Testosterone in Diabetes "Physiology is more important than Psychology” – IDSI Event 2021

IDSI 2021: 20th International Symposium on Diabetes, in association with the Mayo Clinic, USA

I was honoured to be recommended to speak at the annual IDSI event today by a fellow member of the International Society for Sexual Medicine (ISSM). It was a scientific programme and so my presentation was aimed at my medical colleagues, however it still ties in with the ethos of the rest of my videos on this channel and may provide some further insight into the science behind Testosterone Replacement Therapy, especially in the context of diabetes.

(EDIT: I say during my intro that we have patients travel to us from 15 different countries outside of the UK. At last count, it’s actually 30!)

Dr Robert Stevens MBChB MRCGP DipFIPT


The premise behind TRT is normalising your male androgen levels for long term physical and psychological well-being. We also want to reverse the negative symptoms that you have presented with! This involves a thorough assessment, analysing your lifestyle, nutrition and physical exercise; alongside addressing possible reversible causes. You should always look to increase your natural testosterone level before committing to what is a lifelong therapy. Here is a guide –

To decide if TRT is in your best interests, a formal diagnosis of testosterone deficiency is made following a full diagnostic blood test, along with a second confirmatory test. More information can be found here –

If you’ve not had any blood tests to date, we would recommend starting with either the ‘TRT Complete’ or ‘TRT Complete Plus’ blood tests – These are both comprehensive blood tests that look at all of your hormone markers, as well as other general health parameters which would highlight any potential reversible causes for your low testosterone. If you would like to go ahead, we can organise a test for you, or you can request them from your GP.

More details on our consultation and treatment process can be found at the following page of our website – This is further summarised here, along with a recommended plan of action depending on your personal circumstances –

You may find our closed Facebook group a helpful resource –

Dr Rob Stevens MBChB MRCGP DipFIPT

Source: Youtube