Justin Delgado is husband to Kacie Doyle-Delgado, diagnosed at age 11. After more than a decade together, he considers himself to be an expert carb counter and Dexcom inserter. He graduated with his Master of Science in Finance from the University of Utah in 2013 and has been working in commercial banking since then. He attended his first Friends for Life conference in 2015 and is looking forward to volunteering with the teens.
January 22, 2008
Question from South Wales:
My 15-year-old son was diagnosed with type 1 diabetes a year ago. He is 6 feet tall but has not developed sexually at all except for pubic and underarm hair. He is getting very apprehensive about this. His diabetes is well controlled. Is there any help he can get?
It is not likely that the diabetes is an explanation because his duration is too short. Is there a family history of delayed puberty? If he already has axillary and pubic hair, then he is well on the way toward puberty. You should have your diabetologist discuss this and specifically examine for Tanner staging which will evaluate the size and shape of the penis and also the scrotum/testicles. Some other hormone testing could also be done and perhaps also a bone age X-ray. This will put into perspective if there is really delayed puberty. His growth chart should also be evaluated for the same information/patterns. If he is deficient in pituitary and/or gonadal hormones, these could be replaced. Sometimes we endocrinologists also treat for 6 to 12 months with testosterone as well, even with delayed puberty.