Testosterone, diabetes mellitus, and the metabolic syndrome.

Autor: Spark RF; Department of Medicine, Beth Israel Hospital, 330 Brookline Avenue, Boston, MA 02215, USA. rspark@bidmc.harvard.edu
Jazyk: angličtina
Zdroj: Current urology reports [Curr Urol Rep] 2007 Nov; Vol. 8 (6), pp. 467-71.
DOI: 10.1007/s11934-007-0050-4
Abstrakt: Metabolic syndrome is characterized by insulin insensitivity, central obesity dyslipidemia, and hypertension. It is recognized as a risk factor for cardiovascular disease in men; by the time metabolic syndrome is diagnosed, however, most men already have entrenched cardiovascular disease. A reliable early warning sign is needed to alert physicians to those at risk for metabolic syndrome and cardiovascular disease. Low serum testosterone level has emerged as a reliable prognosticator of metabolic syndrome in men whose testosterone deficiency is genetic (Klinefelter syndrome), iatrogenic following surgery for testicular cancer, pharmacologically induced by gonadotropin-releasing hormone during prostate cancer treatment, or a natural consequence of aging. One third of men with type 2 diabetes mellitus are now recognized as testosterone deficient. Emerging evidence suggests that testosterone therapy may be able to reverse some aspects of metabolic syndrome.
Databáze: MEDLINE