A few years back, I was working with an endocrinologist in St. Petersburg, managing his diabetes patients. We would get a lot of type 2 patients who had been started on basal insulin and then referred to us when their condition required the addition of mealtime insulin. Most of these male patients were in their late 50’s / early 60’s and many of them had lost muscle mass and had added on significant abdominal fat. In addition, many of them had expressed loss of libido; however, when they had spoken to their primary care physicians, it was usually explained away as a symptom of old age.
I was amazed to see how many of these patients had never had their testosterone measured, and how many of them had very low levels of free testosterone. When we started these patients on either the gel or injection, most of these patients experienced newfound energy and had improvements in body fat percentage and muscle mass.
Michael Irwig, MD, FACE, an endocrinologist at George Washington University, sits down with our publisher, Steve Freed, at the recent AACE meeting in Boston, to discuss how low testosterone, diabetes, and obesity feed off of each other to make the conditions worse, and what you can do to help your patents. He even takes the time to let you know what diagnosis codes you need to get the tests done and which of the 13 different testosterone-related tests you should select for your patients.