There is a complex relationship between testosterone levels and blood sugar health. Men with low levels of testosterone are three times more likely to develop metabolic health concerns. The problem is especially prominent in older men.
Testosterone levels naturally fall as men age. About 19 percent of men over 60 have low levels of testosterone. By 80, it’s almost half of men.
And the relationship is reciprocal. Research has found that “low testosterone leads to insulin resistance, while insulin resistance can lower testosterone production.” Men with blood sugar concerns are twice as likely to have low testosterone than men without blood sugar issues.
Low levels of testosterone can cause decreased libido, loss of muscle mass and increased belly fat. Along with higher levels of visceral fat, it can decrease bone mass, energy levels and impact mood and red blood cell production.
Some men can benefit from testosterone replacement therapy (TRT). It can aid blood sugar control and overall blood sugar levels. It can also prevent a mild blood sugar concern from developing into a more serious one. But TRT isn’t for everyone, and it’s something to discuss with a doctor. Men with heart problems, who want children or who have prostate or breast cancer should not take TRT.
If TRT isn’t an option, weight loss might be. Obesity can cause lower levels of testosterone. Losing weight can increase testosterone levels and aid blood sugar health. Weight loss may be the key, as 50 percent of obese men with blood sugar concerns have low testosterone.
The symptoms of low testosterone can include lower libido, erectile dysfunction, reduced lean body mass, depression and low energy levels. If you suspect you may be experiencing low testosterone levels, a simple blood test can check. If TRT is a good option for you, it can be administered as gels, patches or injections.
People can find talking about sexual health embarrassing. However, low testosterone levels aren’t just a “bedroom problem.” It impacts many aspects of health. Seeking help for your hormone levels can aid your blood sugar levels, weight and even bone health. By getting your hormones in order, you can gain control over your health and well-being. Your blood sugar health is essential. So, if you think your testosterone levels might be low, speak to your doctor.

