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First of all in my opinion two things that should never be in the same sentence are "sex" and "normal".
I think you have grounds to be... concerned. Have you actually spoken about it? As others have mentioned men do not relish that "talk". I've been married for nearly 25 years and we both avoid the talk. Recently he's been having issues that I am sure are related to his diabetes. He pretends not to notice that something has changed until I bring it up as delicately as I can.
I think a more important conversation would pertain to how it made you feel that he didn't spend his last night in town with you. Or how you felt when he turned you down etc.
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I've been married for 24 years and have four wonderful children.
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