Diabetes has an effect on sperm, which can lead to low sperm viability and decreased quality of vitality, and in severe cases, can lead to difficulties in conception or infertility. Diabetes is a very common disease of the endocrine system, mainly due to abnormal blood glucose metabolism in the body, which can cause lesions in multiple tissues and organs, especially endocrine disorders that can further affect the quality of reproductive cells. Some diabetic patients may have difficulty conceiving, and if sperm quality tests are performed, pathological aspects may be found to be present. The primary treatment for the effects of sperm produced by diabetes is to actively control the diabetes, using insulin to control blood sugar if necessary. After the blood glucose is ideally controlled, the metabolic state of the body will improve, causing an improvement in the quality of germ cells and, for diabetics in adolescence, improving conception.