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ABSTRACT
Introduction. Diabetes is a chronic metabolic disease that can lead to severe hormonal disorders such as hypogonadism. The objective of our study was to better define the biological risk factors of infertility related to hypogonadism in type 2 diabetics. Method. This was a retrospective descriptive and analytical cross-sectional study conducted at the Mali Hospital between January 2019 to August 2020. The markers being biologically monitored were: Testosteronemia, gonadotropins, prolactinemia, glycemia, Glycated hemoglobin A1c. Results. This study included 55 patients with type 2 diabetes. The age group between 51-70 years was the most represented with 92.73% of the population, the young subjects were little represented with 20%. We found overweight and grade 1 obesity respectively in 29.09 and 5.45% of the diabetic patients in our study. Hyperglycemia and glycated hyperhemoglobin A1c were found in 92.73% and 78.18% of diabetic patients with significant differences P= 0.02 and P = 0.001 respectively. Hypotestosteronemia of 58.18% was more marked in patients with decreased sexual desire with a significant difference P = 0.02. A prevalence of biological hypogonadism was found in 65.45% of type 2 diabetic patients but the statistical difference was not significant P = 0.46. Conclusion. A high prevalence of hypogonadism was found in diabetic patients. Diabetes through its deleterious action on the blood vessel wall through oxidative stress and insulin resistance could promote or accelerate the development of hypogonadism.
RÉSUMÉ
Introduction. Le diabète est une maladie métabolique chronique pouvant conduire à des troubles hormonaux sévères comme l’hypogonadisme. Objectif. Définir les facteurs de risque biologiques d'infertilité liés à l'hypogonadisme chez les diabétiques de type 2. Méthodes. C’était 'une étude rétrospective descriptive et analytique menée à l'hôpital du Mali entre janvier 2019 et août 2020. Les marqueurs suivis biologiquement étaient : La testostéronémie, les gonadotrophines, la prolactinémie, la glycémie, l'hémoglobine glyquée A1c. Résultats. Cette étude a inclus 55 patients diabétiques de type 2. La tranche d'âge entre 51-70 ans était la plus représentée avec 92,73% de la population, les sujets jeunes étaient peu représentés avec 20%. Nous avons retrouvé un surpoids chez 29,09 % des sujets et une obésité de grade 1 chez 5,45% des patients diabétiques. L'hyperglycémie et l’hyperhémoglobine glyquée A1c ont été retrouvées chez 92,73% et 78,18% des patients diabétiques avec des différences significatives P= 0,02 et P = 0,001 respectivement. Une hypotestostéronémie de 58,18% était plus marquée chez les patients présentant une diminution du désir sexuel avec une différence significative P = 0,02. Une prévalence d'hypogonadisme biologique a été retrouvée chez 65,45% des patients diabétiques de type 2 mais la différence statistique n'était pas significative P = 0,46. Conclusion. Une prévalence élevée d'hypogonadisme a été trouvée chez les patients diabétiques. Le diabète, par son action délétère sur la paroi des vaisseaux sanguins à travers le stress oxydatif et la résistance à l'insuline, pourrait favoriser ou accélérer le développement de l'hypogonadisme.

Keywords

Type 2 Diabetes hypogonadism testosterone Mali Hospital Diabète de type 2 Hypogonadisme Testostérone Hôpital du Mali

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Yaya Goïta, Bakary M Cissé, Yacouba Diallo, Seydou Sassou Coulibaly, Adama Koné, Aboubacar Tiétié Bissan, Klétigui Casimir Dembélé, Djibril Mamadou Coulibaly, Karim Bah, Nanko Doumbia, Boubacar Sidiki Ibrahim Dramé, & Pascal Reynier. (2023). Hypogonadism in Type 2 Diabetic Patients at Bamako. HEALTH SCIENCES AND DISEASE, 24(3). https://doi.org/10.5281/hsd.v24i3.4289
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