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Author Topic: High A1C and Fasting Glucose and Low Testosterone  (Read 16016 times)

bzarfas

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High A1C and Fasting Glucose and Low Testosterone
« on: May 13, 2014, 01:33:47 pm »
here are the labs
total cholesterol 114  (mg/dL)
 HDL 26               (mg/dL) 
LDL 74                      (mg/dL
triglycerides 69  NO    (20-150)mg/dL)
vitD  57ng/ml              (30-100)
HS-CRP  .2 mg/L 
A1C---7                          4-6
fasting glucose 144
total T  293ng/dl    (240-950)
free T  15ng/d; (9-30)

T4(free) .49ng/dl
TSH 2.22
mcUnit/mL



My questions:


total testostrone of  293!
A1C 7
Fasting glucose 144

Won't Blood sugar be helped with more Testosterone?
Good grief thats low....

his TSH/Thryroid talked about here
https://www.peaktestosterone.com/forum/index.php?topic=4762.msg39499#new

PeakT

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Re: High A1C and Fasting Glucose and Low Testosterone
« Reply #1 on: May 13, 2014, 03:04:30 pm »
Ouch!  But, since you're a veteran, you can guess what I'm going to ask:

--How many pounds do you have to lose?

--How many calories per day are you consuming?
« Last Edit: May 13, 2014, 04:23:36 pm by PeakT »
THE MOST COMPREHENSIVE BOOK ON TRT/TESTOSTERONE:
https://www.amazon.com/Natural-Versus-Testosterone-Therapy-Myer/dp/1523210532/ref=sr_1_1?ie=UTF8&qid=1499116128&sr=8-1&keywords=natural+versus+testosterone+therapy
And check out my New Peak Testosterone Program: http://www.peaktestosterone.com/peak_testosterone_program
If you are on medications or have a medical condition, always check with your doctor first before making any lifestyle changes or taking new supplements.  And low testosterone is a medical condition.

Peak Testosterone Forum

Re: High A1C and Fasting Glucose and Low Testosterone
« Reply #1 on: May 13, 2014, 03:04:30 pm »


bzarfas

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Re: High A1C and Fasting Glucose and Low Testosterone
« Reply #2 on: May 13, 2014, 03:37:23 pm »
Ouch!  But, since you're a veteran, you can guess what I'm going to ask:

--How many pounds do you have to lose?

--How many calories per day are you consuming?
well, since you ask, look at those lipid numbers, HOLY COW
but the look at the glucose number
yikes
These are not my numbers, but they are numbers and I know everything about the person, even share some DNA

Id thought you'd ask about the e2 reading, which I don't have.
the pounds arent coming off, BMI is about  25.8 and about 5-10lbs maybe...

what bugs me the post is, I know he'll have to go see  his GP, who had him on androgel about a 1.5 yrs  ago,. which didnt do much.(although he has no blood tests to show me)
so he's going to also see a urologist, but not till mid-june.

There is no e2 number, even though I told him to get it,
I told him to get his Total Test 2 months ago and he told me he told the doc to do it and the doc didnt get it done(claimed a mix up in the lab) so I made him go do a blood draw
The cover note from the doc said his PSA is fine, yet NO PSA was done(I told him not to bother)

so the real question is how do I get the urologist or the GP to get him on injections, he tells me he'll be insistent I do believe him.

I think  as per the links below that normalized Test will help his diabetes, especially seeing how the man eats 2-3lbs of broccoli a night and has for years.
and workouts out(weights/cardio) and walks a ton and has stopped so many bad habits in the last 2-3 years.
My mom feeds him properly, I don't  know anything more he can do, since he already
lifts weight 2-3x a week
does both HIIT and walking
he doesn't eat much beyond veggies. grilled turkey/fish
he does eat 6 eggs  a week(he won't stop that,  not even some, he hates eggwhites)

http://www.ncbi.nlm.nih.gov/pubmed/20126841
Administration of testosterone to hypogonadal men reverses part of the unfavorable risk profile for the development of diabetes and atherosclerosis


PeakT

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Re: High A1C and Fasting Glucose and Low Testosterone
« Reply #3 on: May 13, 2014, 04:21:25 pm »
Yeah, I missed that glucose and A1C.  Yeah, he's got bigger problems.  Needs to address that asap of course...

One study showed that increasing T can lower that A1C by a point.  So that can help, but he's got to come up with some kind of a program and work with his doc.

Don't forget about Bernard's and Whitaker's books about reversing diabetes.
« Last Edit: May 13, 2014, 04:23:50 pm by PeakT »
THE MOST COMPREHENSIVE BOOK ON TRT/TESTOSTERONE:
https://www.amazon.com/Natural-Versus-Testosterone-Therapy-Myer/dp/1523210532/ref=sr_1_1?ie=UTF8&qid=1499116128&sr=8-1&keywords=natural+versus+testosterone+therapy
And check out my New Peak Testosterone Program: http://www.peaktestosterone.com/peak_testosterone_program
If you are on medications or have a medical condition, always check with your doctor first before making any lifestyle changes or taking new supplements.  And low testosterone is a medical condition.

Peak Testosterone Forum

Re: High A1C and Fasting Glucose and Low Testosterone
« Reply #3 on: May 13, 2014, 04:21:25 pm »


bzarfas

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Re: High A1C and Fasting Glucose and Low Testosterone
« Reply #4 on: May 13, 2014, 05:15:25 pm »
Yeah, I missed that glucose and A1C.  Yeah, he's got bigger problems.  Needs to address that asap of course...

One study showed that increasing T can lower that A1C by a point.  So that can help, but he's got to come up with some kind of a program and work with his doc.

Don't forget about Bernard's and Whitaker's books about reversing diabetes.

Ive had him losing weight to lower AC1 and he takes ceylon ciinnom on fruit a few times a week to help his diabetes.  but he hasnt been able to lose the last few pound in almost a year.

we have the same GP, who I like a lot, but I'm pretty clueless about what else to do aside from HRT, which he needs
even from the time I learned he had used androgel to now, he's lost a lot of weight, but he's been at the same place since november '13,l can't lose 5-10lbs

I'll be on him next month when he sees his GP/Uro,. but they arent going to give it up easily, Im not sure how to make sure he gets what he needs

bzarfas

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Re: Need advice for lowT
« Reply #5 on: May 13, 2014, 05:24:31 pm »

HS-CRP  .2 mg/L 
A1C---7                          4-6
fasting glucose 144
total T  293ng/dl    (240-950)
free T  15ng/d; (9-30)


http://www.peaktestosterone.com/Testosterone_Glucose

so high sugar levels hurt testosterone levels.
but of the testosterone here were normalized, and the diet is low in sugar(as it is already) then would Testosterone help normalize glucose metabolism?

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2834340/pdf/ijir200925a.pdf
Conclusion
This review shows that ample evidence has accu-
mulated through epidemiological studies and small
clinical trials showing that low androgen levels are
associated with numerous CV risk factors and
mortality (Figure 2). In addition to traditional CV
risk factors, novel risk factors are also inversely
related to testosterone levels. Indeed, a recent study
showed that low testosterone levels increase oxida-
tive stress in men and testosterone replacement
reverses this pathology.
33
Similarly, the effect of
testosterone treatment in men with chronic heart
failure is also being explored.
34
Now what we need
are long-term, double-blind, randomized, placebo-
controlled trials of androgen replacement in men
with low testosterone levels and evaluate its effect
on CV risk factors, CV mortality and all-cause
mortality.

bzarfas

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Re: High A1C and Fasting Glucose and Low Testosterone
« Reply #6 on: June 01, 2014, 08:33:28 am »
here are the labs
total cholesterol 114  (mg/dL)
 HDL 26               (mg/dL) 
LDL 74                      (mg/dL
triglycerides 69  NO    (20-150)mg/dL)
vitD  57ng/ml              (30-100)
HS-CRP  .2 mg/L 
A1C---7                          4-6
fasting glucose 144
total T  293ng/dl    (240-950)
free T  15ng/d; (9-30)


..
I need help
My   66yo dad who has
HS-CRP  .2 mg/L
A1C---7                          4-6
fasting glucose 144
total T  293ng/dl    (240-950)
free T  15ng/d; (9-30)
BMI 25.8-26.1

https://www.peaktestosterone.com/forum/index.php?topic=4125.msg34484#msg34484

My dad has the idea if he JUST  keeps dieting, his numbers will get better.

I told him with such a low level of testosterone, he is hurting himself and would feel worlds better when he raises that up to 850 or so.(3x his current level)

but my dad has 3 major issues

1.low T
2. diabetic T2/ high A1C test
3 can't lose fat, low muscle not as strong as he was(he has been dieting over a year to lose 10-12lbs and have can't lose them for longer than a week, before he is fat again...and he eats ~1200-1600 calories/day he says

I explained everything could be fixed getting is total T to 850
but he wants to keep dieting for another month before talking to his GP or urologist, which means then he'll have to get more blood work done, so the time to actually solve this problem is extended..
I have no clue what to do

he will have concerns
I know about a year ago, had a prostate biopsy(negative) and he'll think TRT will lead to prostate cancer/cancer
and
he has a fib, so he'll think TRT will lead to a heart attack(as this is also in the news a lot, even though the trt is usually done poorly, which creams, or on guys who dont workout, eat poorly, and have numbers.
My dad workout, eats great(low fat palo indeed) and has great cholestrol numbers(Low hdl, which is indicitive of low T, but a total cholestrol of 117

I need some help addressing these issues and getting him on Testosterone cypionate with Arimidex

any studies anyone has about
1 testostrone helping insulin sensitivity?
2 hrt is safe for prostate
3 HRT is not going to increase risk for heart attacks/strokes?( in fact, Reduced testosterone levels may be associated with susceptibility to lone AF in men., so  he has AF now(4years) but can be fixed via increased Testostrone,

I think my Dad is an ideal canidate for HRT and needs HRT to have a better life,  but how do I get him to try it?
(I don't have his E2 number, although I've told him before his last 3 blood tests to get it)






PeakT

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Re: High A1C and Fasting Glucose and Low Testosterone
« Reply #7 on: June 30, 2014, 03:36:00 pm »
I split a question out about his Dad's T levels:

https://www.peaktestosterone.com/forum/index.php?topic=4471.0
THE MOST COMPREHENSIVE BOOK ON TRT/TESTOSTERONE:
https://www.amazon.com/Natural-Versus-Testosterone-Therapy-Myer/dp/1523210532/ref=sr_1_1?ie=UTF8&qid=1499116128&sr=8-1&keywords=natural+versus+testosterone+therapy
And check out my New Peak Testosterone Program: http://www.peaktestosterone.com/peak_testosterone_program
If you are on medications or have a medical condition, always check with your doctor first before making any lifestyle changes or taking new supplements.  And low testosterone is a medical condition.

bzarfas

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Re: High A1C and Fasting Glucose and Low Testosterone
« Reply #8 on: June 30, 2014, 05:22:28 pm »
I split a question out about his Dad's T levels:

https://www.peaktestosterone.com/forum/index.php?topic=4471.0

this makes it hard on me, I was keeping track of my dads stats in this thread, his own log of sorts.  I'm not seeing a benefit to having 2 threads, to make pretty much any useful contribution/advice about my dad, a person must read 2 threads.
what is the benefit to chopping this thread in half?

bzarfas

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Re: High A1C and Fasting Glucose and Low Testosterone
« Reply #9 on: June 30, 2014, 10:39:53 pm »
Now I'm not sure where to put this

my dad asked his GP for testostrone
the GP told him the studies are all over the place and likely it will increase his chance of a heart attack, which is why the MD is not prescribing TRT much anymore.

I know Morgantaylor says this is wrong, but is there anything I can give my dad to show him this is wrong or that low T is more likely to cause CHD than TRT?
Thanks

bzarfas

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Re: High A1C and Fasting Glucose and Low Testosterone
« Reply #10 on: June 30, 2014, 10:56:37 pm »
Now I'm not sure where to put this

my dad asked his GP for testostrone
the GP told him the studies are all over the place and likely it will increase his chance of a heart attack, which is why the MD is not prescribing TRT much anymore.

I know Morgantaylor says this is wrong, but is there anything I can give my dad to show him this is wrong or that low T is more likely to cause CHD than TRT?
Thanks

I don't understand this? 
My dad has Type 2 diabetes
I read this
http://www.peaktestosterone.com/Testosterone_Heart_Disease
6. Diabetes. It is no secret that type II, adult onset diabetes is an epidemic in the U.S. And it is no secret that, once a man gets diabetes, his chances of cardiovascular disease sky rocket. One study showed that men with diabetes tripled their chance of another heart attack if they had already had one. And, if they had not yet had a heart attack, they increased their risk six fold! [8] Testosterone therapy can be a HUGE boost in men with low or lowish testosterone in this area
#8
http://www.nejm.org/doi/full/10.1056/NEJM199807233390404

I am missing why lowish testosterone gives what boost?  Where is level of testostrone mentioned?
I am trying to find something to send my dad to get him on TRT

 It seems the biggest risk for myocardial infactrion was if you had already had a heart attack.
The seven-year incidence rates of myocardial infarction in nondiabetic subjects with and without prior myocardial infarction at base line were 18.8 percent and 3.5 percent, respectivel

PeakT

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Re: High A1C and Fasting Glucose and Low Testosterone
« Reply #11 on: July 01, 2014, 03:03:43 am »
Now I'm not sure where to put this

my dad asked his GP for testostrone
the GP told him the studies are all over the place and likely it will increase his chance of a heart attack, which is why the MD is not prescribing TRT much anymore.

I know Morgantaylor says this is wrong, but is there anything I can give my dad to show him this is wrong or that low T is more likely to cause CHD than TRT?
Thanks

You'll have to handle that one...
THE MOST COMPREHENSIVE BOOK ON TRT/TESTOSTERONE:
https://www.amazon.com/Natural-Versus-Testosterone-Therapy-Myer/dp/1523210532/ref=sr_1_1?ie=UTF8&qid=1499116128&sr=8-1&keywords=natural+versus+testosterone+therapy
And check out my New Peak Testosterone Program: http://www.peaktestosterone.com/peak_testosterone_program
If you are on medications or have a medical condition, always check with your doctor first before making any lifestyle changes or taking new supplements.  And low testosterone is a medical condition.

bzarfas

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Re: High A1C and Fasting Glucose and Low Testosterone
« Reply #12 on: July 01, 2014, 04:15:19 am »

You'll have to handle that one...
I dont see anything I'm not handling?? I posted a problem and then posted about a solution I've found via the main site, but asking on the forum hasnt helped yet, maybe that will chane

I  did ask a question in reply  10 about  heart attacks ,in the post right before you said I had to handle it on my own

this what I came up with to send to my dad
any thoughts to add in would be appreciated

Dad:

I don't agree with (your MD) saying TRT increases incidence of heart attacks.

I am talking about injections, not about cremes.

we must first agree you arent a normal level. Total testosterone of  293ng/dl is not a healthy number and with that number being low end,(scale being 240-950ng/dl)
 
If that scale was a grade in school, (where 71pts=10%)
an A would be from 950-879
F=240-311
at 293/ you are failing in the lowest 10%
If high testosterone is bad for you, then low testosterone is not good(otherwise it would be called normal) so bad things are already happening.

-->Recent population studies have shown that low serum testosterone levels are associated with both CV and all-cause mortality. A retrospective study of male veterans showed that low testosterone was associated with increased mortality.29 A prospective study of 794 men, aged 50–91 years, looked at the relationship of testosterone with all-cause mortality over two decades.30 Men with total testosterone levels in the lowest quartile (<241 ng per 100 ml) were 40% more likely to die than men with higher androgen levels, independent of age, adiposity, lipids, adipokines and lifestyle. In cause-specific analyses, low testosterone predicted increased risk of mortality due to CV and respiratory disease.
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2834340/

So while ellena is saying normalizing testosterone lead to more heart attacks, I say now and say later(with a different study) that having low testosterone causes Heart attacks risks.  besides the other bad things it does to you.

Symptoms of lowT
fatigue, depression, osteoporosis, anemia, hardening of the arteries, etc


Having a low Total testosterone is a warning sign to check estradiol(E2) levels, one of the male estrogen.  The T/E ratio is a great indicator for how much the testosterone is actually affecting  a person.
Estradiol of 30-40, where it should be, would give a poor T/E ratio.  A guy wants 30-40 ratio
293/E2= 30-40
so to get that number, you would need an E2 of about 8

These are the facts, you have low Testosterone, no fault here, you are just getting older. So what are the pros/cons to being on hormone replacement therapy(I mean cypionate with Arimidex not a cream like androgel, which may not even be absorbed, etc)

I have a book.
Testosterone for Life:

http://www.amazon.com/Testosterone-Life-Recharge-Vitality-Overall/dp/0071494804/ref=sr_1_1?ie=UTF8&qid=1404188447&sr=8-1&keywords=Morgentaler

by Morgentaler, MD

who address that and the PSA issues/ heart issues and other myths/presumptions about being on HRT


I have found some articles he's written

PSA issue here

http://www.lef.org/magazine/mag2008/dec2008_Destroying-the-Myth-about-Testosterone-Replacement-Prostate-Cancer_01.htm


He wrote this webpage also

http://www.harvardprostateknowledge.org/a-harvard-expert-shares-his-thoughts-on-testosterone-replacement-therapy

I think that the importance of testosterone for cardiovascular health is going to be increasingly recognized. In the past, because men die of heart attacks more often than women and men have more testosterone, the fear has been that testosterone causes heart problems. But every single study of whether testosterone is bad for the heart has been negative, and what people haven’t pointed out in most of those negative studies is that there may be a beneficial effect.


I've been pushing you to eat rhubarb/rocket because of high nitrates, testosterone actually affects nitric oxide./

When  I push you to eat high nitrates veggies, spinach/broccooli(both  on the low-nitrate side) to arugula/beets/rhubarb, which are on the high side because high nitrates help make  nitrix oxide.  as talked about in this study

look at Table 3 and table 5 which show why you should eat celery/rocket/spinach, but also rhubarb(not in the list)

http://ajcn.nutrition.org/content/90/1/1.full.pdf

Then there is this study:


http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2834340/pdf/ijir200925a.pdf
Welcoming low testosterone as a cardiovascular risk factor

Looking at figure 2 we see that low testostrone has many complications
and while you have diabetes/insulin resistance
and it says:

this review shows that ample evidence has accumulated through epidemiological studies and small clinical trials showing that low androgen levels are associated with numerous CV risk factors and mortality (Figure 2). In addition to traditional CV risk factors, novel risk factors are also inversely related to testosterone levels. Indeed, a recent study showed that low testosterone levels increase oxidative stress in men and testosterone replacement reverses this pathology

Recall, increased oxidatve stress means more free radicals.



I can only point out what the science says, I know guys who are on TRT, both young and older, and normalizing your testostrone will help you live a better life and lose a few pounds at the same time.

bzarfas

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Re: High A1C and Fasting Glucose and Low Testosterone
« Reply #13 on: July 12, 2014, 12:51:32 pm »
here are the labs
total cholesterol 114  (mg/dL)
 HDL 26               (mg/dL) 
LDL 74                      (mg/dL
triglycerides 69  NO    (20-150)mg/dL)
vitD  57ng/ml              (30-100)
HS-CRP  .2 mg/L 
A1C---7                          4-6
fasting glucose 144
total T  293ng/dl    (240-950)
free T  15ng/d; (9-30)

MORE DATA

E2: 44(18-40)
T4= .77(.6-1.17)
FSH  3.4(1.4-18)
LH 5.8(1.5-9.3)



o what is a good T/E ratio?  A solid number for a 20 year old male is 30-40 with some guys shooting near 50.  Of course, some would argue that a T/E ratio that high makes it to where most guys can't think straight.  Regardless, youthful testosterone-to-estrogen ratios are quite high and are certainly ideal in terms of maintaining male health.
http://www.peaktestosterone.com/Testosterone_Estrogen_Ratio

I'm not sure how to find the T/E ratio?
(total testosterone) divided by total estraidiol?
to me it seems his T/E ratio is
293/44=6.6?
or
a teen with Total T of 700 and e2 of 20 would be 700/20=35, so I think I am doing it right, but he has  a ratio of 6.6? holy bad news

maybe my dad doesnt need TRT, he just needs anastrolozole and a low fat diet(although his diet is low fat)
but a total T of 293 and E2 of 44, I think he needs BOTH, asap


he shows issues of Low T by having high A1c, yet he eats a peak approved diet, tons of brooccoli(2+lbs a day) and he lift weights 2-3 days a week and walks 3-4 days a week

any thoughts?

PeakT

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Re: High A1C and Fasting Glucose and Low Testosterone
« Reply #14 on: July 12, 2014, 04:44:33 pm »
Yeah, that's a low ratio!  I can't believe he's feeling too good with a T/E2 < 10...

So is he type I or type II?  Regardless, that's why his A1C is high.  You can lower it a certain amount with diet, but it sound like he might be farther along in the progression?
« Last Edit: July 12, 2014, 04:46:04 pm by PeakT »
THE MOST COMPREHENSIVE BOOK ON TRT/TESTOSTERONE:
https://www.amazon.com/Natural-Versus-Testosterone-Therapy-Myer/dp/1523210532/ref=sr_1_1?ie=UTF8&qid=1499116128&sr=8-1&keywords=natural+versus+testosterone+therapy
And check out my New Peak Testosterone Program: http://www.peaktestosterone.com/peak_testosterone_program
If you are on medications or have a medical condition, always check with your doctor first before making any lifestyle changes or taking new supplements.  And low testosterone is a medical condition.

Peak Testosterone Forum

Re: High A1C and Fasting Glucose and Low Testosterone
« Reply #14 on: July 12, 2014, 04:44:33 pm »