<s>[INST] My husband have diabetes out of control and cholesterol high diabetes =473,triglyciride= 948 his sperm count and motility is low not very low but low enough we have to do ivf could it be because of his diabetes and cholesterol that it s low and if he change his diet could it go to normal YYYY@YYYY [/INST] Hi,Welcome to HCM.Uncontrolled diabetes & lipid profile will alter sperm quality first, then motility & lastly count. If its long standing, it can cause low count & motility. But it will take equally long time for improvement to be apparent. Plan your treatment accordingly.Wish you good health.Regards. </s>