I'm not sure what that means, but i am guessing it is the same way of saying, "God made me this way."
God did indeed create, but he created everything with freedom. Mankind has the freedom to choose God or not choose God, he won't force Himself on us. After all, what kind of creative God would He be if He forced us to love Him? There is no creativity in that.
Just as mankind has the freedom to choose, cells, weather, chromosomes, all have the freedom to "choose." They run amok, good cells turn harmful when they grow out of control (cancer). A hot day turns dangerous when a cold front merges with it to create a tornado causing destruction. Chromosomes experience flaws that render people gender non specific, cause mental disorders or birth defects. It happens. God didn't cause it to happen anymore than he sent a tornado to hit an elementray school.
Homosexuality is not because God "made" someone that way. Its because of a natural set of circumstances that went wrong somewhere along the way. Its because what was meant for good, was transformed into something unnatural, dangerous or sinful.