Susan B. Sloane, BS, RPh, CDE, has been a registered pharmacist for more than 20 years and a Certified Diabetes Educator for more than 15 years. Her two sons were diagnosed with diabetes, and since then, she has been dedicated to promoting wellness and optimal outcomes as a patient advocate, information expert, educator, and corporate partner.

As men get older, especially over 50, testosterone levels may start to decline. We know that testosterone is an anabolic hormone — in other words, it can build muscle mass, so exercise is especially important as you age.

There seems to be a direct correlation between low testosterone levels in men and insulin resistance. This can help us better understand how to treat diabetes in men. For example, if existing treatment for diabetes is failing in an older male, low testosterone levels could be the cause. In this case perhaps testosterone supplementation may be in order. Testosterone therapy in men is not for everyone — there can be risks. It's all about balance, but definitely an interesting read and something to consider in the right patient.

I was always under the impression that changes in estrogen in women and testosterone in men can create changes in diabetes control. We often see lack of good diabetes control during puberty in both men and women. This article shows how testosterone replacement can affect diabetes control in a good way. I am still a bit skeptical.