Background: Diabetes Mellitus is a growing epidemic in the world. It accelerates the aging process and has been proven to reduce Androgen levels in males earlier, through various mechanisms. This study is done to analyse the clinical utility of the ADAM questionnaire in patients with diabetes mellitus in diagnosing androgen deficiency.

Aim: To estimate the prevalence of androgen deficiency among male diabetic patients. To evaluate the efficiency of the ADAM questionnaire, as a tool for diagnosing androgen deficiency, in males with type 2 diabetes mellitus.

Materials and Methods: A prospective study involving 50 type 2 diabetic patients without any other comorbidities was conducted in Rajah Muthiah Medical College. The patients were initially screened with ADAM questionnaire and blood samples were taken for analysing serum testosterone levels.

Results: 28 patients had low androgen levels according to the ADAM questionnaire among which 13 were found to have low serum testosterone levels. There was a statistically significant correlation between ADAM score and Testosterone levels.

Conclusion: ADAM questionnaire can be effectively utilized in male type 2 diabetes mellitus patients. It can be used as a first line investigation for finding androgen deficiency in those patients before subjecting them for serum Testosterone levels.

Keywords: Type 2 diabetes mellitus, Serum Testosterone, ADAM questionnaire.

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Dr S. Selvamuthukumaran

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