ECE2021 Audio Eposter Presentations Diabetes, Obesity, Metabolism and Nutrition (223 abstracts)
The Republican Research Centre for Radiation Medicine and Human Ecology, Endocrinology, Gomel, Belarus
The aim of the study is the search of predictors of the development of androgen deficiency in men with 1 diabetes mellitus type 2. The study included 243 men with type 2 diabetes mellitus aged 3555 years. The median age of men was 39.00 [30.00; 45.00] years, the median duration of diabetes mellitus type 2 was 12.00 [7.00; 22.00] years. As a result of the research, it was found that an increase in the patients age significantly increased the risk of developing androgen deficiency (b = 0.07, Exp (b) = 1.08 (1.00 ÷ 1.16), P < 0.05). The age of smoking experience also had a significant effect on the risk of developing androgen deficiency (b = 0.06; Exp (b) = 1.07 (1.10 to 1.13), P < 0, 04). The relative risk of developing (RR) androgen deficiency in men with a smoking experience of more than 7 years was 3.76 and was statistically significant (95% CI = 1.07 ÷ 13.25). With an increase in the level of glycated hemoglobin, the risk of developing androgen deficiency also increased significantly (b = 0.08; Exp (b) = 1.01 (1.00 ÷ 1.02), P < 0.04). The exceeding of the glycated hemoglobin level above 7.5% demonstrated a statistically significant RR = 6.71 (95% CI = 1.19 ÷ 37.86). The reduction of LDL decreased the risk of developing androgen deficiency in the men surveyed at the level of a stable trend (b = 0.45; Exp (b) = 0.64 (0.35 ÷ 1.18), P < 0.10). At an LDL level of less than 3.50 mmol/l, the RR of androgen deficiency was 0.29 and was statistically significant (95% CI = 0.09 to 0.97). The rise in VLDL significantly increased the risk of androgen deficiency (b = 0.71; Exp (b) = 2.04 (1.11 ÷ 3.76), P < 0.02). At a VLDL level of 0.42 mmol/l, the RR was 2.58 (95% CI=1.38 to 3.29). As can be seen from the data provided, unsatisfactory compensation of type 2 diabetes mellitus increases the risk of developing androgen deficiency in men.