Diabetes management: New medical guidance and legal rulings in Germany

The German Diabetes Society (DDG) has advised that hormone treatments are not always the appropriate response for individuals with diabetes seeking to conceive. The society emphasizes the need for thorough investigation into the underlying causes of infertility, noting that diabetes can affect both men and women. In men, Type 2 diabetes and obesity are often linked to low testosterone levels due to insulin resistance, while in women, the condition can lead to cycle disturbances or early menopause. Experts recommend discussing the specific type of diabetes and metabolic status with specialists before pursuing hormone therapy.

In a separate legal development, the Saxon State Social Court ruled that health insurance companies must cover the costs of specialized supervision for children with Type 1 diabetes in kindergarten settings. The court decided that diabetes management, including necessary monitoring for blood sugar fluctuations, constitutes home nursing care under social law. This ruling ensures that families do not have to rely solely on integration assistance, as the medical necessity of the supervision falls under the responsibility of health insurance providers.