight loss alone.
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Private urology praxis, Bremerhaven, Germany 2. Endocrinology, VUmc, Amsterdam, The Netherlands 3
Article 167 Improvement of the Metabolic Syndrome and of Non-alcoholic Liver Steatosis upon Treatment of Hypogonadal Elderly Men with Parenteral Testosterone Undecanoate Authors A. Haider 1, L. J. G. Gooren
ORIGINAL ARTICLE OPEN. F Saad 1,2, A Yassin 2,3,4, G Doros 5 and A Haider 6
International Journal of Obesity (2016) 40, 162 170 2016 Macmillan Publishers Limited All rights reserved 0307-0565/16 www.nature.com/ijo OPEN ORIGINAL ARTICLE on weight and waist size in 411 hypogonadal
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