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Diabetes Care · 2016Diabetes & metabolism

Insulin resistance and inflammation in hypogonadotropic hypogonadism

In this placebo-controlled trial, men with type 2 diabetes and hypogonadotropic hypogonadism received testosterone or placebo for six months. Insulin sensitivity was measured directly with a euglycaemic clamp rather than inferred from symptoms.

Dhindsa S., Dandona P. et al.Open the publication DOI: 10.2337/dc15-1518

Focus

Insulin sensitivity

Published finding

32%

Source

10.2337/dc15-1518

Record

Ref 04

Structured abstract

Method

In this placebo-controlled trial, men with type 2 diabetes and hypogonadotropic hypogonadism received testosterone or placebo for six months. Insulin sensitivity was measured directly with a euglycaemic clamp rather than inferred from symptoms.

Result

Insulin-stimulated glucose disposal improved by approximately 32%. Subcutaneous fat mass and inflammatory markers decreased. HbA1c did not significantly change during the six-month study window.

What to take with you

A euglycaemic clamp measured what the tissue did. Insulin-stimulated disposal rose about 32% on testosterone versus placebo.

Why it matters

Insulin-stimulated glucose disposal rose about 32% on testosterone versus placebo in a euglycaemic clamp.

Study frame

Insulin sensitivity

In this placebo-controlled trial, men with type 2 diabetes and hypogonadotropic hypogonadism received testosterone or placebo for six months. Insulin sensitivity was measured directly with a euglycaemic clamp rather than inferred from symptoms.

Finding

Insulin-stimulated glucose disposal improved by approximately 32%.

Contrast

Subcutaneous fat mass and inflammatory markers decreased.

Context

HbA1c did not significantly change during the six-month study window.

DOI

10.2337/dc15-1518

Category

Insulin sensitivity

Findings listed

3

Type

As published

What to take from the numbers

Boxes below use only wording already in the published summary for this study.

Reported finding

32%

Insulin-stimulated glucose disposal improved by approximately 32%.

Reported finding

2

Subcutaneous fat mass and inflammatory markers decreased.

Reported finding

1

HbA1c did not significantly change during the six-month study window.

The sample and treatment period were limited; improved insulin sensitivity is not the same as diabetes remission.

Why it matters when reading your own result

Pulled from the study's own findings.

Insulin-stimulated glucose disposal improved by approximately 32%.

Insulin sensitivity

Subcutaneous fat mass and inflammatory markers decreased.

Insulin sensitivity

HbA1c did not significantly change during the six-month study window.

Insulin sensitivity

Clinical reading

How to use this page

In this placebo-controlled trial, men with type 2 diabetes and hypogonadotropic hypogonadism received testosterone or placebo for six months. Insulin sensitivity was measured directly with a euglycaemic clamp rather than inferred from symptoms.

Your own numbers

Measure before you decide what this page means for you.

The figures here describe men who were actually measured.

  • Total testosterone and SHBG
  • Symptoms written down
  • Haematocrit as a safety baseline
  • Repeat labs before any protocol change