Visit our website for Ingenes US Llama de E.U.A. y Canadá GO
Fecha de Publicación:
14 de octubre, 2012 

Diabetes Mellitus

What is diabetes mellitus? Diabetes mellitus is a condition in which the body does not produce sufficient insulin or does not use it properly. Insulin is a hormone necessary to transform sugar, starch and other foods into the energy we need for our everyday life. According to World Health Organization data, diabetes mellitus affects 200 ...

Diabetes Mellitus

What is diabetes mellitus?

Diabetes mellitus is a condition in which the body does not produce sufficient insulin or does not use it properly. Insulin is a hormone necessary to transform sugar, starch and other foods into the energy we need for our everyday life.

According to World Health Organization data, diabetes mellitus affects 200 million people worldwide and it is estimated that by 2030 there will be 366 million diabetics.

Diabetes mellitus is characterized by high levels of glucose in the blood and, if not controlled, can affect fertility in several ways:

•    Around 50 percent of men with diabetes suffer from erectile dysfunction
•    It causes ejaculatory disorders, such as the retrograde ejaculation and anejaculation
•    It affects the production of testosterone and, therefore, the quality of sperm
•    Diabetics have an 60 percent greater index of sperm DNA fragmentation. An egg fertilized by a sperm with fragmented DNA has a lower probability of becoming a healthy embryo and implanting correctly in the uterus, which results in a greater incidence of spontaneous abortions
•    When the condition is not controlled, there is a progressive decrease in the sperm motility, as well as a greater index of alterations in their shape

In turn, women with uncontrolled diabetes may have ovulation problems or be more prone to cervical-vaginal infections. In the same manner, high sugar levels increase the risk of spontaneous abortion and can cause congenital defects in the fetus or even lead to their excessive growth (Macrosomia, also known as big baby syndrome) and can cause birth complications in labor.

Main symptoms of diabetes mellitus

The main symptoms of diabetes mellitus are:

•    Constant thirst
•    Excessive hunger
•    The need to urinate more often than normal
•    Inexplicable weight loss
•    Numbness of hands and feet
•    Blurred vision
•    Frequent infections
•    Wounds that heal slowly
•    Fatigue or weakness
•    Dizziness
•    Irritability
•    Erectile dysfunction
•    Ejaculatory disorders
•    Infertility

If you have any of these symptoms, you should see a doctor immediately because the timely treatment of diabetes can prevent various health problems.

Causes of diabetes mellitus

Diabetes mellitus occurs because the body does not produce sufficient insulin or does not use it properly.

Some factors that increase the probability of contacting diabetes include:

•    Being over 45 years of age
•    Sedentary lifestyle
•    Poor eating habits
•    Obesity
•    Resistance to insulin
•    High blood pressure
•    High cholesterol and triglyceride levels

It is important to mention that diabetes can be hereditary and men with diabetic parents or siblings have a greater probability of developing it.

How is diabetes mellitus diagnosed?

In addition to a physical examination and the study of the patient's medical background, a fasting glycemia test must be taken. A person with a blood glucose level of 126 mg/dl or higher has diabetes and must be treated.

People who suffer from diabetes mellitus must undergo regular tests to make sure that their glucose levels are under control.

If you have had problems to conceive and are overweight or if any of your relatives suffer from diabetes, it is advisable to have a blood test to rule out this condition.

Treatments to achieve pregnancy when suffering from diabetes mellitus

The first step to control diabetes is to maintain a healthy diet and exercise regularly. If this is not sufficient to keep your sugar levels under control, it is likely that you will need to take drugs such as sulfonylureas and metformin or apply insulin injections.

Generally, the treatment of diabetes is sufficient to re-establish fertility. Diabetics under proper medical control, with good body weight and normal glucose and cholesterol levels in their blood usually have good quality semen and ejaculate normally.

Otherwise, in vitro fertilization with intracytoplasmic sperm injection (FIV + ICSI) is the treatment of choice to achieve pregnancy because it enables the injection of a single sperm directly into the cytoplasm of a mature egg with a microscopic needle.

It is advisable to carry out a sperm DNA fragmentation test before beginning any assisted reproduction treatment because a high fragmentation index can affect the success rate of these procedures.

In the event that the man suffers from anejaculation or good quality sperm cannot be found in the ejaculate, they can be recovered by an epididymal aspiration or a testicular biopsy. In turn, patients with erectile dysfunction can take drugs to re-establish the erection.

It is important to mention that in cases of retrograde ejaculation, it is possible to recover the sperm directly from the urine for use in a later assisted reproduction treatment after a washing process.

Obtenga lo último de nuestro blog de Ingenes

Manténgase actualizado con información precisa sobre la reproducción asistida y los tratamientos de fertilidad, y conozca el camino para expandir su familia.
Este sitio web almacena cookies en tu computadora. Estas cookies sirven para recolectar información respecto a cómo interactúas con nuestro sitio web y nos permite recordarte. Utilizamos esta información con la finalidad de mejorar y optimizar tu experiencia de búsqueda, además de analizar y medir nuestras visitas en este sitio y otros medios. Para saber más sobre las cookies que utilizamos, te invitamos a leer nuestra Política de Privacidad.
Privacy Policy