Андрогенно-естрогенний баланс та ліпідний обмін у чоловіків з цукровим діабетом 2 типу

Abstract

Резюме. У роботі узагальнені дані літератури та особисті спостереження відносно вивчення андрогенно- естрогенного балансу та ліпідного обміну у чоловіків окремих вікових груп, хворих на цукровий діабет 2 типу у поєднанні з артеріальною гіпертензією.; Резюме. В работе обобщены данные литературы и личные наблюдения относительно изучения андрогенно-эстрогенного баланса и липидного обмена у мужчин отдельных возрастных групп, больных сахарным диабетом 2 типа в сочетании с артериальной гипертензией.; Abstract. The study of aging has an important place in modern medicine, as it is associated with an increase in life expectancy and, consequently, the number of aging people. The criterion of age-related changes of the population is life expectancy, which is calculated for each definite country. Life expectancy in Ukraine ranks 143 place in the world, mortality occupies first place. The main sex hormone, which determines gender identity and various aspects of the male body is testosterone. As it known, the main precursor for testosterone is cholesterol, and on earlier stages is glucose. The aim of study was to evaluate the androgen-estrogen balance and lipid metabolism in men of different age groups, patients with type 2 diabetes combined with hypertension. The study involved 88 men aged 45 to 76 years. All patients were divided into two groups according to age. Fifty study participants had a history of type 2 diabetes combined with hypertension and entered the main group of the appropriate age. The control group included 38 men who did not have the above-mentioned diseases. First group (I) consisted of 42 middle-aged men (45-59 years). Second group (II) included 46 males aged 60 years or more. According to a study design in patients of first age group suffering from type 2 diabetes combined with hypertension moderate hypertriglyceridemia was revealed, whereas in second age group, the levels were much higher. Atherogenic ratio was significantly higher (p<0.05) in patients of second age group compared with persons of the first age group. According to our records in patients with type 2 diabetes combined with hypertension significantly worsening lipid metabolism was observed, which can lead to progressing of atherosclerosis and development of severe complications such as coronary heart disease, myocardial infarction, stroke, obliterating arterial disease. During the study the decrease of total testosterone in patients with type 2 diabetes II age group was determined. Free testosterone level was almost twice reduced according to the main subgroups of the elder patients. At the same time estradiol levels were increased in both age groups of patients with type 2 diabetes complicated with hypertension. One reason for the decrease of total and free testosterone levels in diabetic patients is deterioration of blood supply as a result of testicular tissue angiopathy. Therefore, the treatment of age-related androgen deficiency in patients with type 2 diabetes must include drugs that improve microcirculation. In order to reduce cardiovascular risk normalization of lipid metabolism in the above-mentioned category of patients is required, which will also have a positive effect on testicular tissue and androgenic status of patients.