Hypogonadism, Type 2 Diabetes Mellitus
Conditions
Brief summary
A randomized, placebo-controlled, double-blinded study on 40 men with type 2 DM. Type 2 diabetes mellitus (T2DM) is a common endocrine disorder characterized by hyperinsulinaemia and insulin resistance. Hypothesis Testosterone therapy increases lean body mass and insulin sensitivity in men with low normal levels of bioavailable testosterone and type 2 DM.
Detailed description
Background Inadequate levels of androgens have been associated with an increased risk of chronic illnesses including obesity and diabetes. Moreover, testosterone treatment has been shown to increase lean body mass and lipid oxidation as well as insulin sensitivity in hypogonadal men.
Interventions
50 mg/dose/day for 24 weeks
placebo on the skin for 24 weeks
Sponsors
Study design
Eligibility
Inclusion criteria
* Male gender age 50-70 * Bioavailable testosterone \< 7,3 nmol/L * Metformin treatment of T2DM for 3 months or more
Exclusion criteria
* HbA1c \> 9,0 %, BMI \> 40 kg/m2, Haematocrit \> 50%, * Known malignant disease, PSA \> 3 ug/L, Nycturia \> 3 times, * Abnormal routine blood samples, * Severe hypertension, * Significant EKG-changes, * Wish of parenthood, * Active mental illness, * former or present abuse, * Severe illness of heart-, lung- or kidney, * Primary or secondary hypogonadism.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Lean body mass | approximately three years | Accessed by DXA scanning |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Regional body composition and liver fat | three years | DXA- and MR-scans and spect |
| Glucose and lipid oxidation | three years | Indirect calorimetry |
| Myostatin and satellite cells | 8 years | Muscle biopsy |
| Insulin sensitivity | three years | Euglycemic hyperinsulinaemic clamp |
| Physical activity | three years | Questionaires |
| Quality of life | three years | Questionaires |
| Sexual function | Three years | Questionaires |
| Inflammation | 8 years | Hormones: Adiponectin, leptin osteoprotegerin, IGF-I, bioactive IGF-I, Urine cortisol and steroid metabolites etc. |
Countries
Denmark